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Also known as Brachioplasty. This procedure removes loose upper arm skin.

It is most indicated for patients who have had a significant history of weight gain and (bariatric) weight loss that has left the upper arm loose and saggy (‘bat wing deformity’). It is also becoming increasingly popular for normal weight patients who have developed upper arm sagginess from aging alone.

Through a carefully designed, elliptical excision along the inner aspect of the upper arm, loose skin and underlying fat is removed, restoring a more pleasing and more youthful upper arm contour. The ensuing scar is well concealed during normal arm excursions.

A lesser alternative is the MIB or ‘Minimal Incision Brachioplasty”. It hides the scar in the armpit but due to the  shorter scar length it can only remove a relatively small amount of slack skin.

Before Surgery

Dr. Baker meets with the patient three times before surgery is performed:

  • The first meeting begins with an analysis of a patient’s goals and anatomic realities. Treatment indications and realistic options are considered with a detailed discussion of pros and cons, such as potential risks and complications.
  • The second meeting, two weeks before surgery, involves review of a patient’s photography and confirmation or refinement of the previously discussed treatment plan. Also, relevant consent forms, instructions and prescriptions are provided and reviewed at this time.
  • The third meeting, the day before surgery, includes a final review of all questions and instructions. Then a detailed surgical design is carefully marked on the patient.

You will receive detailed, written  instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking cessation, and taking or avoiding certain vitamins, supplements and medications.

You will need to plan for a responsible person  to drive you home after surgery and be there to help you for the first couple of days.


Surgery is performed as an outpatient in a fully accredited ambulatory surgery center, owned and operated by a major hospital. Anesthesia is provided by a board certified anesthesiologist and a certified registered nurse anesthetist. Anesthesia options include deep sedation or sleep anesthesia.

Surgery takes about two  hours, one hour per side, with Dr.Baker performing the entire procedure including suturing.

No drains are needed.

After Surgery

Dr. Baker personally cares for his patients in his office every two to three days within the first two weeks after surgery, starting with the first day after surgery. Thereafter, follow-up care is provided at weekly and monthly intervals until one year after surgery.

Both arms need to be kept elevated on pillows at night for the first two weeks.

Most patients resume normal daily activities within 3-4 days.

Exercise can be resumed after three to four weeks.