Liposuction and Skin Excision
The most common problems affecting the upper arms are localized fat (typically above the elbows) and excess skin resulting in a “bat wing” appearance. When fat is the main issue, it can usually be treated with liposuction and the skin will contract without the need for skin removal. If there is too much loose skin, removal should be done so that the scar is placed on the inside of the arm (against the body), above the elbow and not visible from the front or back. The amount of fat and skin removed should leave a normal-appearing and not an irregular or “Popeye-like”, over-treated arm. If there is only a small amount of loose skin, the skin removal can often be confined to or near the armpit. This means minimal or no scar visibility — even in short sleeves.