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Brachioplasty (Arm Lift) San Francisco

August 27th, 2010 Dr. Mele

Brachioplasty is the plastic surgery term for an arm lift. For large excesses of upper arm skin, there is no better treatment. While liposuction can address excess fat in the upper arm, it cannot reduce loose skin.

For women and men who have lost a significant amount of weight, the upper arm is an area that can be problematic. With weight gain, the skin expands to cover the increased size. This happens any place on the body that fat is stored, not just the upper arms. The arms, abdomen, breasts, thighs, face and back are frequently lifted and tucked after massive weight loss and post-bariatric surgery. The tailoring of excess skin is an important component of cosmetic plastic surgery, and can dramatically improve appearance. If you have lost a large amount of weight, removing the excess skin completes the transition.

Before and After Brachioplasty (Arm Lift)


Right Arm after weight loss and before Arm Lift (Brachioplasty)

Right Arm after weight loss and before Arm Lift (Brachioplasty)

Right Arm after weight loss and after Arm Lift (Brachioplasty)

Right Arm after weight loss and after Arm Lift (Brachioplasty)

Above is a woman who has lost about half her weight. She was left with a large amount of skin on her upper arms, sometimes referred to as “bat wings”. Brachioplasty (arm lift) before and after pictures are shown. The picture on the left shows the amount of excess skin present before her arm lift. The picture on the right reveals her appearance after brachioplasty. The incision is placed along the inferior border of the arm to keep it out of sight.

After Weight Loss, When is it Time to Consider a Lift?

If you have recently lost weight, or have had bariatric surgery, it is worth giving your body a year to adjust. This gives your skin a chance to contract, and your body’s digestive system a chance to absorb the nutrients you need to heal. If it has been a year, and there is still too much skin, cosmetic plastic surgery can help.

Posted in Arm Lift (Brachioplasty), Home, Post-Bariatric Surgery (After Weight Loss) | No Comments »

Liposuction – Lipo versus Surgery (Part 2 of 4)

April 23rd, 2010 Dr. Mele

Liposuction is a very safe and reliable procedure. Like any medical procedure, it works best when used properly. For the removal of disproportionate fat, it can’t be beat, but liposuction should not be used as a method of weight loss, and liposuction should not be expected to tighten loose skin.

The Ideal Liposuction Candidate

The ideal liposuction patient is near their ideal body weight and has sufficient intrinsic skin elasticity, so that after the fat is removed, the skin will follow the new and improved contours. Pockets of fat, which form localized and disproportionate bulges, respond best. While some newer modalities of liposuction are claiming to reliably tighten loose skin, the jury is still out.

Skin Tightening Procedures

So how do plastic surgeons reliably tighten loose skin? The most common method is through surgical removal of the redundant skin. Abdominoplasty (a tummy tuck), for example, removes loose skin for the abdomen. A brachioplasty (an arm lift) removes loose skin from the arm. This liposuction video compares what liposuction can do for the abdomen and arms compared to what surgery can do. The recovery and indications for each are also discussed.

Body Beautiful

I recently reviewed the current state of liposuction on KRON‘s Body Beautiful with host Vicki Liviakis. The broadcast was a full half hour, so I have divided this liposuction video into four segments. The second lipo video segment is in this post. Links to the other three parts, and the liposuction introduction post can be found below.

Additional liposuction information is available on the Liposuction Page of DrMele.com. If you have questions about liposuction, you are invited to use the contact form to the left.

Please note: The 800 number in the video below was used for viewers to call in and ask questions during the live broadcast. Please do not call it now. For additional information, or to schedule a consultation appointment, please call my Walnut Creek Plastic Surgery office at (925) 943-6353.

