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Board-certified plastic surgeon Dr. Farbod Esmailian specializes in brachioplasty techniques that remove unwanted excess skin while minimizing visible scarring through strategic incision placement along the underarm and armpit area. With 26 years of surgical experience and board certification from the American Board of Plastic Surgery, Dr. Esmailian has helped hundreds of patients achieve beautifully contoured, youthful-looking arms.

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What Is an Arm Lift (Brachioplasty)?

An arm lift, medically known as brachioplasty, is a surgical procedure designed to remove excess skin and fat from the upper arms, creating a more toned and youthful contour. The procedure is particularly effective for patients who have achieved their weight loss goals but are left with loose, inelastic skin.1

Am I a Good Candidate for an Arm Lift?

Determining whether you're an ideal candidate for brachioplasty involves several key factors. Dr. Esmailian evaluates each patient individually to ensure the best possible outcomes.

You may be a good candidate if you:

  • Have experienced significant weight loss (50+ pounds) and have loose, sagging skin on your upper arms
  • Have achieved a stable body weight and maintained it for at least 3-6 months
  • Are in good overall health with no serious medical conditions that would complicate surgery
  • Have realistic expectations about results and understand the procedure will leave a scar
  • Are a non-smoker or willing to quit smoking for at least 4-6 weeks before and after surgery
  • Have skin with reasonable elasticity that can tighten after excess tissue removal
  • Are bothered by the appearance of loose arm skin and desire improved arm contour
  • Understand that weight fluctuations after surgery can affect results2

Additional considerations:

Patients combining arm lift with other body contouring procedures—such as a tummy tuck, thigh lift, or body lift—often achieve more comprehensive results. During your consultation with Dr. Esmailian, he'll assess your specific anatomy, skin quality, and aesthetic goals to recommend the most appropriate surgical approach.

Before & After Arm Lift

Before & After Arm Lift in Orange County
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Understanding Arm Lift Techniques

Dr. Esmailian offers multiple brachioplasty techniques tailored to your individual needs and the extent of skin laxity present.

Standard Brachioplasty

The most common approach, standard brachioplasty involves a single incision running along the inner arm from the armpit to the elbow. Through this incision, Dr. Esmailian removes excess skin and fat, then tightens the underlying tissues. The incision is strategically placed along the underarm where it's naturally concealed, even when wearing sleeveless clothing. This technique is ideal for patients with moderate to significant excess skin.

Extended Brachioplasty

For patients with more extensive loose skin extending around the back of the arm or into the axilla (armpit area), an extended brachioplasty may be recommended. This technique involves additional incisions that allow for more comprehensive skin removal and contouring. While it results in slightly longer scars, the improved arm contour often justifies the trade-off for patients with significant skin laxity.

Mini Brachioplasty

For patients with mild to moderate excess skin primarily in the lower arm area, a mini brachioplasty uses a shorter incision, typically limited to the armpit region. This minimally invasive approach is suitable when liposuction alone cannot achieve the desired results but full brachioplasty isn't necessary.

Combination with Liposuction

Many patients benefit from combining brachioplasty with liposuction to address stubborn fat deposits in addition to excess skin. This hybrid approach removes both excess fat and loose skin, creating superior arm contour and definition. Dr. Esmailian uses advanced liposuction techniques to sculpt the arms while removing the inelastic skin that exercise and diet cannot address.

What to Expect During Your Arm Lift Procedure

Understanding the surgical process helps you prepare mentally and physically for your procedure.

Procedure Duration: Arm lift surgery typically takes 1.5 to 3 hours, depending on the extent of skin removal and whether additional procedures are performed simultaneously.

Anesthesia: The procedure is performed under general anesthesia, ensuring your comfort throughout surgery. Dr. Esmailian works with experienced anesthesiologists to monitor your safety during the entire procedure.

