major weight-loss most of my patients
have come to see me have a lot of skin
of their upper arms most of them require
a major arm I'm going to address all the
excess skin of the upper arm but also of
the underarms at the end we can provide
a result like that we have a really nice
arm that fits her body but also we want
to tuck this in and we can take away a
lot of skin of the underarms a lot of
times I tell patients you'll never have
to shave there are different approaches
to major arm lifts meaning where the
scar is placed and I do three of them so
I do all of them there's the back of the
arm approach where the incision is on
the back of the arm
there's an inseam approach or the inseam
of a long-sleeve shirt when you placed
and finally there's an inner arm
approach whether the decision is placed
along the inner on is a reason why we
people on and the main reason is where
is the skin hanging down from if there's
a lot of skin that's next to the elbow
then the best approach is going to be
one that's going to get rid of all this
skin next to the elbow or not not leave
a patient with a fullness and so for me
that means we need to use a back of the
unapproachable proach the problem with
the back of the arm approach it's a
little bit more exposed if you're
wearing a t-shirt you might see the scar
back there first as an inseam approach
or an inner arm approach most of us have
our arms down you're not really seeing
it unless you bring your arm all the way
up but we cannot provide a patient with
an inner arm approach if they have a lot
of skin near the elbow so it has to be
the right amount of loose skin so in her
case I could do an inner arm approach or
an inseam approach we don't have to go
in the back of the arm to visit for her
there's not enough skin that I'm
concerned about near the elbow and those
are your options again most patients
require our major arm lift that involves
upper arm underarms and then
three different types of incisions and
again the best option is going to be
what fits the patient best and also how
do they feel about where the scar is
placed