This segment on Liposuction covers:

  • The areas of the body most commonly treated with Liposuction:
    • Abdominal Liposuction
    • Back Liposuction (Muffin Top Liposuction)
    • Flank Liposuction (Love Handle Liposuction)
    • Thigh Liposuction (Saddle Bag Liposuction & Banana Roll Liposuction)
    • Arm Liposuction
    • Neck Liposuction (Below the Chin Liposuction)
    • Buttocks Liposuction
  • Favorable Predictors
    • Stable weight
    • Near Ideal Weight
    • Younger Age
    • Good Skin Elasticity
    • Disproportionate Fat
    • Good Health
    • Healthy Lifestyle
  • Before and After Pictures: Lipo vs. Surgical
    • Arm Lipo Before and After Pictures
    • Brachioplasty (Arm Lift) Before and After Pictures
    • Abdominal (Belly) & Flanks (Sides) Muffin Top Lipo Before and After Pictures
    • Abdominoplasty (Tummy Tuck) Before and After Pictures
  • How the location of the fat effects liposuction?
  • Liposuction Garments
  • Liposuction Recovery

The other segments of this broadcast can be found here:

  • Introduction – What’s New in Liposuction San Francisco?
  • Liposuction – What Is It? Who Can Benefit? (Part 1 of 4)
  • Liposuction – Lipo versus Surgery (Part 2 of 4) (You are here.)
  • Liposuction – How to Get Safe Predictable Smart Liposuction (Part 3 of 4)
  • Liposuction – The Future of Liposuction (Part 4 of 4)

Additional Videos about Liposuction

  • NBC Living Well appearance discussing Mommy Makeovers
  • Is Liposuction a substitute for a mini or full Tummy Tuck?
  • Before and After pictures of Liposuction, Mini Tummy Tuck and Full Tummy Tuck
  • Previous KRON Body Beautiful Appearance discussing Liposuction – Part 1 of 2
  • Previous KRON Body Beautiful Appearance discussing Liposuction – Part 2 of 2
  • List of all blog entries discussing Liposuction?

Posted in Home, Liposuction | 1 Comment »

Post Bariatric Surgery San Francisco – Part 4 of 4

February 16th, 2010 Dr. Mele

You have reached the fourth and final part of Post Bariatric Surgery San Francisco. The segments can be viewed in any order, but if you missed the first three releases, links are included at the bottom of the page.

I have had the opportunity to discuss post weight loss plastic surgery live on KRON4‘s Body Beautiful. The 800 number appearing on the video was only for the live show. To contact my Walnut Creek plastic surgery office for additional information, or to schedule a private consultation appointment, please call (925) 943-6353. Alternatively, a contact form on the lower left side of this web page has also been provided for your convenience, or click on this link for an expanded contact form.

Topics covered in this segment of Body Beautiful include:

  • Arm Lift Surgery, with Brachioplasty before and after pictures.
  • How do age and health effect plastic surgery?
  • How do I get rid of my baby pooch? Exercise, Tummy Tuck, both?
  • How can lumps left after liposuction be corrected?
  • What is the difference between liposuction and lipodisolve?

Post Bariatric Procedures

More information about Post Bariatric Plastic Surgery can be found on the Post Bariatrics page of DrMele.com. Here are links to video presentations about the more common Post Bariatric Plastic Surgery Procedures, and links to the first 3 parts of the above video can be found at the bottom of the page.

  • Breast Augmentation
  • Breast Lifts
  • Breast Reduction
  • Gynecomastia Reduction
  • Face Lifts
  • Liposuction
  • Arm Lifts (Brachioplasty)
  • Thigh Lifts
  • Tummy Tucks (Abdominoplasty)
  • Lower Body Lifts

Post Bariatric Surgery (Plastic Surgery after Massive Weight Loss) Links:

Post Bariatric Surgery San Francisco – Part 1 of 4
Post Bariatric Surgery San Francisco – Part 2 of 4
Post Bariatric Surgery San Francisco – Part 3 of 4
Post Bariatric Surgery San Francisco – Part 4 of 4 (You are here.)

Posted in Arm Lift (Brachioplasty), Home, Liposuction, Post-Bariatric Surgery (After Weight Loss), Tummy Tuck (Abdominoplasty) | No Comments »


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Joseph A. Mele. M.D., F.A.C.S
130 La Casa Via Walnut Creek, CA 94598 | 925-943-6353
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