Price of hand skin tightening and correction methods Thin, graceful hands are an integral part of youth and female attractiveness. What to do if the skin on your hands becomes flabby, and the fat layer unsightly deforms the contour? Brachioplasty in Moscow is successfully performed by an experienced plastic surgeon Sergey Anatolyevich Demin, to whom patients from all cities of Russia turn for help.
The operation is minimally invasive and guarantees a stunning transformation of the forearms with the formation of graceful curves and natural reliefs.
About anatomy to understand correction methods
For women of any age, after rapid weight loss or loss of muscle tone, tightening the skin of the arms will allow them to restore an attractive appearance. In Moscow, Dr. Demin performs the operation after a full comprehensive examination and a lengthy consultation.
Despite the fact that the arm muscles make up only 7% of the total muscle mass of the body, the shoulder area and forearms are made up of a large number of different muscle bundles. This causes pronounced relief of the arms when gaining sufficient muscle mass, namely:
- deltoid
- brachial
- brachioradialis
- biceps
- triceps
- deep muscles.
The muscles of the upper extremities are responsible for flexion, extension and rotation movements; they are attached to the bones by muscular aponeurotic cords, which are tightly fused with the periosteum. Each muscle is enclosed in a connective tissue capsule that provides easy gliding during contraction.
Between the muscle fibers there are accumulations of adipose tissue, evenly distributed throughout the limb. Fat accumulations are enclosed in capsules in the deep layers and require a large volume of surgery to ensure complete access. The thickness of the fat layer depends on the percentage of fat in the body and increases with excess weight.
Above the muscles there is a layer of epidermis - the outer skin that protects the underlying tissues from the external environment. The epidermis on the hands is represented by three layers - epithelium, dermis and hypodermis, consisting of additional fat granules that are distributed in an even layer. Fat is effectively removed from the hypodermis during liposuction surgery.
Causes of excess skin and fat on the inner shoulder
- Frequent cycles of weight gain and loss;
- Lack of cosmetic care;
- Insufficient amount of physical activity;
- Forced abrupt abandonment of sports;
- Smoking.
Each of these reasons, individually or together, can seriously deteriorate the shape of your arms, even at a young age. If sagging shoulder skin causes you serious discomfort, the surgeons at the UMG Center for Aesthetic Medicine will perform effective arm plastic surgery. The price for the service is calculated individually, you can find out it during your consultation.
Why does the contour of the shoulders and forearms change?
Changes in the appearance of the shoulders and forearms occur not only under the influence of negative factors, but also do not depend on a genetic predisposition to hypotension. A decrease in muscle fiber tone occurs in many young girls and is associated with insufficient production of collagen in connective tissue and slow division of myocytes.
In this case, the elasticity of myofibrils is lost, the physiological tension of tissues is disrupted, and manifestations of ptosis begin to increase. Hypotonia of the fibers leads to sagging of fat deposits under their own weight, and unaesthetic sagging of the soft tissues of the hands is formed.
Brachioplasty is performed on women after sudden weight loss, when muscle fibers do not have time to contract following the decreased volume of fat. Stretched muscular aponeurotic cords do not create the necessary tension, irreversibly deforming the contour of the arms.
With age-related changes caused by the irresistible influence of gravitational forces, a gradual increase in fiber hypotonia and soft tissue ptosis begins. The skin of the hands becomes flabby, uneven, and folds form.
When should you see a doctor?
For women who are trying to hide the deformed contour of their arms with ptosis of soft tissues with clothing, brachioplasty will come to the rescue. Prices in Moscow at Dr. Demin start at 88,000 rubles, this is significantly different from other Moscow centers.
The operation is performed for each patient with subjective complaints about the unaesthetic appearance of the hands. The extent of surgical intervention depends on the degree of impairment, the amount of adipose tissue and the correction techniques used.
Brachioplasty is performed for:
- hypotonia of the brachial and deltoid muscles
- biceps and triceps stretch
- sudden weight loss
- loose skin with folds
- massive fat deposits on the inner and back surfaces of the arms.
Loss of muscle fiber tone creates the effect of “sliding” of adipose tissue, which moves down and creates excess volume above the elbow joint. Arms become disproportionate and heavy, women try to hide them with clothes with wide sleeves.