Surgical Process:

  1. Incision Placement: Dr. Esmailian makes carefully planned incisions along the underarm and armpit, positioning them to be as inconspicuous as possible.
  2. Skin and Fat Removal: Excess skin is carefully removed, and underlying tissues are tightened using sutures. If liposuction is part of your procedure, stubborn fat deposits are suctioned away.
  3. Tissue Tightening: The remaining skin is pulled taut and repositioned for optimal contour, creating a smoother, more defined arm appearance.
  4. Closure: Incisions are closed with absorbable sutures and medical-grade skin adhesive, minimizing visible scarring. Surgical drains may be placed to prevent fluid accumulation.

Outpatient Procedure: Arm lift surgery is performed as an outpatient procedure at our accredited surgical facility in Orange County, meaning you'll return home the same day. This allows you to recover in the comfort of your own environment with proper post-operative support.

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Recovery Timeline and Post-Operative Care

Recovery from brachioplasty is manageable with proper care and realistic expectations about the healing process.

Immediate Post-Op (Days 1-3)

  • You'll experience swelling, bruising, and mild to moderate discomfort, managed with prescribed pain medication
  • Compression garments must be worn continuously to minimize swelling and support healing tissues
  • Keep your arms elevated above heart level as much as possible
  • Surgical drains (if placed) will be monitored and typically removed within 1-2 weeks
  • Avoid any strenuous activity or heavy lifting

Early Recovery (Weeks 1-2)

  • Most patients can return to light desk work and daily activities within 1-2 weeks
  • Swelling and bruising gradually decrease, though some discoloration may persist
  • Continue wearing compression garments as directed
  • Begin gentle arm movements as tolerated; avoid aggressive stretching
  • Pain typically subsides significantly by the end of week two

Intermediate Recovery (Weeks 2-4)

  • You can gradually resume normal daily activities, including light exercise like walking
  • Avoid heavy lifting, strenuous exercise, and activities that elevate heart rate
  • Swelling continues to diminish, and you'll begin seeing improved arm contour
  • Continue scar care with recommended topical treatments
  • Most patients feel substantially better and can return to work full-time

Extended Recovery (Months 2-3)

  • You can resume most normal activities, including moderate exercise
  • Avoid heavy weightlifting and strenuous upper body workouts for at least 6 weeks
  • Scars begin to fade and mature; they'll continue improving for up to 12 months
  • Final arm contour becomes increasingly apparent as swelling fully resolves

Long-Term Results (3-12 Months)

Most patients achieve their final aesthetic results within 3-6 months post-operatively, with continued scar improvement over the following 6-12 months. Scars typically fade significantly and become less noticeable over time, especially with proper scar care.

Post-Operative Care Instructions:

  • Compression Garment: Wear as directed (typically 2-4 weeks continuously, then during the day for several additional weeks)
  • Pain Management: Take prescribed medications as needed; most patients transition to over-the-counter pain relief by week two
  • Scar Care: Begin scar treatment protocols (silicone gel, massage, sunscreen) as directed by Dr. Esmailian
  • Activity Restrictions: Avoid strenuous activity for 4-6 weeks; gradually increase activity level
  • Follow-Up Appointments: Attend all scheduled post-operative visits to monitor healing and address any concerns
  • Healthy Lifestyle: Maintain stable body weight and healthy habits to preserve your results long-term

Results and What to Expect Long-Term

The results of arm lift surgery are immediately visible, though the final outcome continues to improve as swelling resolves and scars mature.

Immediate Results (Weeks 1-4):

Even with post-operative swelling, you'll notice improved arm contour and tighter skin. The dramatic difference becomes more apparent as swelling decreases.

Intermediate Results (Months 2-3):

Swelling has largely resolved, and you can see the true contour of your newly sculpted arms. Most patients report significant satisfaction at this stage.

Final Results (Months 3-12):

Scars continue to fade and mature, becoming increasingly less noticeable. Your arms appear toned, defined, and youthful. The results are long-lasting, provided you maintain a stable body weight and healthy lifestyle.

Longevity of Results:

Arm lift results are permanent in the sense that the excess skin removed will not return. However, significant weight gain (typically 20+ pounds) can affect the appearance of your results. Maintaining your current weight through a healthy diet and regular exercise helps preserve your arm lift results indefinitely.

