Boris Goldman, MD, FACS - Aesthetic Plastic Surgery Center, LLC

Thigh Lift and Arm Lift

Thigh Lift                                                            (Click here for before and after photos)

The thigh lift is a cosmetic surgery procedure designed to tighten the skin of the thigh and reduce sagging in the inner or outer thigh. Dr. Goldman performs this procedure on its own, or in combination with other procedures such as a body lift.

Procedure:Boris Goldman, MD, FACS - Aesthetic Plastic Surgery Center, LLC - Thigh Lift and Arm Lift

The procedure is performed under general anesthesia on an outpatient basis unless otherwise advised by the surgeon. Wide variations in the design of the incisions to meet clothing or personal desires are possible. Lifting the inner thighs requires only short incisions extending from the anterior part of the thigh/groin crease around to the buttock crease. Lateral or anterior thigh lifts can be performed as separate procedures if desired. The buttocks can be lifted with upper or lower scars. The doctor will show you what specific procedures are available to solve your particular problem.

Recovery:

The patient is placed in a compression garment (similar to a long line elastic support girdle) at the end of surgery to reduce swelling and assist in the natural shrinking and tightening of the skin. With smaller thigh lifts, initial discomfort is usually easily controlled with prescription pain medication. With larger thigh lifts, one or two nights care in a skilled nursing facility or hospital are usually required. This allows for pain injections, intravenous catheters, etc. Bruising and swelling usually subside within a month, strenuous activities are usually possible in 6 weeks and almost all symptoms are gone in 4-6 months.


Arm Lift (Brachioplasty)                                  (Click here for before and after photos)

The effects of aging on the skin are familiar to all of us. Over time, the skin changes in four ways: it loses thickness, loses elasticity, loses adherence to the underlying tissue, and is affected by gravity. At the same time, the deep layers of fat, muscle and bone thin as well. The amount of elastic tissue and collagen present in the dermis (the deep layer of the skin) also decreases. One area where these changes are especially apparent is the upper arm. An arm lift - or brachioplasty - can lift and tighten up loose skin in the upper arms, resulting in a firmer, more youthful contour.

Procedure:

Dr. Goldman begins by marking the area of excess skin, with the patient either standing or sitting. The anesthesia is administered. Incisions are made on the inner and under surface of the arm, most often in a zigzagged line. The pattern of skin removal usually follows an elliptical or triangular shape. Often some fat is suctioned at the same time. The surgical opening may run from the armpit to as low as the elbow.

While the excess skin and fat is removed, the remaining skin is stretched and sutured into place. Occasionally a drain is used to lead excess fluids from the site of incision, allowing the skin better to adhere to the tissue beneath. The incisions are then bandaged.

Recovery:

For the first week following surgery, you will have to avoid strenuous activity, including bending and lifting. You will be able to shower on the third day after surgery. The swelling is mild to moderate, and peaks at two to three days. Drains will be removed after about 2-3 days. Some grogginess may persist for 5-7 days.

While each person’s recovery is unique, the recovery period after an arm lift generally lasts one to two weeks. You'll probably be able to return to work in a week, and resume exercise within two weeks. Strenuous workouts and contact sports can be engaged in after about four weeks.

Frequently asked questions:

What is the long-term outcome like for most people?

Improved balance and proportion in the contour of the arm.

Greater confidence and comfort in clothing.

A natural and presentable appearance in the first week that gradually improves further over the next three to six months.

Please note that the natural aging process will eventually affect the whole body, including the area treated in this procedure. Still, the contouring effects of arm lifts are typically long-lasting, and most people are very pleased with their results.     

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