For men, brachioplasty is performed for muscle fiber dystrophy to create an attractive contour. Hand augmentation with skin tightening is popular due to the instant transformation of appearance and rapid post-operative recovery.
With excess weight without loss of muscle elasticity, the arms become voluminous due to an increase in subcutaneous fatty tissue and interfascial fat accumulations. In some cases, due to insufficient lymph flow and genetic predisposition, even after losing weight, the arm circumference remains unchanged.
Such changes negatively affect the contour and elegance and are not amenable to non-surgical correction methods (mesothreads, hardware cosmetology). Non-invasive procedures provide a mild temporary effect, which ceases to appear as degenerative changes increase.
Why should you seek a makeover at the UMG Center for Aesthetic Medicine?
A complex approach
The UMG Center for Aesthetic Medicine has experience working with patients who have lost a lot of weight in a short period of time. We can offer a full range of aesthetic surgeries to put your body in order.
Smart Surgery
UMG surgeons operate strictly according to indications and tell patients about all possible ways to solve the problem.
Absolute safety
The surgical procedure in our center takes place in a separate sterile operating room with a laminar ventilation system. A resuscitation team is constantly on duty at the clinic.
Professional team
Our plastic surgeons are doctors and candidates of medical sciences. Every year, each specialist at the UMG center undergoes individual training from leading surgeons in Europe and the USA.
About brachioplasty
Brachioplasty is a complex of operations aimed at restoring the attractiveness of the forearms in men and women using several techniques. The degree of invasiveness depends on the size of the skin fold, the presence of a periulnar fat pad, and the use of augmentation techniques.
The operation may include:
- skin tightening
- muscle tightening
- liposuction
- endoprosthetics
- lipofilling.
The choice of brachioplasty method is made by the attending physician, taking into account the wishes of each patient and his anatomical and physiological characteristics. You can begin surgery only after conducting a comprehensive examination and excluding the presence of contraindications.
Rehabilitation period after brachioplasty
The duration of the rehabilitation period depends on how extensive the intervention was, and is usually 3–4 weeks. When eliminating significant sagging, the patient spends the first days in the hospital under the supervision of doctors. Then, to maximize the recovery process, following a number of recommendations is recommended:
- for several days after the operation, showering and bathing are prohibited, only wiping is allowed;
- For 2 – 3 weeks (the exact period is prescribed by the doctor), you must wear compression sleeves;
- to eliminate postoperative swelling during sleep, you should place a pillow under your arm;
- Until the tissues are completely healed, you must refrain from physical activity, do not lift heavy objects, visit baths, saunas and solariums, or abuse alcohol.
Preparing for surgery
At the first consultation, the doctor collects detailed information about the patient, hereditary and chronic diseases, constitutional anomalies and lifestyle.
During examination, the thickness of the fat layer, the presence of local compactions and the degree of stretching of muscle fibers are determined by palpation. Lipomas, fat granules enclosed in a connective tissue capsule, can form in the forearms. Their formation is not a contraindication, but requires consultation with an oncologist.
After the examination, the doctor issues directions for collecting laboratory tests of blood and urine to exclude acute pathology or exacerbations of chronic diseases. Laboratory research will allow you to suspect insufficient functioning of the excretory and hepatocellular systems.
Consultation with a specialist (therapist) is necessary to assess the patient’s general condition and the body’s readiness for the upcoming operation. In case of heterogeneous compactions of subcutaneous fat tissue, the oncologist conducts additional examinations and takes a biopsy to exclude a malignant tumor.
A few days before brachioplasty, the patient stops taking medications that affect the blood and hormonal contraceptives (for women). This is necessary to speed up recovery in the postoperative period without the risk of complications after brachioplasty.
Complications and contraindications
As a result of brachioplasty, edema, hematoma, seroma, wound infection, keloid scars, asymmetry of the upper arms, and a feeling of “tightness” of the skin may occur. The main disadvantage of extended brachioplasty is the formation of an extended scar on the inner surface of the arm, but this fact is compensated by modern surgical techniques and an increase in the aesthetics of the arms as a result of the procedure.
