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Brachioplasty

BRACHIOPLASTY in Houston, TX

Livingston Plastic Surgery specializes in brachioplasty, also known as arm lift surgery, helping patients throughout Houston, TX achieve firm, toned, and beautifully contoured upper arms.

If loose or sagging skin on the underside of your arms makes you self-conscious or has kept you from wearing the clothes you love, brachioplasty may be the solution you’ve been looking for. Dr. Christopher Livingston, a board-certified plastic and reconstructive surgeon, brings the experience, precision, and dedication to deliver natural-looking results for your desired outcome.

What Is Brachioplasty?

An arm lift, or brachioplasty, is a surgical procedure designed to remove excess skin and fat from the upper arms – from the underarm area down toward the elbow – reshaping and tightening the area for a smoother, more toned appearance. It is one of the most effective solutions for what many patients call “bat wings”: the loose, drooping skin that hangs from the underside of the upper arm and resists diet and exercise.

Brachioplasty is often combined with liposuction to address both excess skin and stubborn fat deposits at the same time, delivering the most comprehensive arm contouring results possible. Whether your loose skin is the result of significant weight loss, aging, or genetics, upper arm surgery can restore the sculpted, proportionate appearance you’ve been working toward.

AM I A GOOD CANDIDATE FOR BRACHIOPLASTY?

The best candidates for arm lift surgery in Houston are adults who:

  • Have significant loose or sagging skin on the upper arms that does not respond to diet or exercise
  • Are at or near a stable, healthy body weight
  • Are non-smokers, or are committed to stopping smoking well in advance of surgery
  • Are in good overall health with no uncontrolled medical conditions
  • Have realistic expectations about what brachioplasty can and cannot achieve

Brachioplasty is especially transformative for patients who have undergone bariatric surgery or significant weight loss and are left with excess skin that exercise cannot address. It is also popular among patients experiencing the natural effects of aging on skin elasticity.

If you’re unsure whether you’re a candidate, a personal consultation with Dr. Livingston is the best place to start. He will evaluate your arms, discuss your goals, and recommend the approach best suited to your anatomy.

Benefits of Brachioplasty

  • Removes excess skin and fat from the underarm to the elbow
  • Eliminates the “bat wing” appearance of the upper arms
  • Enhances arm contouring and improves skin tone and texture
  • Allows you to wear sleeveless and form-fitting clothing with confidence
  • Minimizes skin irritation or chafing caused by sagging skin
  • Delivers long-lasting results when combined with a stable, healthy lifestyle
  • Can be combined with other body contouring procedures for a more complete transformation
Dr. Livingston

Christopher Livingston, MD

“The most important part of plastic surgery is achieving a youthful, refreshed look, with minimal downtime.”

Board-Certified Plastic & Reconstructive surgeon

Chris Livingston, MD

I believe that every design is personal. The connection we have with clients determines how the projects will look at the end of the design process. We must understand the clients and bond with them, be a part of their dream. Their dream is our dream.

How Is Brachioplasty Performed?

Dr. Livingston performs brachioplasty at a state-of-the-art, fully accredited surgical facility in Houston, TX. Every procedure is customized to the patient and typically follows these steps:

Anesthesia
Brachioplasty is performed under general anesthesia for your comfort and safety. This is a surgical procedure – patients are fully asleep throughout.

Incision
A carefully placed incision is made along the inside or back of the upper arm, running from the underarm (axilla) toward the elbow. The length and shape of the incision depend on how much skin needs to be removed and where it is located.

Tissue Reshaping
Excess skin is excised, underlying tissues are tightened and repositioned, and liposuction may be used to remove any residual fat for optimal contouring.

Closure
The incision is sutured closed. A compression garment is then applied to minimize swelling and support the healing tissues.

The procedure takes one to three hours, depending on the complexity of your case.

Will I Have Scars?
Some degree of scarring is a natural outcome of any surgical arm lift. Dr. Livingston places incisions strategically along the inner arm so that scars are concealed when your arms rest at your sides. With proper scar care and time – typically 12 to 18 months – scars fade significantly and become much less noticeable. Dr. Livingston will provide instructions on scar care as part of your recovery plan.

