Arm Reduction (Brachioplasty)

Arm reduction surgery has become increasingly popular over the last few years, with an increase in the number of people looking to improve their upper limb contouring following significant weight loss or after weight loss (bariatric) surgery. It is often the first procedure requested by patients following bariatric surgery or significant weight loss, as they want to be able to wear sleeveless or short-sleeved clothing without feeling self-conscious.

The operation removes fat and excess skin through a combination of liposuction and surgical removal of tissue.  Scarring is hidden in the inner arm and up into the armpit.

Mr Adams will discuss the best technique for you during your consultation.

Arm reduction

Before and After Gallery

34 year old, pre brachioplasty operation 34 year old, 6 weeks after brachioplasty operation

34 year old, before and 6 weeks after Brachioplasty operation

34 year old, pre brachioplasty operation 34 year old, 6 weeks after brachioplasty operation

34 year old, before 6 weeks after Brachioplasty operation

48 year old, pre brachioplasty with liposuction 48 year old, post brachioplasty with liposuction

48 year old, before and post Brachioplasty with liposuction

62 year old, pre brachioplasty operation 62 year old, 6 months after brachioplasty operation

62 year old, before and 6 months after Brachioplasty operation

Arm Reduction

What You Need to Know

What Happens When I Leave Hospital?

Stitches are hidden under the skin and self-dissolve. Micropore tape is placed directly over the scars/wound at the time of the operation. Absorbent gauze, wool and crepe dressings are applied firmly. At one week follow-up, the dressings are removed and tape re-applied over the scars for 4 weeks.
The wounds need to be kept dry for 7-10 days. Occasionally a knot of buried, dissolving stitch can make it self known along the scar line. These are best left alone to separate unless they are causing problems. After 4 weeks, the tape can be removed and the scars massaged with a vitamin E containing cream. If the scar becomes very red and lumpy, then other treatments can be employed (steroid injection or silicone gel sheeting or cream).
Patients should expect a degree of discomfort for one week post- operatively. The arm will be tight and is largely due to swelling. The discomfort and dressings will limit some movement and therefore daily activities including eating and toileting. Some numbness around the scars is to be expected, and will resolve over time. If a wound infection is present, this can delay the healing time and may have an affect on the quality and nature of the scar.
Refrain from driving for 2 weeks. Depending on the nature of your work, you may require 2-4 weeks off. Avoid any activities that pull or stretch the scars or upper arms. Avoid vigorous sports for 8-12 weeks
Patients will be seen by the cosmetic nurse at one week following your operation, and then as required. Mr Adams will arrange out-patient appointments for 6 weeks and 6 months to be sent by email.
The main concern with arm reduction surgery is wound infection and breakdown. Should the wound become red, hot and very swollen then please contact the hospital or contact Mr Adams’ secretary for advice.


Read the full Blepharoplasty fact sheet for more information on the types of surgery, pre-operative advice and what to expect following the procedure.
Want to Know More?

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The first step of your cosmetic surgery journey should be a consultation with your plastic surgeon. It is your chance to get accurate information and professional reassurance, both of which can be hard to find online.
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“Recommendation after recommendation has put Adams firmly on the Cotswolds map (he has clinics in Berkshire and Oxfordshire). It’s partly down to his nature (he’s a wonderful conversationalist and has charisma in spades), but also his manner, which is thoughtful and careful. His forte? Womanly tummies, with curves in the right places. New mummies in particular love the way he recontours the waistline and creates the illusion of a lightly toned abdomen.”

“Titus Adams makes light work of postpartum tummies, slimming the silhouette and nipping in waists by pulling the underlying muscles tight, like a corset. ‘Though it’s best to leave some fat behind,’ he says. ‘It allows fluid to drain from the body, rather than building up in the tissues’. The fat he does take, however, is useful if there’s need to plump a deflated cleavage. And, because he’s chatty and approachable, smoothing over even the most awkward of questions (like ‘how do you wear your undergarments?’ – crucial, as it ensures the best positioning of scars), you feel at ease. You trust him.”

“Adams listens carefully & closely. And his results are truly top notch whether he is tidying things up after some impressive weight loss or putting you back together after the last baby. The key phrase is ‘preservation of tissues’, to retain a natural appearance.”