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Brachioplasty after weight loss

Weight Doctors® RESHAPE Arm lift

Removes excess, sagging skin and fatty tissue on the upper arms and tightens the skin. For people whose skin has remained loose after significant weight loss.

How your therapy is structured

Two building blocks.
One plan.

The Weight Doctors® MEMBERSHIP is the foundation of every therapy: medical oversight, progress monitoring and aftercare. The treatment you choose together with your specialist builds on it.

Building block 1

Weight Doctors® MEMBERSHIP

The foundation for every Weight Doctors® therapy – with the tools that support your treatment and record your progress for your medical consultations.

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More on the Membership
Building block 2

Weight Doctors® RESHAPE arm lift

Removes excess, sagging skin and fatty tissue on the upper arms and tightens the skin. For people whose skin has remained loose after significant weight loss.

Procedure
Operation, as a rule under general anaesthesia
Duration
1.5–3 hours
Price
from approx. €6,500
Costs

The Membership does not replace a medical decision: whether treatment makes sense, and which one, is decided by your specialist after a medical assessment.

In comparison

Arm lift techniques

Which technique is an option depends on the amount of excess skin. In some cases, the lift is combined with liposuction.

  • Traditional arm lift

    Brachioplasty
    Incision
    long, vertical from the armpit to the elbow
    Suitable for
    larger excess of skin across the whole upper arm

  • Mini arm lift

    Mini brachioplasty
    Incision
    smaller, only in the upper part of the arm near the armpit
    Suitable for
    less excess skin, smaller corrections

Personally here for youDr. med. univ. Nura Zamani and Ronja from our patient advisory team

Your guide

The arm lift at a glance

When a brachioplasty makes sense, which technique suits you and how the weeks after the procedure unfold.

How the arm lift works

After significant weight loss – for example after a bariatric procedure such as a gastric sleeve or gastric bypass – many people experience a marked improvement in their health and quality of life. On the upper arms, however, the skin can become loose and sagging because of the massive loss of volume; it can no longer be reduced through diet and exercise.

In an arm lift (brachioplasty), excess skin and fatty tissue on the upper arms are removed, the tissue is tightened and the contour of the arms is thereby improved.

The arm lift is part of Weight Doctors® RESHAPE, body contouring after weight loss; more about the path afterwards in the article You’ve done it – and now what?

The surgeon makes the incisions on the inner or back side of the upper arms. This is how he proceeds:

Two Weight Doctors® RESHAPE surgeons during an operation
  • Incisions as plannedHow long the incisions are and where exactly they lie depends on the technique – traditional lift or mini lift.
  • Suctioning fat, if necessaryIn some cases, the surgeon combines the lift with liposuction to remove excess fatty tissue and shape the contour more harmoniously.
  • Removing and tightening skinExcess skin and fat are removed, and the remaining skin is tightened and carefully sutured.
  • Drains and compressionDepending on the extent, drains carry away wound fluid and reduce swelling and bruising; dressings and compression garments protect the arms from the start.

Who is the arm lift an option for?

The excess skin affects appearance, can cause skin irritation and make choosing clothes difficult – and it can affect self-confidence and quality of life. Many suffer greatly from it. An arm lift is an option after stomach surgery as well as after conservative weight loss or with age-related excess skin. These factors point in its favour:

A patient being welcomed at Weight Doctors®
  • After a bariatric operation or conservative weight loss, excess, sagging skin has remained on the upper arms, which cannot be reduced through diet and exercise.
  • The skin causes discomfort such as skin irritation or difficulty choosing clothes.
  • Your weight is stable and your general health is good.
  • You have realistic expectations of the result.
  • Whether the procedure suits you, we discuss in the personal consultation.

Procedure of the arm lift

From the first consultation to aftercare – this is how your arm lift proceeds:

Doctor’s room for the planning consultation
  1. Consultation and planningA plastic surgeon discusses your history and your goals and examines the skin and tissue of your upper arms. In the individual treatment plan, he determines the technique, extent and incision placement and explains the risks and healing.
  2. PreparationA blood test takes place before the procedure. You receive guidance on diet and medication, avoid alcohol and nicotine and arrange help for the first days.
  3. SurgeryYou come to the clinic on an empty stomach. Your surgeon discusses the procedure with you once more and marks the areas to be treated; then the anaesthesia is started, generally a general anaesthetic. The procedure takes 1.5–3 hours.
  4. After surgeryDressings and compression garments care for the arms. You are monitored in the clinic for a few hours until you have recovered well; sometimes you stay one night.
  5. AftercareYou wear the compression garment around the clock for several weeks, and you keep the incisions clean and dry to avoid infections. At regular check-up appointments, your doctor checks the healing; he advises you on scar care.

After surgery: step by step back to everyday life

Pain and discomfort can be treated well with prescription painkillers – your doctor explains how to take them. This is how healing typically proceeds:

Waiting area of the clinic
  1. Day of surgeryProcedure under general anaesthesia1.5–3 hours, followed by a few hours of monitoring.
  2. first few daysRest, move the arms gentlyHome, or one night in the clinic; compression around the clock.
  3. 2–3 weeksBack to everyday lifeLighter activities are possible again.
  4. approx. 6 weeksBack to sportStrenuous activities and sport after agreement with your doctor.
  5. 3–6 monthsThe final resultHealing is complete, the skin has adapted to the new contours.