BRACHIOPLASTY VS. LIPOSUCTION: WHICH IS RIGHT FOR ME?

Patients often wonder whether they need brachioplasty or whether liposuction alone will address their concerns. The right answer depends on your individual anatomy:

Liposuction alone is best suited for patients who have good skin elasticity and whose primary concern is excess fat rather than loose skin. Liposuction removes fat but does not tighten or remove excess skin.

Brachioplasty is the appropriate choice for patients with significant skin laxity – loose, hanging skin that will not retract on its own after fat removal.

Combined brachioplasty and liposuction is the most comprehensive option and is recommended for patients who have both excess fat and loose skin on the upper arms.

During your consultation, Dr. Livingston will examine your arms and recommend the approach that will deliver the best possible outcome for your specific situation.

Brachioplasty Recovery: What to Expect

Recovery from arm lift surgery is manageable for the vast majority of patients. Here is a general timeline to help you plan:

Weeks 1–2:
Swelling, bruising, and mild to moderate discomfort are normal and expected. You can manage discomfort with prescribed medications. Most patients describe early recovery as uncomfortable rather than severely painful. Light activities may be resumed within the first week.

Weeks 2–4:
Swelling continues to reduce. You will continue wearing a compression garment to support healing. Most patients are able to drive and resume desk work within two weeks.

Week 6:
Most patients are cleared to resume exercise and more strenuous activity. Always follow Dr. Livingston’s specific instructions before returning to workouts or lifting.

3 to 6 Months:
Final results become visible as all residual swelling resolves and scars begin to soften and fade. This is when you’ll see the full outcome of your surgery.

Recovery Tips:

  • Sleep with your arms slightly elevated to help reduce swelling
  • Avoid lifting heavy objects or raising your arms above shoulder height during early recovery
  • Do not smoke before or after surgery. Nicotine significantly impairs healing and increases risk
  • Stay well hydrated and follow Dr. Livingston’s nutrition plan
  • Attend every scheduled follow-up appointment so your healing can be properly monitored

Can I move my arms after an arm lift?
Yes, gentle movement is encouraged early in recovery to prevent stiffness and promote circulation. Full range of motion and strenuous use of the arms should be avoided until you are cleared by Dr. Livingston.

Brachioplasty Before and After: Transform Your Arms

See the incredible difference that arm lift surgery can make by browsing our before and after gallery. Many patients find their results life-changing, both in appearance and confidence.

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Dr. Livingston is an amazing surgeon, with a phenomenal bedside manner, and office staff you’ll fall in love with.

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HOW LONG DO BRACHIOPLASTY RESULTS LAST?

Arm lift results are long-lasting, and in many cases, permanent, because the excess skin that is surgically removed does not grow back. However, maintaining your results over time depends on a few important factors:

  • Maintaining a stable weight – significant weight gain or loss after surgery can cause the remaining skin to stretch again
  • Regular exercise to preserve arm muscle definition
  • Sun protection on healing scars to minimize discoloration
  • A healthy lifestyle to slow the natural effects of aging on skin elasticity

Patients who maintain their weight and overall health typically enjoy beautiful, enduring results from their upper arm surgery for many years.

CAN BRACHIOPLASTY BE COMBINED WITH OTHER PROCEDURES?

Yes. Brachioplasty is frequently performed alongside other body contouring procedures, allowing patients to address multiple concerns in a single surgery and recovery period. Common combinations include:

  • Brachioplasty + Liposuction: For the most comprehensive arm contouring results
  • Brachioplasty + Tummy Tuck (Abdominoplasty): A popular pairing for post-weight-loss patients
  • Brachioplasty + Mommy Makeover: For patients seeking full-body rejuvenation after pregnancy
  • Brachioplasty + Body Lift: Ideal for patients who have lost a significant amount of weight

Dr. Livingston will discuss whether combining procedures is appropriate for your health and goals during your personal consultation.

