Restoring definition and confidence to the upper arms
Arm Lift (Brachioplasty) in London
An arm lift, or brachioplasty, is a surgical procedure that reshapes the upper arms by removing excess skin and fat to create a smoother, firmer contour. For many patients, it’s about restoring confidence, being able to wear short sleeves comfortably or move freely without the feeling of heaviness or loose skin.
At her London practice, Dr Nicki Bystrzonowski performs arm lift surgery with meticulous attention to proportion and balance. Her approach combines technical precision with a thoughtful understanding of the emotional reasons behind seeking treatment, particularly after weight loss or natural ageing.
Patients often choose this procedure to address sagging skin that no longer responds to exercise or to complement other body-contouring treatments such as liposuction or tummy tuck. Each plan is individualised, ensuring results that look natural and feel in harmony with the rest of the body.
What Is an Arm Lift (Brachioplasty)?
A brachioplasty removes excess skin and fat from the upper arm, typically between the armpit and the elbow, to restore a tighter, smoother contour. It’s particularly effective for skin that has lost elasticity following weight loss or ageing, where non-surgical methods can’t provide meaningful improvement.
Depending on the extent of excess tissue, Dr Nicki may recommend a mini arm lift, involving a shorter incision hidden in the armpit, or a standard arm lift, which extends along the inner arm for greater tightening. Liposuction may also be used to refine the shape further.
The aim is always to achieve a natural, proportionate result with well-concealed scars and improved tone and movement.
Key Information
| Detail | Summary |
|---|---|
| Procedure Time | 1.5 – 3 hours |
| Anaesthetic | General anaesthetic |
| Hospital Stay | Usually day case or overnight stay |
| Recovery Time | Light activity after 7–10 days; full recovery within 4–6 weeks |
| Compression Garment | Worn for 4 weeks to aid healing and contour |
| Scarring | Discreet incision along the inner arm, fades gradually |
| Results Visible | Immediate contour improvement, refining over several months |
| Longevity | Long-term if weight remains stable |
| Follow-Up | Regular postoperative reviews with Dr Nicki to monitor healing |
How Arm Lift Surgery Works
Consultation and Assessment
The process begins with a detailed consultation with Dr Nicki Bystrzonowski, who will assess skin quality, fat distribution, and overall arm proportion. She’ll explain the available techniques, incision placement, and expected results so that each patient feels informed and confident about their decision.
Anaesthetic and Preparation
The operation is performed under general anaesthetic. Before surgery, incision lines are carefully marked on the inner arm to keep scarring as discreet as possible.
The Procedure
Excess skin and fat are removed through the marked incision, and underlying tissue is tightened to restore smooth contour. Liposuction may be combined where necessary to refine the shape and create an even transition at the elbow and armpit.
Sculpting and Closure
Dr Nicki ensures both arms are symmetrical and naturally proportioned. The skin is closed with fine sutures, and sterile dressings are applied.
Recovery and Healing
Patients usually return home the same day. Swelling, tightness, and mild bruising are normal during the first week and improve steadily. Compression garments help reduce swelling and support the arms as they heal. Most patients return to work and light activity within two weeks.
Long-Term Results
Once healed, the arms appear slimmer, firmer, and more defined. Scars fade over time and are placed so they remain hidden when the arms are at rest. Results are long-lasting when maintained through stable weight and healthy lifestyle habits.