Brachioplasty: Tightening of The Underarm & Axillary Skin

     As we age, the skin and subcutaneous tissues tend to relax and fall.  The area under the arm and the axilla are no exception.  Women are particularly prone to this issue, and patients with large amounts of weight loss also experience this problem.

The Operation

     An incision is made in the armpit area and under the arm.  Excess skin and fat are excised, and often liposuction is performed at the same time to thin the arm.  A scar is left in the axilla and under the arm and is placed in such a way as to be well hidden.  A compression garment is placed at the end of the procedure.

How Long Does It Last?

     The results are permanent if there is no large weight loss and gain after the procedure.  There is some stretching of the tissues over the first six months; however, a significant improvement will be permanent.

After Surgery

     The patient is able to walk immediately after surgery and is, in fact, encouraged to do so three to four times per day for several minutes each time.  The compression garment will be worn for a total of four weeks.

     Some swelling and bruising is normal but is generally minimal.  The amount of pain associated with this procedure is quite variable.  Some patients note a moderate amount of discomfort, and for some it is more intense, but certainly there is some.  Scars from the procedure remain but fade significantly over time.

     Most patients will be off from work for two weeks after surgery.  During this time, patients must refrain from heavy lifting, straining, or over-activity.  Normal strenuous activity may be resumed in five to six weeks.