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Arm Lift (Brachioplasty)
in Dallas, TX

Patients who achieve significant weight loss are happy about shedding the pounds but may be unhappy with the upper-arm flabbiness and sagging skin that often remain. These patients regularly avoid sleeveless shirts and other revealing clothing, even in warm weather. Frustrated by their inability to eliminate excess skin with exercise alone, these patients don’t enjoy the boost in self-esteem their weight-loss efforts should provide. An arm lift addresses these concerns by removing excess skin and putting the finishing touch on their weight-loss efforts.

See the Difference: Brachioplasty Before and Afters

Dr. Aly’s technique, which he introduced over 2 decades ago, for brachioplasty procedure delivers superior arm lift results for his patients. These before-and-after photos demonstrate Dr. Aly’s ability to create the most natural, sculpted upper arm.


Patient photo showing posterior fold

Patient photo showing posterior fold

Real Stories: Brachioplasty Patient Reviews

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“There are less than a handful of surgeons with Dr. Aly’s capabilities in the entire world. All of my concerns have been addressed, and my surgery plan exceeds all preconceived expectations.” – Meagan Rodriguez

“I absolutely love Dr. Aly and his staff. He was awesome before and during the surgery and recovery. He is definitely who I will always use for my plastic surgery needs and will recommend him to my friends and family!!”- Tammy Mote

“Dr. Aly knows what he is doing. He is worth the extra money! You pay for what you get and that’s the best!! Trust Dr. Aly with your body and your life because he is worth your trust” – Blaine and Kimberly Newman

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Arm Lift Cost in Dallas, TX

The cost of brachioplasty varies based on the amount of correction required, whether other procedures are performed at the same time, and your surgeon’s experience. A surgical procedure on the upper arms requires considerable expertise and artistry to achieve an optimal outcome. Always choose your surgeon based on their abilities, rather than their price.

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Why Choose Dr. Aly for Your Arm Lift?

Dr. Al Aly is a board-certified plastic surgeon specializing in body lift surgery. He developed his innovative arm lift technique, the Aly-posterior scar brachioplasty, over 20 years ago to treat excess skin on the upper arm with the most natural-looking results. In addition to his extensive experience, Dr. Aly regularly provides educational resources to other plastic surgeons to help them adopt and refine this revolutionary technique.

Book Your Arm Lift Consultation Today

Excess skin on the upper arms can lead to frustration and embarrassment, particularly for patients who worked hard to achieve a healthy weight. Arm lift surgery restores the sculpted contour of the upper arm, boosting your self-confidence in your appearance. To find out if an arm lift is right for you, call (214) 645-3565 or fill out our online contact form.

What Is an Arm Lift (Brachioplasty)?

An arm lift is a cosmetic procedure designed to eliminate sagging skin and fat on the upper arms. Arm lift surgery defines the upper arm muscles and removes the “bat wing” appearance that sends many women running for long sleeves. Brachioplasty also gives patients greater freedom and self-confidence, allowing them to fully enjoy their weight-loss results.

Who Is an Ideal Candidate for an Arm Lift?

Patients who desire a full arm lift are typically massive weight-loss patients or patients who develop laxity with aging, who present with substantial loose skin and varying degrees of stubborn excess fat. The best candidates should:

  • Have significant loose skin of the upper arms with minimal fat
  • Have achieved a stable weight for at least three months
  • Be in relatively good health without active or uncontrolled medical conditions

Most body contouring procedures, including arm lift surgery, are not intended to be weight loss solutions. For ideal results, patients achieve a stable, healthy weight before surgery.

How Is an Aly-Posterior Scar Arm Lift Performed?

A full arm lift requires an incision that runs along the length of the arm from the elbow area to the armpit and onto the chest wall. Dr. Aly prefers to perform his arm lift procedure under a general anesthetic. Once the patient is asleep, he confirms the extent of the hanging skin and excess tissue to be removed. Marks are made at the posterior fold, which connects the upper arm to the armpit and chest wall.

Dr. Aly discovered that in patients with massive weight loss who present with upper-arm excess, the posterior fold becomes excessive. It hangs down and becomes problematic for the patient.

The upper arm resembles a cylinder with an “inner core” comprising the muscles and bone. The inner core is surrounded by fat of varying thicknesses and the overall skin cover. This illustration is a cross-section, or slice, of the average arm.

Upper arm fat increases significantly in patients who gain a lot of weight. As fat increases, the skin stretches to accommodate it. As we age, the skin also loses elasticity, affecting its ability to return to its prior state. Weight loss reduces the fat, leading to excess skin hanging from the inner core of muscles and bone.

Once the posterior fold is marked, sequential segments of sagging skin are removed and closed temporarily with clips. After all segments are removed, the external clips are replaced with internal sutures, ensuring the final closure has no external stitches. Finally, medical-grade glue is placed on the remaining skin.

Armlift incision arm lift incision and stitches

Rejuvenate Your Appearance With Arm Lift Surgery in Dallas, TX

When weight loss isn’t sufficient for meeting your aesthetic goals, surgical options are available. If “bat wings” are affecting your self-confidence and limiting your wardrobe choices, a full arm lift may be the right choice for you. To learn more about brachioplasty in Dallas, call (214) 645-3565 or fill out our online contact form to schedule your one-on-one consultation with Dr. Aly today.