Contraindications to brachioplasty:
- previous mastectomy;
- previous operations on the axillary lymph nodes;
- the presence of acute and chronic infectious diseases;
- diseases of internal organs, cardiovascular system, respiratory system.
- hyperhidrosis;
- diabetes;
- blood clotting disorder;
- excessive sweating in the armpits;
- dermatological diseases at the surgical site;
- metabolic disorders in the form of high obesity or significant fluctuations in body weight.
To find out which type of brachioplasty is right for you, call the clinic and make an appointment with a doctor or fill out just two fields in the form below, our administrator will contact you to confirm the data and a convenient time
Contraindications for this operation
Despite the fact that brachioplasty is a minimally invasive, tissue-saving operation, it is performed under general anesthesia and is not performed if there are contraindications.
Contraindications include:
- progressive pathology of the heart and blood vessels (atherosclerosis, ischemia, hypertension)
- kidney diseases (glomerulonephritis, pyelonephritis)
- malignant tumors (regardless of localization and metastasis)
- infectious pathology (bacterial, mycotic, viral)
- purulent skin diseases (furunculosis, carbunculosis, hidradenitis)
- systemic diseases (collagenosis, protoporphyria, lupus)
- severe pathology of the central nervous system.
Arm skin tightening is not performed in patients with unstable weight due to the risk of recurrent soft tissue ptosis, since recurrent sagging of the arm skin makes subsequent brachioplasty less effective due to tissue deficiency.
Contraindications to complete anesthesia (allergic intolerance) are taken into account. In this case, if the degree of tightening is not significant, mini brachioplasty is performed, which does not require endotracheal anesthesia.
During pregnancy and lactation period, the operation is not performed.
Patient reviews
On plastic surgery forums, patients who have undergone brachioplasty share their experiences and reviews.
The patient talks about the features of the rehabilitation period. Overall I'm happy with the result.
The woman underwent brachioplasty at the same time as liposuction. I was worried about how I would cope with the anesthesia. Considers brachioplasty to be an effective operation.
In this review, the woman writes where the stitch is and advises that you take your search for a surgeon seriously.
And this woman has a complex about her hands, but did not dare to have brachioplasty because of the possible long postoperative scar. In the end I had liposuction.
In this review, the patient admits that only brachioplasty was able to solve the problem of sagging skin on her arms. I am sure that I did the right thing by deciding to have the operation.
Brachioplasty: arm skin tightening
Brachioplasty will help you forget about wide sleeves and tightness of your arms; patient reviews from doctors note the restoration of aesthetics, an even contour and a pleasant shape of the forearms. When tightening the skin of the hands, it is extremely important to achieve a harmonious result without losing the natural appearance.
Lifting is performed using two methods:
- transaxillary
- classic.
Transaxillary hand plastic surgery
It is performed for mild to moderate defects after preliminary removal of excess fat tissue using liposuction. An incision is made along the outer edge of the armpit, fascia and muscle fibers are separated from fat deposits, which are resected layer by layer.
An elliptical flap is created and pulled tightly towards the incision. The excess part of the flap is removed, the doctor begins to apply internal longitudinal and transverse sutures to tightly stitch the tissue. The external transcutaneous suture is applied last, is cosmetic and leaves virtually no traces after healing.
With the transaxillary approach, the suture is hidden in the armpit, which is important for women who wear open dresses. The transcutaneous suture is almost invisible after healing and remains in the form of a thin white stripe against the background of the skin.
Classic hand skin tightening
In case of severe ptosis of the soft tissue and the prolapse of a large volume of tissue, a classic tightening of the skin of the arms is performed; brachioplasty begins with making a T-shaped incision, running at the base from the outer edge of the armpit, as with the transaxillary approach.
The incision is made towards the elbow to the distance required to best capture the skin fold (sometimes to the elbow area). After dissection, the tissues are separated from each other in layers, and a skin flap of significant size is formed. The doctor excises the flap, shaping the outline of the arm to create physiological tension on the epidermal tissue.
After a classic hand skin tightening, a noticeable mark remains due to the removal of a large amount of skin fold. The recovery process depends on the initial level of blood supply and the condition of the capillaries. Additional cosmetic procedures, prescribed if necessary by the surgeon, can eliminate scar changes and make them invisible.