Brachioplasty Cost in Houston, TX

The cost of brachioplasty in Houston, TX varies from patient to patient based on multiple factors, including:

  • The extent of skin and fat removal required
  • Whether liposuction is performed at the same time
  • Anesthesia and surgical facility fees
  • Pre- and post-operative care
  • Livingston provides a detailed, transparent cost estimate during your consultation so you can plan with confidence and without surprises. Financing options are available to help make your arm lift more accessible.
  • Brachioplasty is typically considered a cosmetic procedure and is not covered by insurance. In select cases – for example, when excess skin causes chronic skin infections or functional impairment – partial insurance coverage may be explored. Dr. Livingston will discuss this during your consultation.

BRACHIOPLASTY BEFORE AND AFTER: REAL PATIENT RESULTS

The best way to understand what brachioplasty can do is to see it for yourself. Browse our before and after gallery to view real patient results from Dr. Livingston’s arm lift procedures. Our patients often report a dramatic improvement in their arms’ appearance and renewed confidence, with the freedom to wear styles they love without hesitation.

WHY CHOOSE DR. CHRISTOPHER LIVINGSTON FOR BRACHIOPLASTY IN HOUSTON, TX?

Dr. Christopher Livingston is a board-certified plastic and reconstructive surgeon with extensive experience in body contouring, including brachioplasty and arm lift surgery. Patients choose Livingston Plastic Surgery because of:

Personalized Care
Every treatment plan is designed around your unique anatomy, goals, and lifestyle. It’s never a one-size-fits-all approach.

Surgical Artistry
Dr. Livingston combines technical precision with an eye for natural, proportionate results that complement your overall appearance.

Accredited Surgical Facility
All procedures are performed in a fully accredited surgical facility, where your safety is the absolute top priority.

Dedicated Patient Support
From your first consultation to your final follow-up appointment, our team is with you every step of the way, answering questions, addressing concerns, and celebrating your results.

“The most important part of plastic surgery is achieving a youthful, refreshed look, with minimal downtime.”
— Dr. Christopher Livingston

FAQs for Brachioplasty | Livingston Plastic Surgery

Brachioplasty is not a weight-loss procedure. The tissue removed during surgery typically amounts to a small number of pounds at most, depending on the extent of excess skin. The goal of brachioplasty is body contouring, improving shape and proportion rather than reducing weight on the scale.

The cost of brachioplasty in Houston, TX depends upon various factors such as the current state of your arm and the requirement of liposuction during your arm lift. After a detailed consultation, your surgeon and medical team will provide you with a personalized estimate of costs.

At Livingston Plastic Surgery, Dr. Livingston aims to understand your concerns and devise a detailed plan for your arm lift. This allows us to deliver a detailed cost breakdown that lets you steer clear of any surprise costs before or after your surgery.

With proper care, arm lift results can last for many years. Maintaining a stable weight and a healthy lifestyle helps prolong the effects of the surgery.

Most patients describe brachioplasty recovery as uncomfortable rather than severely painful. Discomfort is well-managed with prescribed medications in the first week, and the majority of patients feel well enough to resume light activity within 7 to 10 days.

Ideal candidates are non-smokers in good health with realistic expectations. If you have excess skin or weakened muscles in your upper arms, this procedure may be right for you.

Since an arm lift may take 1 to 3 hours and requires you to stay still during the surgery, you will undergo general anesthesia before the procedure, meaning you are not awake for the surgery. This ensures your comfort during the procedure, while also making sure that your surgeon can carry out the necessary surgical techniques without interruption.

After your surgery is complete, you will recover from general anesthesia in the surgical facility. You can then go home the same day. To make sure that you remain safe under the general anesthesia, Dr. Livingston takes your medical history before the surgery to rule out any past allergic reactions or current medical conditions that could keep you from receiving anesthesia.

Yes, but movement will be limited during the first couple of weeks. Avoid strenuous activities and follow your surgeon’s advice for a smooth recovery.

Dr. Livingston performs brachioplasty surgery under general anesthesia or intravenous sedation at an accredited hospital. During brachioplasty, Dr. Livingston will create an incision that goes along the inside of your upper arm. The incision can span from the start of the armpit to the elbow, depending on the amount of excess skin and fat. Once the incision is made, Dr. Livingston will start to trim away excess skin and tighten the arm’s underlying supportive tissue using internal sutures.

Once the arms have been contoured to reach the patient’s desired results, Dr. Livingston will close the incision with absorbable sutures and cover them with medical tape.