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Arm Lift Recovery: The Drainless Approach

Dr. Aly does not use drains in any of his body contouring procedures, including the Aly-posterior scar brachioplasty. Instead, Dr. Aly uses internal sutures that close the space where potential fluid can accumulate. This approach results in a lower-maintenance recovery and healing process for the patient, as they will not have to monitor the drains or have them removed.

Full brachioplasty recovery usually takes several weeks. Within the first week or two, swelling subsides, and patients begin to feel like themselves once again. Patients usually return to normal activities within three to four weeks, while strenuous exercise and heavy lifting should be avoided for at least six weeks.

What Results Can I Expect After an Arm Lift?

The improvement in arm contour after Aly-posterior scar brachioplasty generally ranges from very good to superb. As this procedure primarily involves removing remaining skin, the more deflated an arm is at presentation, the better the result appears. In ideal cases, the patient’s arms will be more pleasingly contoured, providing a more youthful aesthetic and revealing the underlying musculature for a healthier, revitalized appearance.

Does an Arm Lift Procedure Leave a Scar?

Dr. Aly’s arm lift surgery is called a “posterior scar” technique because the scar is intentionally located along the back edge of the arm when the arm is raised to 90 degrees away from the chest. Dr. Aly believes a posterior scar limits its daily visibility, especially when facing people and possibly talking to them. For example, if someone is giving a presentation to an audience and their arms are uncovered, the part of the arm most likely to be seen is the front, and that is why Dr. Aly prefers the scar to be towards the back of the arm—it is either less visible or not visible at all. Dr. Aly also prefers this location because it lacks potential risk to the essential structures that could be harmed during surgery, which are located in the front.

Arm Lift Timeline

What should I expect before upper arm reduction surgery?

  1. An initial visit where Dr. Aly will perform a complete history and physical.
  2. Dr. Aly will determine if you need to see any other physicians to “tune you up” prior to surgery.
  3. You will have a set of photographs taken, allowing Dr. Aly to make the correct diagnoses and plan for the upcoming surgery/surgeries.
  4. Dr. Aly will then discuss the potential surgical procedures you may require and show you pictures of patients who have undergone similar procedures.
  5. Dr. Aly will have a discussion with you about the potential benefits and risks associated with arm reduction surgery.
  6. Laboratory exams are performed to determine if you have any abnormalities that need to be adjusted prior to surgery.
  7. Many patients will require multiple operations to eliminate all of their massive weight loss excess. Dr. Aly will sit down with you to create a course of action to accomplish your needs.
  8. One or two days before surgery, you will have markings placed on your arms in preparation for surgery.

What happens on the day of brachioplasty surgery and the early period after it?

  1. On the day of surgery, you are admitted to an area where you are prepared for surgery.
  2. You will meet the anesthesiologist, and they will discuss your anesthesia plan.
  3. Dr. Aly will come in and say hello and make sure the markings are still in place, and if need be, make any adjustments.
  4. You will then be taken to the operating room, and the anesthesiologist will put you under general anesthesia.
  5. Surgery is then performed, which requires 2 to 4 hours, depending on your particular anatomy.
  6. Dr. Aly does not use drains, so you will not have to worry about that.
  7. Most patients who undergo brachioplasty, by itself, will go home the same day of the surgery. Occasionally, patients are admitted overnight, depending on where they live and their finances.
  8. You are expected to get up and walk a few hours after surgery, at least a few steps. After you are awake and alert, you are expected to ambulate normally with the precautions mentioned below. Walking and staying out of bed is very important because it reduces the risk of blood clots.
  9. While in bed or sitting in a chair, your arms will be placed on enough pillows to elevate them to a level at, or just above, heart level.
  10. You are also expected to keep your arms elevated above heart level when walking.
  11. Your arms should be elevated for two weeks after surgery, except when eating and using the bathroom.
  12. After surgery, the arms usually seep a little blood-tinged fluid for a day or two.
  13. The next day after surgery, you are encouraged to mostly sit in a chair or walk, with as little time as possible in bed.

What should I expect the first few weeks after an arm lift?

  1. Patients usually return to see Dr. Aly within a few days after discharge for a check on their wounds and overall well-being.
  2. During the first week after surgery, you are expected to walk at least six times a day and stay out of bed as much as possible.
  3. During the first few weeks after surgery, Dr. Aly sees you to ensure you are doing well and not experiencing any problems such as wound separations or fluid collections.
  4. After a week to 10 days, you will be expected to wear a light compression garment. Dr. Aly will let you know when you can stop wearing it.

What should I expect after the first few weeks after an Aly-posterior scar brachioplasty?

  1. After the first few weeks, you are seen approximately once a month for three to four months, depending on your progress.
  2. Seromas, which are fluid collections that can develop in the area that was operated on, can occur after the first few weeks. Dr. Aly will look for these fluid collections, and if found, he will treat them.
  3. Occasionally, some of the deep sutures will come through the skin. They can be taken care of during these longer-term follow-up visits.
  4. Dr. Aly will usually see local patients every two to three months from the six-month to the 12-month mark. If you live far away, the time between visits can be extended depending on how you are doing.
  5. Most patients will fully stabilize their results a year to two years after surgery. Dr. Aly prefers to see most patients for checkups up to that time. If you are able and willing, he will continue to see you yearly after that.
  6. Most patients can get back to doing most normal activities in 3 to 4 weeks after surgery, but this varies from patient to patient.

Have additional questions about Aly-posterior scar brachioplasty?

Contact us today to find out if you’re a candidate for arm lift surgery and how it can benefit you.

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