How the procedure works
Brachioplasty removes excess upper-arm skin and fat using liposuction, surgical resection, or a combination of both. The surgeon also tightens underlying tissue where needed to improve arm contour. Incision length and pattern run along the inner upper arm and are chosen based on how much correction is required and the distribution of loose skin versus fatty tissue.
Procedures are usually performed under general anesthesia, although local anesthesia with sedation may be an option in selected cases. Arm movement is intentionally limited during the initial healing phase to protect wounds and support contouring. Results are visible immediately, then continue to refine over weeks to months as swelling subsides and scar maturation progresses.
Choosing incision and technique
Deciding between liposuction, resection, or both hinges on the amount of excess skin and subcutaneous fat, plus skin elasticity. When most of the problem is fatty fullness, liposuction alone can reshape the arm. When loose, inelastic skin dominates, surgical resection is necessary to remove tissue and achieve tighter contours.
There is a trade-off between correction and scarring: longer incisions allow removal of more skin but create more visible scars along the inner arm. In Beverly Hills clientele who frequently wear sleeveless clothing, incision placement and scar concealment are important considerations that Dr. Sahar will discuss in the consultation.
Recovery and expected healing
After surgery, the initial phase limits lifting, stretching, and vigorous arm activity to protect incisions and encourage even contouring. Drainage, dressings, and compression garments may be used; follow-up visits monitor healing. Because appointments fit naturally into workdays and errands in Beverly Hills, many patients plan brief clinic visits during routine days for checks and dressing changes.
Swelling and bruising are expected and typically resolve gradually; visible improvements are immediate but refine as tissues settle. Scar maturation takes months, and final contour depends on individual healing response and skin quality. Your surgeon will explain realistic expectations without guaranteeing a specific outcome.