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Dr. Esmailian
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Why Choose Dr. Farbod Esmailian for Your Arm Lift?

Dr. Esmailian brings extensive expertise and a patient-centered approach to arm lift surgery in Orange County.

Board-Certified Expertise:

Dr. Esmailian is board-certified by the American Board of Plastic Surgery and holds membership in the American Society of Plastic Surgeons (ASPS). He completed his medical degree at George Washington University School of Medicine and underwent rigorous training in general surgery and plastic surgery, including a plastic surgery residency at Indiana University Hospital and specialized fellowship training in plastic and reconstructive surgery.

Extensive Experience:

With over 26 years of surgical experience, Dr. Esmailian has performed hundreds of arm lift procedures, developing refined techniques that maximize results while minimizing scarring. His expertise extends across all body contouring procedures, allowing him to create comprehensive treatment plans for patients seeking multiple procedures.

RealSelf Top 100 Recognition:

Dr. Esmailian is recognized as a RealSelf Top 100 plastic surgeon, a distinction earned through consistent patient satisfaction and natural-looking results. His 5.0-star rating on RealSelf (based on 151+ verified patient reviews) reflects his commitment to excellence and patient care.

Personalized Approach:

Every patient is unique. Dr. Esmailian takes time during consultation to understand your specific concerns, aesthetic goals, and expectations. He customizes each procedure to your individual anatomy and desires, ensuring results that look natural and harmonious with your body.

State-of-the-Art Facility:

Procedures are performed at an accredited surgical facility equipped with advanced technology and staffed by experienced surgical nurses and anesthesiologists. Your safety and comfort are paramount.

Comprehensive Body Contouring:

If you're considering multiple body contouring procedures—such as combining arm lift with tummy tuck, thigh lift, or body lift — Dr. Esmailian can coordinate comprehensive treatment plans that address all your concerns efficiently.

Woman Smiling Stretching Arms

Arm Lift Complications and Risks

As with any surgical procedure, arm lift surgery carries potential risks. Dr. Esmailian takes every precaution to minimize complications, and most patients experience straightforward recoveries.

Common, Temporary Side Effects:

  • Swelling and bruising (resolve within 2-4 weeks)
  • Mild to moderate discomfort (managed with pain medication)
  • Temporary numbness or tingling in the arm (usually resolves within weeks to months)
  • Fluid accumulation (managed with surgical drains)

Rare but Serious Complications:

According to the American Society of Plastic Surgeons, serious complications from arm lift surgery are uncommon but can include:

  • Infection: Occurs in less than 1% of cases; managed with antibiotics
  • Bleeding or Hematoma: Rare; may require drainage if significant
  • Seroma (Fluid Accumulation): Can occur after drain removal; usually resolves with conservative treatment
  • Nerve Injury: Temporary numbness is common; permanent nerve damage is rare
  • Asymmetry: Minor differences between arms are normal; significant asymmetry is uncommon
  • Unsatisfactory Scarring: While scars fade significantly, they are permanent; revision is possible if needed
  • Anesthesia Complications: Rare; your anesthesiologist monitors vital signs throughout surgery3

Minimizing Risk:

  • Follow all pre-operative instructions, including smoking cessation
  • Disclose all medications and medical conditions during consultation
  • Attend all post-operative appointments
  • Follow post-operative care instructions carefully
  • Maintain realistic expectations about results and recovery

Arm Lift vs. Alternative Treatments

Understanding how arm lift compares to other options helps you make an informed decision.

Arm Lift vs. Liposuction Alone

Liposuction removes excess fat but cannot address loose, inelastic skin. It's suitable for patients with good skin elasticity and primarily excess fat (not excess skin). Arm lift removes both excess skin and fat, making it ideal for patients with significant skin laxity following weight loss. Many patients benefit from combining both techniques.

