A 47-year-old female patient, 5'2" tall and weighing 210 pounds, is featured in these longitudinal brachioplasty before-and-after photographs following a remarkable 420-pound weight loss achieved through Roux-en-Y (RNY) gastric bypass surgery. Following massive weight loss, she developed extensive redundant skin and residual fat along her upper arms, contributing to increased arm size and significant hanging tissue. She underwent bilateral longitudinal arm lift surgery to remove excess skin, reduce upper arm bulk, and create a more balanced arm contour. The procedure involves an incision along the inner upper arm, extending from the axilla toward the elbow, allowing redundant skin and fatty tissue to be surgically excised. The remaining tissues are tightened to improve upper arm shape and reduce sagging. These before-and-after photographs emphasize the smaller appearance of her arms, improved definition, and reduced hanging skin after surgery. Unlike liposuction alone, longitudinal brachioplasty directly removes excess skin that cannot adequately retract after substantial weight loss. Postoperative recovery includes temporary swelling, bruising, soreness, and limitations on strenuous arm movement. Light activities may resume within several days, while desk work is often possible after one to two weeks. The permanent scar extending along the inner arm is the principal tradeoff for extensive skin removal and gradually becomes less prominent as healing progresses.
A woman lost 420 lbs with RNY undergoes an arm reduction to get smaller arms
Patient
- Age40 - 49
- GenderFemale
- EthnicityWhite
- Height5’ 0” - 5’ 5”
- Weight200 - 249 lbs
Procedure
- Arm Lift
- After Weight Loss Surgery
- Loose Skin
- Sagging Skin
- Skin Removal Surgery
- Body Contouring
- arm lift
- Bat Wings
- excess arm skin
- Brachioplasty
- Arm Reduction
- After Bariatric Surgery
- sagging arms
- skin laxity of arms
- Massive Weight Loss
- medial arm lift
- after weight loss
- arm reduction
- skin removal surgery
- medial arm lift
- Excess Skin On Arms
- Inner arm lift
- Batwing Arms
- post weight loss
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This case is a 47-year-old woman who lost an impressive 420 pounds following Roux-en-Y gastric bypass surgery. Standing 5'2" and weighing 210 pounds, she experienced substantial excess skin and persistent fatty tissue along both upper arms after her weight loss. To correct the hanging tissue and improve arm proportions, she underwent longitudinal arm reduction, also called vertical brachioplasty or post-bariatric arm lift surgery. This surgical technique is particularly effective following extreme weight loss because stretched skin often cannot retract sufficiently to match the patient's smaller body size. During surgery, an elongated section of redundant skin and underlying fat is removed through an incision extending from the armpit toward the elbow along the inner arm. The remaining skin is tightened to reduce upper arm circumference and improve overall contour. The postoperative photographs demonstrate smaller upper arms, less hanging skin, reduced fullness, and a smoother appearance from the shoulder toward the elbow. Longitudinal brachioplasty offers more extensive skin removal than a hidden-scar crescent arm lift but requires a longer permanent incision. Recovery commonly includes swelling, bruising, tightness, and temporary activity limitations. Many patients resume light activities within several days and desk work in approximately one to two weeks. Heavy lifting is postponed during early healing, while the surgical scars gradually mature over time.