Thighplasty / Arm Contouring
Arm Lift (Brachioplasty)
Despite weight training and dieting, flabby arms are a common complaint in women, especially during the spring and summer months. While liposuction can remove the fat, it is limited in its ability to tighten skin. Arm lifts are designed to remove the excess fat and the flabby skin of the upper arm.
Sagging thigh and buttock skin and cellulite are the primary indications for thigh lifts. Thigh lifts, in combination with liposuction, can remove excess fat and skin, resulting in smoother skin with better contour and often an improvement in cellulite. Some women who wish to avoid the incision required with a thigh lift may choose to start with liposuction and proceed with a thigh lift as a separate procedure.
For excess skin in the buttocks area, that persists despite diet and exercise, a buttock lift may be appropriate. In fact, most patients can address their concerns with sagging buttocks solely with diet and a rigorous exercise program. This involves removing excess skin over both buttocks with an incision that extends from the hip to the midline on the back in a curvilinear fashion. Excess skin is removed and tissue from the buttocks in transposed superiorally.Typically, the best candidates for this surgery are those who have had massive weight loss after bariatric surgery. Dr. Godat will determine whether you are an appropriate candidate for any of these procedures during a consultation.
This procedure is performed on an outpatient basis under general anesthesia. The recovery time may take up to 6 weeks depending on the patients own healing capacity. Most patients can return to work within two weeks following surgery. In most cases, drains are removed and these are are removed in the first week after surgery during the post-operative visit. Dr. Godat usually uses an additional layer of external nylon stiches in the armpits and groin that are removed the first week after surgery. Compression garments are usually not required after these surgeries. Once the incisions are healed and surgical glue is peeled off (usually at three weeks), patients then begin the scar care regimen.
These surgeries may be combined with other procedures, most commonly liposuction to augment the contouring of the area. However, arm contouring cannot be combined with thigh contouring or buttock contouring. Thigh contouring cannot be combined with buttock contouring. However, breast surgery can be combined with any one of these procedures.