Arm Lift vs. Non-Surgical Treatments

Non-surgical options like radiofrequency skin tightening or laser treatments can provide modest skin tightening but cannot remove excess skin or address significant laxity. These treatments are best suited for patients with mild skin laxity and realistic expectations about modest improvements.

Arm Lift vs. Exercise and Diet

While exercise and diet are essential for overall health, they cannot remove excess skin or address skin laxity. Once skin has been stretched by significant weight loss, it loses elasticity and cannot fully retract through exercise alone. Arm lift surgery is the only definitive solution for significant excess arm skin.

Combining Arm Lift with Other Procedures

Many patients achieve optimal body contouring results by combining arm lift with complementary procedures.

Popular Combination Procedures:

  • Arm Lift + Tummy Tuck: Addresses loose skin on both upper and lower body in coordinated procedures
  • Arm Lift + Thigh Lift: Comprehensive lower and upper body contouring
  • Arm Lift + Body Lift: Extensive body contouring for patients with significant weight loss
  • Arm Lift + Liposuction: Removes both excess fat and loose skin for superior arm definition
  • Arm Lift + Breast Lift or Breast Augmentation: Completes overall body transformation

Combining procedures can be more efficient and cost-effective than staging separate surgeries. Dr. Esmailian will discuss which combinations are appropriate for your goals and anatomy.

Pre-Operative Preparation Checklist

Proper preparation ensures optimal surgical outcomes and smoother recovery.

4-6 Weeks Before Surgery:

  • Schedule your pre-operative consultation with Dr. Esmailian
  • Quit smoking completely (nicotine impairs healing)4
  • Avoid blood-thinning medications and supplements (aspirin, ibuprofen, vitamin E, fish oil) unless approved by Dr. Esmailian
  • Begin a healthy diet rich in protein to support healing
  • Stay well-hydrated
  • Arrange for someone to drive you home after surgery and assist during early recovery

2 Weeks Before Surgery:

  • Complete all pre-operative lab work and medical clearance
  • Avoid sun exposure to minimize bruising
  • Continue avoiding blood-thinning medications
  • Plan time off work (typically 1-2 weeks for desk work, longer for physical jobs)
  • Prepare your home for recovery (comfortable resting area, easy-to-reach items)

1 Week Before Surgery:

  • Confirm your surgery date and time
  • Review all pre-operative instructions
  • Arrange post-operative care support
  • Stock your home with easy-to-prepare foods
  • Wash your arms with antibacterial soap the night before surgery

Day of Surgery:

  • Follow fasting instructions (typically nothing after midnight)
  • Wear comfortable, loose-fitting clothing
  • Arrive early for check-in
  • Bring all required identification and insurance information
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Scar Care and Management

While arm lift scars are permanent, they fade significantly with proper care and time.

Scar Appearance Timeline:

  • Weeks 1-2: Scars appear red and raised
  • Weeks 2-6: Scars gradually fade from red to pink
  • Months 2-3: Scars continue fading and flattening
  • Months 3-12: Scars mature and become increasingly less noticeable
  • 12+ Months: Scars typically fade to thin, pale lines

Scar Care Protocol:

  1. Keep Incisions Clean: Gently wash with mild soap and water; pat dry
  2. Silicone Gel or Ointment: Apply as directed starting after sutures are removed
  3. Massage: Begin gentle scar massage after 2-3 weeks to improve appearance
  4. Sun Protection: Use SPF 30+ sunscreen on scars for at least 12 months (sun exposure darkens scars)
  5. Avoid Picking: Don't pick at scabs or sutures; let them fall off naturally
  6. Hydration: Keep skin well-hydrated with moisturizer

Scar Revision Options:

If scars remain prominent after 12 months, Dr. Esmailian can discuss scar revision options, though most patients find their scars fade to acceptable levels with time and proper care.

Frequently Asked Questions

How much does arm lift surgery cost?

Is arm lift surgery painful?

Can I combine arm lift with other procedures?

What happens if I gain weight after my arm lift?

How long do arm lift results last?

Will my scars be visible?

When can I return to exercise?

Can I have arm lift surgery if I'm still losing weight?

