What is arm and thigh lift surgery?
Many individuals who have lost a significant amount of weight may experience problems due to excessive, wrinkled, excess skin around the arms, thighs, hips, and buttocks. Because the skin has lost its elasticity, it cannot reshape itself to the new size. Men and women with this condition may be ideal candidates for an arm or thigh lift at Dr. Harceaga’s aesthetic surgery clinic.
Arm and thigh lift surgery is often performed as part of a comprehensive body contouring plan for individuals who have experienced massive weight loss or as an individual procedure. We often combine this procedure with liposuction, abdominoplasty, breast lift, or other body contouring procedures. Dr. Olimpiu Harceaga will create a personalized surgical plan designed to help you achieve your aesthetic goals.
How can I help make the surgery a success?
01. How can I help make the surgery a success?
Maintaining a state of health as good as possible and a weight appropriate to your age and height will help with a quick recovery, without complications. If you smoke, quit smoking six weeks before the operation; this will help with healing and reduce the chances of complications.
You should not remove/shave hair from the vicinity of the areas where the cuts will be placed on the skin. Maintaining strict hygiene will help reduce the risk of infection.
02. How is arm and thigh lift surgery performed?
Arm lift surgery is usually performed either on an outpatient basis or in a surgery center or hospital, using general anesthesia, so that you are completely comfortable. During this procedure, the plastic surgeon makes incisions on the underside of the arms. These incisions, in most cases, start near the armpit and extend to the area around the elbow. The surgeon will then remove some of the excess skin tissue and reposition the skin on the underside of the arm, tightening and eliminating the flattened and sagging appearance of the skin. The incisions will be closed with sutures, and the arms will be bandaged.
The thigh lift is usually performed under general anesthesia. The procedure involves small incisions in the thigh and groin area. Your plastic surgeon will carefully determine where to make these incisions to minimize the visibility of scars so that you can wear a wide variety of clothing according to your personal preferences.
In some cases, the thigh lift also involves the area around the outer thigh and buttocks. In these cases, the incisions are somewhat longer and may extend from the buttocks to the abdomen and to the level of the groin area. During the pre-surgical consultation, your plastic surgeon will determine what type of thigh lift procedure will be best for you and exactly where the incisions will be made.
In the case of the inner thigh lift, as well as those that extend to the outer thighs and buttocks, the excess skin will be removed, and the remaining skin will be stretched and repositioned to create a smoother and firmer contour.
03. What should I expect after arm and thigh lift surgery?
Immediately after arm and thigh lift surgery, you will wear a support garment that will help compress the surgical area. This garment is very similar to an elastic girdle and will help reduce swelling and support the skin around the surgical area to return to its natural stretch. Inner thigh lift and arm lift can usually be performed on an outpatient basis, while thigh lifts involving the outer thighs and buttocks may require a hospital stay, usually only a day or slightly longer. Any discomfort you experience can be controlled with medication prescribed by your plastic surgeon.
In a few weeks, you will notice that any swelling and bruising will disappear. In most cases, within 5 or 6 weeks, patients who have undergone an arm or thigh lift can resume most daily activities, including exercise. In 4 to 6 months, you will see the final results of your procedure, with a smoother, tighter, and more attractive contour of the thighs. Keep in mind that each person heals at their own pace. Your plastic surgeon will monitor your recovery during several follow-up visits.
04. Recovery and some tips for a good recovery.
- Exposure to direct sunlight or in tanning salons. Exposure to the sun causes skin damage. Exposure of operated areas and suture lines can lead to poor healing and hypo or hyperpigmentation color changes. Patients who want to expose themselves to the sun to tan should inform their doctor and postpone this activity until it is risk-free. The harmful effects of sun exposure also occur when using sunscreens.
- Travel. Any surgical procedure involves possible risks and complications that can delay healing and return to normal life. Please notify the surgeon of travel plans, important meetings planned so that the planning of the operation can be done efficiently. However, there are no guarantees that you will be able to return to planned activities on time.
- Long-term results. Changes in the results of the surgical procedure may occur over time due to aging. sun exposure, weight loss or gain, pregnancy, menopause or other circumstances unrelated to the procedure itself.
Information for female patients. It is important to inform the surgeon if you are using contraceptives or if you have the slightest suspicion that you may be pregnant. Many antibiotics can decrease the effectiveness of birth control pills. - Intimate relations after the surgical procedure. Surgery involves the coagulation of blood vessels to stop bleeding and physical activity of any kind can cause the opening of vessels and bleeding and/or hematoma formation. Activities that increase pulse and heart rate can cause additional bruising and bruising, inflammation and the need to open the operation to control bleeding.
