Arm skin reduction / Brachioplasty


The basic principles of the surgery are to reduce the amount of tissue and skin of the arm to improve its shape and correct the looseness of the skin.

Commonly referred to as Bingo wings, great results can be gained by removing excess skin and fat from the underside area of the arms.

Click here for Brachioplasty FAQs

You can see the dramatic improvement that surgery delivered for these ladies.

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Brachioplasty FAQs


The Operation and hospital stay Arm Lift

Brachioplasty surgery is performed using an incision in the armpit and running along the inside of the arm. There is a short scar version and a long scar version. The short scar works on people who don’t have much skin excess. The surgery is performed under general anaesthetic and takes about two hours. When you wake up you should be comfortable as local anaesthetic is used in the wounds and you will remain on regular analgesia (painkillers) for several days until you are effectively pain free. There will be dressings on your arms. After the surgery you will stay in hospital until it is safe to send you home. This may be overnight. Surgical drains are sometimes used to prevent blood collection in the tissues and these are removed once they have settled.

What can go wrong with Brachioplasty

I feel it is important that anyone having surgery with me is aware of the possible negative sides of surgery and understands the small but real risks. The following paragraphs cover what happens when things occasionally don’t go as expected.

Like all surgery there are risks of complications whoever does your surgery. It is important you are aware that many of the problems you may get after your surgery, if they are treated promptly, most have no obvious effect on the final outcome.

It is unlikely your arms are symmetrical before surgery and there may be a small degree of asymmetry after the operation. (If it is a big difference then a surgical correction can be discussed). All operations have a risk of bleeding. In brachioplasty surgery there is a very small risk that a blood transfusion may be required (much less than 1%) or that there may be bleeding leading to a collection of blood (haematoma), which needs to be removed under an anaesthetic (less than 2%). Infection is unusual and antibiotics are given around the time of surgery to reduce the risk. Some people form bad scars (about 2%) and these can be troubling for a while although often respond to treatment over several months. Overall the scars from brachioplasty surgery tend to be stretched and remain red and visible for some time. There is a small risk of seroma (fluid collection under the skin) this is normally treated by removing the fluid with a syringe and needle in clinic, Occasionally further surgery can be required. There may be some numbness of the skin of the arm and forearm, this will normally get better over a period of time but there is a small risk of small areas of permanent numbness. All operations can result in long term discomfort.
Risks particular to brachioplasty surgery are problems with wound healing and/ or infection because of the position of the wound. There is also a risk of pins and needles or numbness in the hands this is almost always temporary.

All operations have a small risk of Deep Vein Thrombosis (DVT), chest infection and Pulmonary embolism. Death following elective surgery is exceptionally rare (1:250,000 in fit and well people)

As this is a surgical procedure to deal with appearance no guarantee can be given to the final appearance, but if we agree it is an unsatisfactory result correction will be offered at no additional cost.

After Arm Lift surgery

Expect to feel washed out for a few weeks after the surgery and to tire quickly although you will gradually return to your normal energy levels.

The sutures are all dissolving, but a one week follow-up will be given to make sure everything is OK. You will be provided with two compressive garments (one to wear and one for the wash) to wear for the first few weeks after the surgery. I will personally see you at 1, 4 and 12 weeks and 6 and 12 months following surgery and more if required.

What to expect from Brachioplasty

Brachioplasty surgery makes an immediate and dramatic difference. There may be some discomfort for a few days. Normally 4-6 weeks after the surgery, you are beginning to return to normal. It may even be quicker than this. As said above, expect to feel washed out for several weeks after the surgery and to tire quickly although you will gradually return to your normal energy levels.

Cost of Brachioplasty Surgery

– from £3770
This includes all required follow-ups and in the unlikely event you require further treatment due to post-operative problems any further treatment is also included

(prices updated Feb 2018)

Post Operative Instructions for Brachioplasty

What to bring to hospital

If you would like, bring a family member or friend. Bring some easy to put on bed wear, preferably with front buttons and your own clothes and toiletries and something to pass the time like books, puzzles or some music . The rooms have televisions and there is free Wi-fi.

What to look out for after you have gone home

Before you come into hospital, you will get a package that contains a set of post-operative instructions and a thermometer.

Watch out for redness, swelling, pain, discharge, opening of the wound, fevers, sweating and shaking. Whatch to see if your temperature is above 37.2C and you feel unwell or it is above 37.6C.

If any of the above are seen or any of the information of the instruction sheet call the numbers on the instruction sheet or the hospital you had your operation.

Things to Avoid

The following are medications or herbal medicines to avoid before surgery.

Please disclose all medications (including self prescribed and herbal and vitamin supplements) during the consultation. The following increase the risk of post operative problems.

Roacutane or other vitamin A skin preparations / aspirin / steroids / warfarin / clopidogrel / Brufen / alka-seltzer / Fish oil / Flagyl / anti-rheumatics-arthritics / blood thinners eg persantin / St John’s Wort / Aloe vera / Cimetidine / Vitamin E (>600mg/day) / Vitamin C (>1000mg/day) / alfalfa / arnica / bromelain / calendula / celery / chamomile / cloves / Evening primrose / garlic / ginger / ginko / goji berries / licorice / meadowsweet / diabetes medication / blood pressure medication / diuretics

Most fruit and pickles have aspirin like chemicals in them so avoid large quantities in the two weeks before surgery.

Please remember that if you have any questions or concerns to ask during one of your consultations. Writing questions down is sometimes helpful.


Normally you can re-start driving at around 2 weeks. You are fit to drive if you feel you are fit. I recommend you have someone take you to an industrial zone or supermarket car park late at night so you can attempt driving without risk to others. If you find you can drive without problems you are safe to go out on the road


Depending on how physical the work you do is, you can start working from between 1 and 3 weeks.

If in doubt remember you can always ask for advice.


At home rest is necessary for one week and any strenuous activity, bending, and lifting etc. is to be avoided. You can shower once your dressings are reduced after your first appointment.

Physical exercise more than a gentle walk should be avoided for the first least 3 weeks and then only undertaken if comfortable. After 3 weeks I allow swimming and cycling and more vigorous walking. After 6 weeks you can, if it is comfortable, return to full activities.