We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.
Mr. William Van Niekerk
Aesthetic Plastic and Reconstructive Surgeon / GMC: 4362791
Mr. William Van Niekerk is a consultant plastic, reconstructive, aesthetic, and burn surgeon with over 20 years of medical experience. He was born in Africa to a violinist and a world-renowned wine connoisseur, and was educated in Pretoria...
Aesthetic Plastic And Reconstructive Surgeon / GMC: 6143207
Mr. Hazim Sadideen is a Consultant Plastic and Reconstructive Surgeon. He graduated from Guy's, King's and St. Thomas' (London, UK) with double distinctions, the Riker's award, the George Leach Cup and King's College London Laurels...
A brachioplasty employs two key surgical techniques to achieve the desired results; liposuction and skin excision.
Liposuction targets excess fat deposits in the upper arm, and adjacent areas. Small, unobtrusive incisions are made in the armpit and on the back of the elbow. Your surgeon will then carefully remove the fat from around the arm.
Adjacent areas of fat deposits that can be treated at the same time include:
back of the elbow
Skin Excision targets the loose skin that hangs down underneath the arm, commonly known as 'Bingo Wings'. This may be occurring in the patient as an existing condition, or caused by the removal of excess fat deposits following liposuction. The skin is removed in a long ellipse shape from the back of the elbow, along the line between the inside and back of the arm, curving into the armpit. It is important to consider the position of the scar to ensure it is as subtle as possible.
These two surgical procedures are often combined since liposuction procedure will often result in excess loose skin that requires excision. Liposuction only is most common in younger patients whose skin is still relatively elastic, whilst skin excision only procedures are most common among skinnier patients who have experienced meaningful weight loss already.
What Are Some Of The Main Aesthetic Considerations For Your Surgeon?
Two key considerations are symmetry and scarring.
Surgical experience and careful planning are required to produce a symmetrical result. It is common to see patients who have had unequal amounts of skin and fat removed with unnaturally shaped arms, of unequal size. There are even occasions where patients have required to have skin put back, using skin grafts. This is a key consideration at the outset
A skilled surgeon can minimise arm lift scars and place them expertly in locations where they are not visible to the eye. Arm lift scars take some months to settle in, but your surgeon will try and confine the scarring to the armpit; this involves excising the skin from the armpit area, and then pulled up the arm skin towards the armpit. Full concealment of arm lift scars may not work among all patients, particularly among patients with excessive surplus skin or fat deposits
To enquire about a consultation with a Arm Lift/Arm Reduction specialist, please complete the form:
Find out more
If you have any questions or queries please call to speak to one of our advisors or request a call back to speak at a time that suits you.
The benefits of an arm lift are both cosmetic and psychological, and include:
Firmer, leaner, more slender arms
Tightened arm skin and elasticity
Restored, redefined figure
Sculpted, shapely arms
Ability to wear tighter cut clothes/swimwear
Improved sense of emotional wellbeing
Who Is Suitable?
Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:
You are in good psychological and physical medical health
You are at your ideal body weight
You have a positive outlook and realistic expectations of what can be achieved via surgery
You are seeking to remove excess fat deposits and cellulite in your arms
You are seeking to remove excess skin (or ‘bingo wings’) in your arms
You are seeking to improve the shape and contours of your arms
You are looking for long lasting results
I could not praise the Cadogan Clinic or their fantastic staff more highly. I had a wonderful experience, am delighted with my outcome and in particular very grateful to the 24/7 nursing staff who were always on hand for any questions I had, at whatever time day or night
The Cadogan Clinic and their surgical and nursing staff were excellent throughout my experience with them. The 24/7 nursing support in particular was a huge comfort to me, and I found them extremely responsive
I had a procedure at the Cadogan Clinic with Mr Atherton. From my first consultation, Mr Atherton was honest, straight forward, and precise. All the details and expectations of the surgery were fully explained, along with the after care. I am still in recovery, but the results already look fantastic; he delivered on all the promises that he made to me.
