Arm Revision Liposuction
In almost all cases the back of the upper arms from the armpit to the elbow should be done. I place one small incision under the armpit and one behind the elbow to approach this area from two directions that has respect for how the tissues want to drape. One should never sculpt horizontally (I don’t know how one could but I have seen results of this approach) or even tangentially.
Mostly all the problems I see with the arms has to do with uneven sculpting or being too aggressive with skin that is commonly delicate. If the skin has gotten too loose or wrinkled (usually in the 50-60s) liposuction probably should not have been done as there will be increasing risks of skin irregularities. (However, I have liposuctioned the arms of several women in their mid seventies who had quite decent skin tone and achieved very good results).It is important for the surgeon in the evaluation to determine if much of the fullness is due to fat or simply loose muscle and skin. Much of my approach to liposuction of this area, if I feel the patient is a candidate, involves blending areas of fullness with careful sculpting and fat transfer to repair indentations. In addition, the patient may benefit subsequently from a skin tightening procedure such as Thermage.