Hand plastic surgery using your own fat (hand lipoplasty)
In all previous cases, we talked about shoulder correction in the presence of excess skin in this area. There is another group of patients - those who are luckier with their skin, it is firm and elastic, and the deformation of the contour of the shoulders is caused by other factors - excess fatty tissue and underdeveloped muscles. In such a situation, the preferred method of correction may be liposculpture or hand lipoplasty - liposuction, i.e. removal of fat in places where there is a lot of it, and lipofilling, i.e., recreating volume with fat where it is lacking. With the help of liposuction, you can reduce the volume of the shoulder, sharpen the shoulder protrusion, and also create aesthetically attractive grooves that delimit the biceps. By means of lipofilling (transplantation of one's own fat), it is possible to give the shoulder additional relief, in particular, to emphasize the bulge of the biceps when the muscles are insufficiently developed.
Brachioplasty: muscle tightening
After a rapid loss of body weight, the muscles do not return to their original state due to prolonged stretching; an arm lift can help in this case. Brachioplasty is aimed at suturing the muscular aponeurotic cords to the periosteum to rigidly fix the fibers in the desired position.
Tightening of muscle fibers with a weak degree of ptosis is performed after liposuction or reducing the volume of fat deposits in the arms. The operation includes two methods:
- tight hemming
- resection followed by fixation.
Tight hemming is aimed at creating additional nodes on the distal parts of the muscles and connective tissue fibers with shortening and tight fixation at the attachment site. The operation is performed on superficial fibers to achieve the best result without the risk of damage to nerve trunks and choroid plexuses.
With a high degree of tissue prolapse, simple suturing is ineffective due to persistent ptosis. In this case, the stretched section of the muscle is removed, the ends of the fibers are sewn together with a special suture and fixed using ligatures on the periosteum or aponeuroses of neighboring muscles.
Muscle tightening can even cope with severe prolapses of large volumes, after which a skin flap is removed and transcutaneous sutures are applied. As invasiveness increases, the period of postoperative recovery extends, however, patients who have undergone brachioplasty of the arms with the removal of part of the muscles note a quick elimination of discomfort and a short rehabilitation process.
What you need to know about the scar?
One of the main disadvantages of brachioplasty is a long postoperative scar (scar). It will be noticeable when wearing short sleeves. There are several stages of healing throughout the year. Its appearance will change periodically - both for the better and for the worse. This is almost always a normal process, so there is no need to worry.
Photo of a scar on the arm after brachioplasty
The dynamics of scar healing should be monitored on an outpatient basis by a surgeon. In the absence of complications, the patient does not need to undertake any special procedures. The doctor may prescribe external agents to form the most accurate and smooth scar.
Sometimes the scar may begin to hypertrophy (increase in size due to the proliferation of connective tissue). This happens in the case:
- individual predisposition;
- permanent injury to the scar by clothing;
- hormonal imbalance of the body.
In this case, additional consultations and observation with a surgeon and dermatologist are recommended. Treatment can be carried out using drugs containing hyaluronidases, collagenase, and corticosteroids.
The scar is finally formed a year after the operation, then it changes little. Additionally, if necessary, laser resurfacing is used.
Brachioplasty: liposuction
If a woman or man cannot get their arms in shape, brachioplasty is performed; prices depend on the techniques used and the volume of surgical intervention. Dr. Demin uses lifting techniques practiced in the USA and Brazil, developed by famous plastic surgeons, which allow achieving remarkable results.
In most cases, liposuction is performed at the beginning of the operation after applying a transaxillary or classic incision. Reducing the volume during surgery will prevent repeated tissue sagging in cases where the patient manages to lose weight on his own.
Liposuction is performed with a special device using a thin cannula, which is inserted into the incision. Using a smooth movement method, the doctor removes excess accumulations of fat granules from the interfascial spaces (pockets) and subcutaneous fat. The effect of volume reduction after liposuction appears immediately after surgery due to the activation of blood circulation in this area.
This brachioplasty technique requires great skill from the doctor to form a natural relief without excessive loss of volume. If a woman has accumulated fat over the elbow area, liposuction is performed with additional punctures on the side of the radius.