I wanted to say a big thank you to the Cadogan Clinic and Mr Tiryaki, I am so happy with the results from my surgery. I can’t thank my patient advisor enough for being my support throughout my journey. I felt so reassured from my initial consultation with her and she followed me up closely at each stage. Would recommend highly.
I had the most amazing experience with the Cadogan Clinic and Mr van Niekerk. They were extremely accommodating and professional. I was a little bit hesitant to go through with it but their safety standards and professionalism put me at ease. Most importantly I am so happy with my results.
A massive thank you to the Cadogan Clinic. I am very pleased with the results from my surgery. My patient advisor was extremely organised and made me feel reassured throughout the whole experience. My surgeon Ms Hawkes was excellent and so was the Clinic team - I could not have asked for a better service
I was nervous before my procedure, but I was put at ease by all the staff I encountered from my patient advisor, surgeon and the nursing staff. It was a huge reassurance to have access to the 24/7 on call nurse service immediately after my procedure also
I was very impressed and extremely pleased with the Cadogan Clinic, right from booking my initial consultation all the way through to having the surgical procedure done and the aftercare appointments that followed. Dr Sadideen was extremely reassuring and transparent , and made me feel very comfortable during my treatment
The first step for all of our arm lift patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation. At the consultation you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible given your existing anatomy.
Your surgeon will take you through the options available to you, and which is the most preferential for you given your stated ambitions. Having established this, several key measurements will be made and standard clinical photography will be taken.
Some questions you may want to ask your surgeon include:
Am I a good candidate for this procedure?
Can I achieve the results I am asking for?
What will be expected of me to get the best results?
Do you have before-and-after photos?
How long of a recovery period can I expect, and what kind of help will I need during my recovery?
What scars will I be left with?
Will I be in pain after the surgery?
How soon after an arm lift can I return to work?
Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding what to expect in the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.
If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.
Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.
If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure. Before admission the following behavioural changes are recommended / required:
In the 6 weeks before your procedure we recommend smoking is discontinued as patients who smoke have a higher risk of healing more slowly and complications (see FAQs)
In the week before your procedure you must cease taking Aspirin or any medication that contains Aspirin
In the 6 hours prior to surgery you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission
On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.
Before surgery, the surgeon will measure up the arms to assess how much fat and/or skin needs to be removed. The arms are then photographed, with the skin markings, in various positions, front and back. The procedure can be carried out under local anaesthesia, but more usually under our form of general anaesthesia called T.I.V.A. (Total Intravenous Anaesthesia) and takes between one and two hours.
The arms are bandaged after surgery to reduce bruising and you will feel stiff and mildly uncomfortable as you bend your arms. Most of the sutures used are dissolving to avoid stitch marks, but there may be a few to remove, particularly in the armpit, a week after surgery. Bruising lasts about 3 weeks.
You should not feel much pain during the procedure, but you may have some for a few days or weeks afterwards. You'll be given painkillers if you need them.
Following the procedure, you will recover in our ambulatory recovery rooms for between two to three hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.
Once home you will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post operative phase.
We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing and scarring process.
We ask that you come in to see your surgeon after 6 - 8 weeks for a final check up.
Why Come To The Cadogan Clinic For Your Arm Lift?
Leading liposuction unit in the country, founded by first surgeon to perform liposuction in the UK
Hand – picked team of liposuction surgeons, trained under pioneer of procedure in the UK
Day case surgery, go home the same day
Low infection risk, standalone specialist cosmetic unit
Dedicated 24 / 7 nursing aftercare team to assist recovery
What are the benefits of day case surgery?
What Are The Side Effects And Risks?
