The surgeon will evaluate the overall health and medical history of the patient. Certain medications the patient is using might be changed with other alternatives prior to surgery. The surgeon and the patient will discuss about the desired outcome in order to achieve a satisfying result. The procedure, possible outcomes and options will be explained to the patient.

The surgeon will make incisions under each arm. The shape and size of the incision depends on the patients physical features and the amount of skin to be removed. In some cases the surgeon might also use liposuction technique to suck the excess fat out of the arm. Once the tissues are done and the extra skin is removed, incisions are closed with stitches or surgical tapes.

The surgeon will cover the incisions with dressings and wrap the arms with elastic bandages to protect the area and control swelling. Small tubes may be placed under the arms to remove any excess body fluids. The surgeon might prescribe antibiotics and pain medication if needed.

The bandages will be removed within 1-2 days, however a compression sleeve might be recommended for a few weeks to control the swelling. Patients should not lift their arms above shoulders for the first weeks after the surgery. It is important to avoid physical activities that might stretch the incisions for 4-8 weeks.

• Patients with excess fat and skin tissues in the upper arms due to age, weight loss etc.
• Healthy patients with stable body weight