Where can I find arm lift surgery near me in Orange County?

How much does arm lift surgery cost?

Arm lift surgery costs in Orange County vary based on the extent of the procedure, whether liposuction is included, and whether additional procedures are performed simultaneously. During your consultation, Dr. Esmailian will provide a detailed cost estimate. Many patients find financing options available to make the procedure more accessible.

Is arm lift surgery painful?

Most patients experience mild to moderate discomfort rather than severe pain, managed effectively with prescribed pain medication. Discomfort typically decreases significantly by the end of the first week and continues improving throughout recovery.

Can I combine arm lift with other procedures?

Yes. Many patients combine arm lift with tummy tuck, thigh lift, body lift, liposuction, or breast procedures. Combining procedures can be more efficient and cost-effective than staging separate surgeries. Dr. Esmailian will recommend appropriate combinations based on your goals.

What happens if I gain weight after my arm lift?

Significant weight gain (typically 20+ pounds) can affect your arm lift results by adding fat back to the arms. Maintaining your current weight through healthy diet and exercise helps preserve your results long-term. Minor weight fluctuations (5-10 pounds) typically don't significantly impact results.

How long do arm lift results last?

Arm lift results are permanent in that the excess skin removed will not return. However, results depend on maintaining a stable body weight and healthy lifestyle. With proper maintenance, your results can last indefinitely.

Will my scars be visible?

Arm lift scars are permanent but fade significantly over 12 months with proper care. Incisions are strategically placed along the underarm and armpit where they're naturally concealed, even when wearing sleeveless clothing. Most patients find their scars become thin, pale lines that are barely noticeable.

When can I return to exercise?

Light walking can resume within 1-2 weeks. Moderate exercise can begin around week 4. Strenuous upper body exercise and heavy weightlifting should be avoided for at least 6 weeks to allow proper healing.

Can I have arm lift surgery if I'm still losing weight?

It's recommended to achieve your goal weight and maintain it for 3-6 months before arm lift surgery. This ensures the procedure addresses all excess skin and provides optimal results. If you're still actively losing weight, Dr. Esmailian may recommend waiting until you've reached your goal weight.

Where can I find arm lift surgery near me in Orange County?

Dr. Farbod Esmailian offers expert arm lift surgery at his practice in Orange County, serving patients throughout Newport Beach, Irvine, Long Beach, and surrounding areas. With 26 years of surgical experience and board certification from the American Board of Plastic Surgery, Dr. Esmailian specializes in creating natural-looking, beautifully contoured arms that restore confidence and allow you to enjoy sleeveless clothing again. Schedule your personalized consultation today to discuss your arm lift goals and learn how Dr. Esmailian can help you achieve the toned, youthful arms you desire.

Schedule Your Arm Lift Consultation Today

Ready to achieve the toned, youthful arms you deserve? Contact Dr. Farbod Esmailian in Orange County California today to schedule your personalized consultation. With 26 years of surgical experience and board certification from the American Board of Plastic Surgery, Dr. Esmailian will assess your goals and create a customized treatment plan.

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1 American Society of Plastic Surgeons. What is an arm lift? Available: https://www.plasticsurgery.org/cosmetic-procedures/arm-lift. Accessed December 3, 2025.
2 Nagrath N, Winters R. Brachioplasty. [Updated 2023 Jul 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK585115/. Accessed December 3, 2025.
3 American Society of Plastic Surgeons. What are the risks of arm lift surgery? Available: https://www.plasticsurgery.org/cosmetic-procedures/arm-lift/safety. Accessed December 3, 2025.
4 Krueger JK, Rohrich RJ. Clearing the smoke: the scientific rationale for tobacco abstention with plastic surgery. Plast Reconstr Surg. 2001 Sep 15;108(4):1063-73; discussion 1074-7. doi: 10.1097/00006534-200109150-00042. PMID: 11547174. Available: https://pubmed.ncbi.nlm.nih.gov/11547174/. Accessed December 3, 2025.

Page updated: January 06, 2026

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