Dr. Livingston takes care to place incisions in inconspicuous areas. Scars typically fade over time with proper care.

Recovery from brachioplasty usually takes about six weeks for the body to fully recover and for patients to resume all their normal activities, including exercise. In general, most patients can walk in the first few days after surgery. By about day 10 or 12, most patients can start driving again. Once you’re feeling comfortable driving and feel your energy return, you should be able to return to work and other normal activities. From this point, the only restriction patients still need to maintain is to avoid strenuous activities, such as heavy lifting, to ensure the arms can heal properly.

  • To help reduce swelling and discomfort, it’s best if you rest in an upright position. A recliner or a bed with 2 to 3 pillows behind your back and pillows under your arms is best. Only use your elbows when necessary but try not to put extra strain on your shoulders. Keep a fluffy towel folded under your armpits to provide some additional elevation.
  • Wear the compression garments provided by Dr. Livingston 24 hours a day except when showering, or Dr. Livingston tells you otherwise.
  • Apply cold compresses to your arms every hour for no longer than 20 minutes. Always protect your skin with a towel wrapped around the ice pack.
  • Ask Dr. Livingston about anti-inflammatory medications that are safe for you to take to help relieve discomfort and inflammation.

Your arm lift results can last for a decade or more as long as you prioritize maintaining a stable weight and healthy lifestyle. However, because some skin and fat were removed during your brachioplasty, your arms will always look tauter than they would if you’d never had an arm lift. To help maintain your results, exercise your arms regularly using weights for some resistance.

Yes. Brachioplasty is commonly combined with liposuction, tummy tuck, mommy makeover, and other body contouring procedures. Combining surgeries can reduce overall recovery time and cost compared to having each procedure separately.

As with any surgical procedure, brachioplasty carries some risks, including bleeding, infection, scarring, or asymmetry. Dr. Livingston takes every precaution to minimize these risks and ensures your safety throughout the process.

No, brachioplasty is usually performed as an outpatient procedure. Patients are monitored for a short time after surgery and can return home the same day.

Dr. Livingston will provide a complete pre-operative checklist at your consultation. In general, preparation includes stopping smoking at least four to six weeks before surgery, discontinuing blood-thinning medications as directed, arranging for a driver and a trusted caregiver for the first few days of recovery, and setting up a comfortable recovery space at home.

While liposuction removes fat deposits, brachioplasty addresses both excess skin and fat in the upper arms. Brachioplasty is ideal for those with loose, sagging skin, often following significant weight loss or aging.

You should avoid strenuous exercise, especially activities that involve lifting or arm movements, for at least 6 weeks after surgery. Light walking is encouraged to promote circulation during recovery.

Yes, brachioplasty can address asymmetry caused by excess skin or uneven fat deposits. Dr. Livingston customizes each procedure to ensure balanced, natural-looking results.

In most cases, brachioplasty is considered a cosmetic procedure and is not covered by insurance. Exceptions may exist in cases where excess skin causes documented medical problems such as chronic rashes, skin infections, or functional limitations. This can be discussed during your consultation.

Yes, brachioplasty is designed to eliminate “bat wings,” or sagging skin on the upper arms, creating a smoother and firmer appearance.

During your consultation, Dr. Livingston will evaluate your upper arms, review your medical history and health status, discuss your goals, and recommend a personalized surgical plan. You will have the opportunity to review before and after photos, ask any questions you have, and receive a transparent, detailed cost estimate.

If you have loose, sagging skin on your upper arms and are in good health, you may be an excellent candidate for brachioplasty. Schedule a consultation to discuss your goals and expectations with Dr. Livingston.

SCHEDULE YOUR BRACHIOPLASTY CONSULTATION IN HOUSTON, TX

Don’t let sagging upper arm skin hold you back from feeling confident and comfortable in your own body. At Livingston Plastic Surgery in Houston, TX, Dr. Christopher Livingston delivers expert brachioplasty with natural-looking, long-lasting results and the personalized care you deserve from start to finish.

The arms you’ve always wanted are just a consultation away.

Call us today at (281) 501-1812 or click below to book your consultation with Dr. Livingston.