In specialist hands: how the procedure is made safe

At Weight Doctors® RESHAPE, your arm lift is carried out by specialists in plastic and aesthetic surgery with experience in lifts after significant weight loss. In the consultation, you discuss not only the procedure itself but also how it fits into your overall body contouring plan.

Like any operation, the arm lift carries risks: swelling, bruising, infections and uneven skin contours, rarely thromboses or wound healing disorders. They can be reduced above all by good preparation, monitoring after the operation and careful aftercare with compression, rest and all check-up appointments – following your doctor’s instructions.

Surgeon preparing sterilely for the procedure in the operating theatre
  • GermanyDr. BrombaSpecialist in plastic and aesthetic surgery
  • GermanyDr. BaierSpecialist in plastic and aesthetic surgery
  • GermanyNetherlandsDr. GrunerSpecialist in plastic and aesthetic surgery
  • GermanyDr. SimidjiiskaSpecialist in plastic and aesthetic surgery

All specialists

How effective is an arm lift after a bariatric procedure?

Studies and the experience of many patients show that an arm lift after significant weight loss can considerably improve the overall aesthetic and functional result. While a bariatric operation promotes weight loss, the lift corrects the loose skin on the upper arms: it removes the excess and tightens the remaining skin, so that a smoother, firmer arm contour can result.

Many feel more comfortable in their body afterwards and gain in self-esteem and quality of life. Results vary from person to person. The aim is a result that convinces aesthetically and functionally; you make the decision for it carefully and together with a specialised doctor.

For the result to last, a stable weight is important – with a balanced diet and regular exercise. Weight Doctors® 360° nutrition coaching can support you with this.

Weight Doctors® team at the stand with kettlebells and fresh vegetables

Weight Doctors® RESHAPE: more than a procedure

With Weight Doctors® RESHAPE, you are supported from the first consultation through to aftercare. The treatment plan is tailored to your needs and goals and combines medical, aesthetic and psychological aspects:

  • 360 coach at your sideA personal contact person supports you through the treatment; you can also reach your treating specialist.
  • Weight Doctors® 3D BodyscanThe digital avatar makes visible how body measurements, body values, balance and posture change – more in the article on the 3D Bodyscan.
  • Weight Doctors® ShapeWearFollowing the treatment, you receive access to a ShapeWear garment matched to your measured body dimensions.
  • Easy to combinefor example after stomach surgery or with GLP-⁠1 pharmacotherapy, which can help to maintain the new weight.

Treatments, specialists, team and patient stories on film: take a look at the Weight Doctors® media library.

Several areas, or only mild excess skin?

Whether an arm lift alone is the right path also depends on where and how much skin has remained:

Weight Doctors® treatment room
  • More than the arms?If skin has also remained on the abdomen or legs, a tummy tuck or a thigh lift may be an option – or a body lift for several areas.
  • Tightening without surgeryWith a lesser excess of skin, non-surgical skin tightening can be an alternative. Whether it suits your upper arms, we clarify in the consultation.

What does an arm lift cost – and what does the German health insurance pay?

The cost of an arm lift depends on your medical indication and the extent of the procedure; it starts at about €6,500. You receive an exact cost estimate after the personal initial consultation.

In principle, German statutory health insurers do not cover aesthetic-plastic procedures such as the arm lift, as they are generally considered not medically necessary. Where there is a medical indication in line with the guidelines, however, there is a chance of cost coverage – the procedure must then be necessary for medical reasons, not only for aesthetic ones. The following may be recognised:

Weight Doctors® patient adviser on the telephone
  • Physical symptomsThe sagging skin leads to recurrent skin inflammation, friction damage or considerable restrictions in movement.
  • Psychological burdenA considerable psychological burden caused by the appearance of the upper arms may also, under certain conditions, count as a reason; a specialist report is usually needed.

The application must clearly set out the medical necessity and is confirmed by your treating doctor; further reports or certificates can help. You do not have to submit it yourself: we take care of the application and all documents entirely. The German health insurer examines each application individually, approval is not guaranteed – you can appeal against a rejection.

All prices

Paying in instalments: how it works

If you would like to spread the costs over a longer period, payment in instalments via our partner medipay is possible. You decide the instalment amount and term yourself; medipay reviews your application promptly. You submit the application together with us during your consultation, by phone or entirely paperless online – more under Pay in instalments.

The requirement is sufficient creditworthiness. In detail:

  • Main residence in Germany
  • no negative Schufa entries
  • employed or retired, with disposable income
  • Students, trainees and homemakers can enter a second person from the same household as the borrower – a parent, child, spouse or partner

Apply for instalmentsMore on instalments

Your specialists

In specialist hands.

