Brachioplasty can be performed to remove excess skin and fat from the arms following massive weight loss. The procedure often involves an incision running from elbow to armpit. The incision is placed in the bicipital groove on the inner surface of the upper arm to conceal it.

With regards to your specific question, 20 lbs sounds excessive. It is doubtful that there is 40 lbs of excess in both arms. That being said, it is not uncommon to remove significant volumes of skin during these procedures. Patients should remember, however, that this is not a weight loss procedure.

As always, discuss with a board-certified plastic surgeon.

Published on Jul 11, 2012

I do lipo first, then remove the excess skin.

Published on Jul 11, 2012

I am president of the American Society of Bariatric Plastic Surgeons and have much experience in this area. I normally do brachialplasty as an outpatient procedure. Patients can return to full activity within two weeks, and most have been very happy with the results. The main downside is the scars.

Published on Jul 11, 2012