The movement as well as the iterative lose of weight are “demanding” a lot to the skin of the inner part of the arm. It’s why the number of skin ptosis ( not amenable to an isolated aspiration ) is higher than the simple fat hypertrophies. The aim of the surgery is to take away the excess of skin, to decrease the underneath fat infiltration and to redistribute the skin.

A meticulous clinical examination will determine the more appropriate type of surgical procedure, you need ( choice of incision, associated lipoaspiration indicated or not ). Type of anesthesia
The inner arm lifting can be done under general anaesthesia, under local anaesthesia completed by tranquillizing drugs, injected in veins (“vigil” anaesthetic) or also, in some cases, under simple local anaesthetic.
• THE PROCEDURE

Each surgeon is using his own technique, he may adapt to each case, in order to get the best result.
Different techniques have been described.
The fat infitrated the skin is removed by lipoaspiration. The skin excess is removed, what leaves a scar which location and length depend on the amount the skin laxity and on the procedure choosen.
The skin incision can be vertical, longitudinal,along the arm inner side or horizontal, following a armpit fold. Sometimes, the two types of incisions can be combined.

Arm lifting with longitudinal incision along the arm inner side

At first, a lipoaspiration is done, each time fat is found infiltrating the arm region.
Then, the skin excess is taking away as necessary, with a longitudinal incision along the arm inner side.
Considering the disadvantages of this type of arm lifting, from a scar point of view, we try to propose, as often as possible, a less ambitious surgery but with more acceptable scar: as an arm lifting with an isolated armpit incision or a combined procedure with an armpit incision plus a short vertical one of less than 10 cm.

Arm lifting with horizontal armpit incision
This type of surgery is aimed at a patient with less skin excess and laxity, mainly located at the upper third of the arm.
From a single horizontal incision, hidden in an armpit fold, combined, if necessary, with a lipoaspiration, we can take away the skin excess of the upper part of the arm inner side.
The average time of surgery is one hour.

Because this procedure is lighter than the previous one, we can do it, most of the time, as day care, under

• THE RESULT

It will be appreciated within 6 to 12 months after surgery.
Most of the time, we can see a good correction of fat infiltration and skin laxity, what improves a lot the arm aspect.

Arm lift with laser without scars Tunisia:

DR GHARBI NEDRA expert in cosmetic surgery and laser introduced in TUNISIA the laser arm lift without scars, the procedure using smartlipotriplex  consists in making a laser liposuction through two small hidden points, it tightens the triceps muscle  then it stimulates collagen and elastin in the dermis of the skin , the tightenning  of the skin  begins from the 15th day and continues over a few months. this technique provides revolutional and awesome results WITHOUT SCARS  thats why DR NEDRA GHARBI no longer makes longitudinal and unsightly scarring in the arms since  few years , sometimes and in some extreme cases it ‘s possible to do  a minimal scar in the armpit. To keep the results, we recommend doing targeted gymnastic movements that restore a little volume to the muscles and shapes the  arms.