Risks and side effects associated with arm and thigh lift surgery
Arm lift (brachioplasty) and thigh lift (thighplasty) surgeries are increasingly requested aesthetic procedures, especially by people who have lost a lot of weight and are faced with excess sagging skin. Although these interventions offer spectacular results in terms of skin contour and firmness, they remain surgical procedures and, like any surgery, involve certain risks and possible side effects.
Among the most common side effects are swelling, bruising (bruises), local pain, and a feeling of discomfort in the first days or weeks after the procedure. These are normal postoperative reactions and usually gradually improve with the help of medication prescribed by the doctor and proper recovery. In some cases, visible scars may appear, especially if the skin has low elasticity or if healing does not proceed optimally.
Regarding the risks, the most important include infections, excessive bleeding, fluid accumulations (seroma) or blood clots. There is also the possibility of asymmetries or uneven healing. Rarely, patients may experience changes in sensitivity in the operated area, which may be temporary or, more rarely, permanent.
To minimize these risks, it is essential that the surgery be performed by an experienced specialist doctor in an accredited clinic and that the patient strictly follows all postoperative recommendations. A correct preoperative evaluation and open communication with the doctor help to anticipate possible complications and obtain safe and satisfactory results.
General complications associated with surgery
Healing
Certain diseases, nutritional supplements, or medications can delay normal wound healing. Patients who have suffered massive weight loss may have delayed healing or may face wound opening, infection, requiring prolonged hospitalization and additional surgical procedures.
Those who suffer from diabetes or are under long-term steroid treatments may have delayed healing.
Smoking can cause more difficult healing and the need for additional surgical procedures. Healing can also be hindered by inflammation, bleeding, or a long-duration surgical procedure with general anesthesia.
There are nerve endings that can be caught in the scar associated with healing and can produce pain or hypersensitivity, even if larger nerve trunks are not injured.
Massage and other non-surgical procedures, applied at the beginning of the healing process, can alleviate these pains. Therefore, it is important to discuss aspects related to postoperative pain with the surgeon.
Bleeding and hematomas
There may be episodes of bleeding during surgery or postoperatively. In most cases, these are an exception. If postoperative bleeding occurs, emergency treatment may be needed to drain accumulated blood or blood transfusion may be necessary. These complications are truly rare.
It is important to follow postoperative instructions exactly and not perform physical activities during the specified time period.
Administration of aspirin or nonsteroidal anti-inflammatory drugs (ibuprofen) is prohibited for 10 days before and after surgery, as these can increase the risk of bleeding.
Nutritional supplements or herbal medicines can increase the risk of bleeding. A hematoma may appear in the first 2 weeks after surgery, usually after physical trauma to the operated site. Bruising is expected afterward, which should disappear within 2 weeks of surgery.
Infection
It is an unusual complication after surgery. If it occurs, antibiotics will be administered and hospitalization and additional surgical procedures may be necessary.
It is important for patients to specify if they have suffered an infection in the period before surgery. Infections in other parts of the body can lead to infection of the operated site.
Vicious, hypertrophic scars
All types of surgery leave scars, some more visible than others. After surgical procedures, good healing is expected, although abnormal scarring can occur both at the skin level and in deep tissues.
Although attempts are made to place scars in less visible locations, there is a small chance they may be visible, being different in color from the surrounding skin. The appearance of the scar can vary across its surface, can be asymmetric (the left side looks different from the right). There is a possibility of visible scars left by suture threads. Deep tissue scars may require revision or additional procedures to improve their quality.
Altered skin sensitivity
A decrease (loss) of skin sensation in the operated area is frequently encountered. The decrease in sensation may not resolve completely. Itching, sensitivity, or exaggerated response to heat or cold may occur after surgery. These symptoms resolve after a variable period of post-surgical time, but in rare cases can become chronic.
Sutures
In addition to the sutures at the skin level, which are visible, deep sutures are also used. These can be felt under the skin and can externalize through the skin, becoming visible and producing inflammation, in which case they must be removed.
Pain
Pain is one of the symptoms present after surgery. Pain of different variety and intensity can persist after the procedure. Chronic pain occurs very rarely and is caused by nerve endings caught in scars or occurs due to tissue stretching.
What is the price of liposuction & liposculpture surgery?
2500 - 3500 €
Arm and Thigh Lift
The costs mentioned are estimates, and they may vary depending on the surgical technique chosen, the complexity of the case, as well as any additional procedures or investigations required.
A detailed final cost can only be established following a medical consultation, in which the patient’s clinical situation will be assessed and the individualized therapeutic plan will be established. These costs include: the surgeon’s and anesthesiologist’s fees, the hospitalization period, all the medicines and materials needed during the surgery and during hospitalization. For a personalized estimate, we recommend scheduling a consultation.