This helps to completely get rid of the “fat muff” without leaving any residual tissue that will deform the contour of the arms after healing. The connective tissue capsules are sutured in layers after liposuction, and the muscles and skin folds are tightened.
Brachioplasty: endoprosthetics Among men, a now popular operation is to enlarge the biceps and triceps brachii muscles (biceps and triceps); in order to achieve a relief contour of the arms, augmentation brachioplasty . The price depends on the size, quantity and manufacturer of implants (endoprostheses).
In hand plastic surgery full-shell implants to maintain a high level of wear resistance without the risk of implant rupture. Silicone gel implants made from biomaterials have a unique structure that follows the contours of the body, adapting to the natural tension of the fibers.
The implants are inserted after making an incision under the fibers of the biceps or triceps muscle, depending on the area of brachioplasty. After correct placement in the fascial pocket, the doctor fixes the implant with a special ligature to the aponeurotic cord to prevent spontaneous displacement during muscle contraction.
Small implants are used, which are convenient to place in the desired position to form the desired relief. The use of endoprostheses requires the patient to limit sports activities and traumatize the forearms to reduce the risk of rejection and rupture of the capsule.
After fixation of the implant, if necessary, tightening of the muscle fibers is performed to increase tension and additional support. Then the incision is sutured in layers, creating a clear and elegant contour of the arms after the operation. After resection of muscle fibers, the patient limits arm movements for six months to prevent ruptures.
Price for brachioplasty in Moscow and St. Petersburg
The final cost of the operation is influenced by the complexity of the intervention, volume, and qualifications of the specialist. The price depends on the prestige of the clinic and the fame of the doctor.
| Clinics in Moscow | Price, rub |
| Medical | From 90 000 |
| Aesthetic Medicine Clinic “Seline” | From 150,000 |
| "Frau Klinik" | From 200,000 |
| GMT Clinic | From 250,000 |
| "Prime Clinic" | From 82 000 |
| Clinics in St. Petersburg | Price, rub |
| Clinic "Degas" | From 155,000 |
| Dr. Kuprin Plastic Surgery Clinic | From 140,000 |
| Clinic "Ramy" on Kirochnaya | From 126,000 |
| "Own clinic" | From 105,000 |
| Beauty Institute "Galaktika" | From 119,000 |
Brachioplasty: lipofilling
Increasing the volume of the upper limbs in women is most often performed using lipofilling to impart natural curves and graceful lines. Lipofilling of the hands allows you to give the hands soft shapes, highlight muscle contours or missing centimeters.
Stretching of the fibers develops not only with large, but also with small masses, sagging skin appears against the background of muscle hypotension. At the initial stage, lipofilling can be performed as a local method of brachioplasty without making surgical incisions. In a complex operation, lipofilling is performed after tightening the muscles to create additional soft volume in areas of tissue deficiency.
Using a special cannula, fat granules are removed from specific areas (buttocks, thighs, abdomen) or arms (periulnar sleeves). Then it is purified by centrifugation. Purified fat tissue is injected into the correction area to create the desired volume at the end of the operation.
The advantages of the method are the low incidence of postoperative complications, low invasiveness and excellent autograft survival. In case of severe muscle hypotonia, patients must undergo lateral muscle tightening along the inner surface to create an even contour without sagging skin folds and muscles.
Complex operations allow achieving maximum results in patients who have undergone brachioplasty. Before and after photos demonstrate the refinement, aesthetics of the hands, the creation of attractive curves and correct lines. Reviews can be viewed in the “Reviews” section of the site.
Postoperative recovery
After brachioplasty and the patient awakens from anesthesia, he remains observed for some time in a medical facility - the duration of such a stay depends on a number of factors:
- volume of surgical intervention
- the patient's condition and vital signs during surgery and anesthesia
- condition of the skin of the hands in the first postoperative period.
On average, a person remains in the clinic for one to two days, after which he can be transferred home or to a day hospital.
- After surgery, swelling develops and there may be bruising and hematomas on the skin, which usually disappear within a week or two. Doctors may prescribe special exercises that will speed up the healing process and reduce swelling.
- It is advisable to limit the mobility of your hands for about two weeks.