Arm Lift surgery is a safe procedure, but it is common after a brachioplasty to experience:
bruising and swelling
a small amount of scarring
As with all surgical procedures, brachioplasty surgery carries some risk and it is possible that you might experience:
Bleeding or Infection
Poor healing of incisions and scarring
a collection of blood underneath the skin (haematoma)
An arm lift is a surgical procedure designed to reduce the size of the arm and eliminate fat deposits in the arm, as well as remove a surplus of loose arm skin.
The choice of procedure depends on the exact condition (excess fat deposits, excess loose skin or both) but will involve either liposuction, skin excision or both.
The procedure is carried out as a day case procedure usually under General Anaesthesia, and takes between 1 – 2 hours.
There is typically bruising for up to 3 weeks after which you can happily wear short sleeves, and an end results at about 3 months. Scars are insignificant and managed by our Scar Management programme.
Am I suitable for an arm lift?
You may be suitable for an arm lift if you have:
+ Excess fat deposits in your upper arms + Loose sagging skin in/around your upper arms + Inelastic, lax arm skin + 'Bingo wings' + Unshapely, untoned arm contours + Disproportionate arms relative to rest of figure
Which areas can be treated by Arm Lift?
An arm lift focusses on the upper arm area, but adjacent areas of fat deposits and excess skin can also be treated at the same time
+ the shoulder + armpit + back + breast + forearms + back of the elbow
Who will perform my Arm Lift treatment?
One of our highly trained, elite plastic surgeons will perform your arm lift.
All our liposuction specialists have been hand picked by Mr Bryan Mayou, our founder, and the pioneer of liposuction in the UK.
What are the various techniques for arm lift surgery?
There are three techniques which are used, with technique relating to the size and scale of the operation at hand. Where possible more minimal techniques are preferred, as this reduces the length of surgery, the amount of scarring, and the amount of downtime and extent of recovery
+ Mini brachioplasty (minimal incision) - your surgeon will make a single incision in the shape of a crescent under the armpit. This may be extended in a 'T-Line' into the arm. This technique is most suitable for people with minimal excess skin and fat in the upper region of the arm, and will result in less scarring than a standard brachioplasty. Your surgeon will hide the scar within the armpit
+ Standard brachioplasty (inner arm incision)- this technique involves making two separate incisions: one from the armpit to just above the elbow, between the biceps and triceps, and another on the back of the arm from the armpit to just above the elbow along the tricep region. It is most suitable for those with a moderate amount of excess skin and fat. Your surgeon will remove the excess skin and fat, then tighten and reshape the underlying tissues. The scar is well hidden when the arms are held at the side, and this technique is thought to achieve a more comprehensive result than the mini-brachioplasty
+ Extended Brachioplasty – the incision for an extensive brachioplasty runs from the elbow, through the armpit, and into the side of the chest. After your surgeon makes the incision, they will remove excess skin and fat, then tighten the underlying tissues. They will either remove the excess fat directly, or use liposuction to remove it. As this technique results in maximal scarring that extends to the side of the chest, surgeons do not often use it.
What questions should I ask during my arm lift consultation?
Your consultation is designed to be perfect opportunity to ask all the pressing questions that you have to your consultant, ahead of making a decision on surgery. It is vital that you are fully informed before making your final decision, and the consultation is therefore a key part of the education and decision making process.
Some good examples of questions to ask, include:
+ Am I a good candidate for this procedure? + Do you think my goals are realistic given my existing anatomy? + Will I require a single surgery or multiple surgeries? + Can I see some before & after pictures of arm lift procedures you have done previously? + How long will my recovery take? + Is it true that Cadogan offers 24/7 on call nursing service? + What can I expect in terms of bruising, swelling and scarring? + What are my options if I am unhappy with my results?
How should I prepare for my Arm Lift surgery?
No special preparation is required although it is generally advisable to do the following before any surgery
+ Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery. + Avoid certain medications. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding. + Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.
How long is Arm Lift treatment?
Arm Lift surgery should take between one and two hours.
When will I start to see results from Arm Lift?
You should start to see results in the days following surgery. These will fully start to appear from around the six week mark and improvements will be ongoing for the first 12 or so months.
