When skin laxity gives the raised arms a droopy, “bat wing” appearance, this procedure becomes necessary to reshape the arms for a more pleasing, toned and proportioned look. The presence of excess fat is very frequent and therefore, liposuction is a common part of the correction. In some cases liposuction alone can be sufficient. The removal of the excess skin is done under general or local anesthesia with sedation.

Fusiform incisions are made from the elbow to the underarm as needed, and through the skin and fatty tissue. The excess is removed, resulting in a scar along the inside or behind the arm depending on the patient’s preference. A supportive bandage is applied and a special garment is indicated to be worn 3 to 4 weeks. The patient can go home the same day.