- Pain in the arms can persist for about 2-3 weeks; to eliminate them, you can use conventional painkillers in tablets or injection solutions from the NSAID group, which will be recommended by your doctor.
- If non-absorbable suture material was used during the operation, then approximately on the tenth day after the procedure the plastic surgeon removes the sutures.
- An extremely important factor in successful brachioplasty is wearing a special compression bandage during the postoperative period. This will promote effective lymphatic drainage and prevent the development of edema. Currently, you can find a whole range of such products in various designs and colors, so that wearing it will not be noticeable to others. It will look like a kind of clothing item. The bandage can be replaced with an elastic bandage, but it is much less comfortable. The minimum period of wearing a compression bandage is one week.
If more or less free movements in the hands are permissible after 2-3 weeks, then they can be subjected to physical or sports stress only after two months, and then to a limited extent. The result of the procedure is noticeable immediately after waking up from anesthesia by reducing the circumference of the upper limbs, but the final results of brachioplasty can only be discussed six to seven months after the operation. By that time, in the absence of complications, even the scars will become much less noticeable and will remain in the form of thin white stripes or lines.
Then, six months after the procedure, you can think about various additional and corrective interventions to consolidate and improve the results of brachioplasty. Reviews indicate that most often people turn to cosmetologists to reduce the visibility of scars after surgery - fractional laser resurfacing is used for this.
In addition, a new direction at the intersection of cosmetology and plastic surgery – liposculpture – is gradually gaining popularity. The essence of this procedure comes down to the fact that a little subcutaneous fat is carefully removed from certain areas of the arms, which is then introduced to other areas of the arms. This creates a new harmonious relief of the shoulder, which can be significantly changed as a result of surgery and tension during healing. In the photos before and after liposculpture, you can see how much the appearance of the hands improves - the relief becomes more natural.
Rehabilitation
After applying the last suture, the postoperative wound is treated with an antiseptic solution, a special healing agent, and a sterile bandage is applied. The tightening area is tightened with a compression bandage to prevent the formation of hematomas due to rupture of the vessel and to speed up the recovery process.
During the first week, pain remains, the intensity of which depends on the volume of the operation performed. The most painful recovery occurs after the installation of implants with muscle tightening, since the created tissue tension requires adaptation from the muscle fibers.
During the rehabilitation period, patients are given antibiotic and anti-inflammatory medications to reduce the risk of bacterial and post-operative inflammation. The tightening bandage is removed after 9-14 days according to the doctor’s decision, the seam is treated with a special solution for a few more days.
It is recommended to maintain a calm lifestyle for six months, after which gradually introduce physical activity, starting with swimming. With lipofilling or simple skin tightening, such restrictions are not introduced due to the low invasiveness of the operation and the absence of complex sutures.
The patient is allowed to wash after the sutures have completely healed; active hand movements should be limited and physical activity should be avoided. Endoprosthetic surgery allows you to achieve the desired result without exhausting exercises, but requires limiting the load on the biceps and triceps (to avoid rupture).
Recovery period
After brachioplasty, the patient is monitored for several more days. The patient is observed by the doctor for another 2 weeks, conducting routine examinations. Depending on whether absorbable threads were used during the operation or not, the need to remove the sutures after 10-14 days is determined. Before and after this, compression sleeves should be used to reduce visible swelling. They also prevent the scar left after surgery from stretching. There may be pain for about a month after brachioplasty. But they can be stopped by taking painkillers. During approximately the second month of rehabilitation after surgery, swelling will subside. When it completely disappears, you will be able to evaluate the result. How long will the effect last?
How long your hands will look graceful depends largely on you. If you are ready to change your lifestyle, adjust your diet and start exercising, the effect can be noticeable for quite a long time. For about 10 years after surgery, your arms may be slender, beautiful and toned. Don't forget to maintain skin elasticity with vitamins, minerals, collagen and other nutrients. You need to take care of the beauty of your skin on the outside as well. Weight fluctuations and hormonal imbalances can negate all results.
If you are not happy with the way your hands look, make an appointment with a specialist. We have qualified staff who can provide you with quality assistance. We care about you, so we take responsibly even the most difficult tasks.