Are my Arm Lift results permanent?
Your results will be long lasting and permanent so long as you maintain your body weight following surgery.
The ageing process will however continue from your new post procedure point, and skin laxity will gradually increase over time. The ageing process will start from a far better point however, so it should be many years before this becomes noticeable again.
Is arm reduction surgery painful?
You will not feel any pain during arm reduction surgery as you will be under the influence of anaesthetic.
Immediately following arm reduction surgery, you may experience discomfort but any pain should be tolerable.
Your surgeon can provide painkillers for this and the majority of patients will no longer need them a few days after arm reduction surgery.
Is arm reduction surgery safe?
Arm reduction surgery is straightforward, safe surgery although you should be aware of all the risks and complications before going ahead with arm reduction surgery.
Some are listed above in the body of this web page, but your surgeon at your will go through these at length and in full at your arm reduction consultation
Is there any downtime after Arm Lift treatment?
Downtime is fairly minimal following an arm lift and you should be back at work within a week or two, and resuming normal exercise in 4 – 6 weeks.
If you have undergone Liposuction, you will feel a little bruised and stiff for a few days but there is no restriction on movement. Any dressings can be removed in a couple of days or when they come loose, and stitches removed in a week.
If you have undergone skin excision you will have some dissolving sutures and probably some permanent sutures to be removed in 7 to 14 days. Dressings vary, but any bulky ones can come off in a couple of days. You should exercise to maintain full movement of the shoulder and arms, but this need not be violent to stress the sutures.
Yоu may соntіnuе tо experience ѕоmе mіld, реrіоdіс dіѕсоmfоrt and ѕwеllіng durіng thіѕ tіmе, but ѕuсh fееlіngѕ аrе nоrmаl. Sеvеrе pain, bleeding or swelling should bе reported tо your surgeon.
You will receive more detailed advice from your surgeon ahead of surgery
Why is a brachioplasty sometimes referred to as arm reduction?
A brachioplasty, or arm lift, is sometimes referred to as arm reduction surgery as this procedure involves reduction in the size and volume of the upper arm following liposuction and the excision of excess skin.
Of all the terms for a brachioplasty, arm reduction surgery captures the sculpting and volume reducing essence of the operation best, and hence its use.
Does an arm lift leave a scar?
Yes, an arm lift will leave a permanent scar, but a skilled Cadogan Clinic surgeon will endeavour to conceal this as much as possible. Arm lift scars can take some months to settle in. Scars can take up to a year to flatten and lighten.
What arm lift scars can I expect?
You can expect minor scars following arm lift surgery.
An arm lift, otherwise known as brachioplasty, is a surgical procedure to remove loose skin and excess fat deposits on the upper arm. This is done via liposuction and skin excision.
Our expert surgeon will try to make scars as subtle as possible by confining scarring to the armpit. They do this by taking skin from this area and then pulling up the arm skin towards the armpit. However scars may remain visible for some patients, particularly among those with excessive surplus skin or fat deposits.
Where are arm lift scars left?
Arm lift scars are mainly confined to the armpit area. In some cases these scars can be visible under the arms between the armpit and elbow if the patient, particularly if the patient has excessive surplus skin or fat deposits.
During the procedure, skin is removed in a long ellipse shape from the back of the elbow, along the line between the inside and back of the arm, curving into the armpit.
Is an arm lift worth it?
An arm lift surgery is highly likely to be worth it, if you have clearly defined your aims with your surgeon and he or she has made you very clear on what can be achieved via surgery in relation to these aims.
Arm lift surgery is an excellent way of targeting excess fat deposits in the upper arm. Arm lift surgery typically results in firmer, leaner, more slender arms, tightened arm skin and elasticity, sculpted, shapely arms and a more defined figure.
Arm lift treatment helps to restore self-confidence and can deliver an improved sense of emotional wellbeing following surgery.