39 doctors in Germany, Austria, the Netherlands, the United Kingdom and South Africa – at the Weight Doctors® Nationalklinik in Wertheim and at your location.

  • GermanyDr. HerrboldtSpecialist in plastic and aesthetic surgery
  • GermanyDr. ReifenrathSpecialist in plastic and aesthetic surgery
  • GermanyDr. SimidjiiskaSpecialist in plastic and aesthetic surgery
  • GermanyDr. HenscheidDoctor
  • GermanyDr. KochSpecialist in surgery
  • GermanyL. HiernerExpert in post-bariatric skin tightening
  • GermanyDr. BrombaSpecialist in plastic and aesthetic surgery
  • GermanyNetherlandsDr. GrunerSpecialist in plastic and aesthetic surgery
  • GermanyProf. WittSpecialist in plastic and aesthetic surgery
  • GermanyDr. ZamaniSpecialist in plastic and aesthetic surgery
  • GermanyDr. KlarnerSpecialist in plastic and aesthetic surgery
  • GermanyDr. BaierSpecialist in plastic and aesthetic surgery
  • GermanyDr. Dette-OltmannSpecialist in plastic and aesthetic surgery
  • GermanyDr. SchubertSpecialist in plastic and aesthetic surgery

All specialists

Frequently asked questions

Questions about the Weight Doctors® RESHAPE arm lift

Your question isn’t listed? Your specialist will take time for it during the consultation.

How long does an arm lift take?

Depending on the extent, the operation takes 1.5–3 hours and generally takes place under general anaesthesia. A mini arm lift with smaller incisions near the armpit is usually shorter than the traditional lift.

Do I have to stay overnight after the arm lift?

Not necessarily. After the procedure, you are monitored in the clinic for a few hours until you have recovered well; in some cases you stay one night for observation. The arm lift is therefore possible as an outpatient or inpatient procedure.

Where do the incisions run in an arm lift?

On the inner or back side of the upper arms. In the traditional lift, the incision runs from the armpit to the elbow; in the mini arm lift, it is limited to the upper part of the arm near the armpit.

Which arm lift technique suits me?

This is decided above all by the amount of excess skin. If the excess extends across the whole upper arm, the traditional brachioplasty is usually an option; if it is slight and limited to the area near the armpit, the mini brachioplasty is often enough. After the examination, your surgeon will suggest the suitable technique.

Is fat also suctioned during an arm lift?

In some cases, yes. The lift is then combined with liposuction to remove excess fatty tissue and shape the contour more harmoniously. If it is mainly a matter of fat and less of skin, liposuction alone may be an option.

Is an arm lift also an option without stomach surgery?

Yes. It is carried out after a bariatric operation as well as after conservative weight loss or with age-related excess skin. What matters is that your weight is stable and your state of health is good. The procedure is not intended for weight loss itself.

How do I prepare for the arm lift?

A blood test comes before the procedure. Your surgeon tells you which medication to continue or stop and gives advice on diet, and you refrain from alcohol and nicotine. Arrange support for the first days, because with freshly operated arms you are restricted in everyday life.

How long do I have to wear compression after the arm lift?

Several weeks around the clock; you take it off only for showering. The compression garment controls swelling, helps the skin adapt to the new contours and reduces the risk of complications.

When can I use my arms normally again?

Gentle movements of the arms are desirable in the first days, because they promote circulation. Lighter everyday activities are usually possible again after 2–3 weeks, strenuous activities and sport after about 6 weeks – in each case following your doctor’s instructions.

How long does healing take, and when can the result be seen?

Swelling and bruising generally subside within a few weeks. The final result shows after about three to six months, when healing is complete and the skin has adapted to the new contours. Results vary from person to person. Until then, avoid strenuous activities; gentle movements of the arms promote circulation.

Will scars remain after an arm lift?

Yes. The scar lies on the inner or back side of the upper arm; how long it is depends on the technique. For scar care, your doctor recommends special creams or treatments so that they become as inconspicuous as possible.

What risks and side effects can an arm lift have?

As with any surgical procedure, risks and side effects are possible: swelling, bruising, infections and uneven skin contours, and in rare cases thromboses or wound-healing disorders. Choosing an experienced specialist and careful aftercare can reduce the risk; it is important to follow all medical instructions closely. Your doctor will inform you about possible risks and complications before the procedure.

What should I look for when choosing a doctor for an arm lift?

Look for a specialist in plastic and aesthetic surgery with extensive experience in arm lifts, particularly after significant weight loss. Check qualifications and certifications. Open, trusting communication is also important, so that your needs and expectations are taken into account.

What does an arm lift cost?

Treatment costs start at about €6,500. How high they are for you depends on the medical indication and the extent of the procedure; you receive an exact cost estimate after the personal initial consultation. All prices at a glance: Costs & prices.

Does the German health insurance pay for an arm lift?

Only where there is a medical indication, for example if the sagging skin leads to recurrent inflammation or considerable restrictions in movement. Approval is not guaranteed, and each application is examined individually. You can read how the application works above in the guide under “Costs & German health insurance”.

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Post-bariatric body contouring after successful weight loss.

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