Arm lift (brachioplasty) in Istanbul
For loose upper-arm skin that exercise and weight loss have not tightened. This page explains where the scar runs, how recovery goes week by week, the risks, and how to tell whether liposuction alone might be enough.
- Operation time 1–3 hours, depending on how much skin is removed
- Hospital stay Usually one night; same day if the lift is limited
- Time in Istanbul At least 5–7 days before flying; surgeon confirms
- Back to work Desk work typically after 1–3 weeks
What is an arm lift?
An arm lift (brachioplasty) removes loose, hanging skin, and often some fat, from the underside of the upper arm between the armpit and the elbow. Exercise strengthens the muscle but cannot shrink stretched skin, so surgery is the option when the looseness is marked. The skin is removed through an incision along the inner or back of the arm, kept within the armpit when the excess is small. Most people return to desk work within 1–3 weeks. The trade-off is a long scar that fades but never disappears.
What it can do
- Remove loose, hanging skin from the underside of the upper arm
- Reduce fat in the same area, directly or with liposuction
- Give a smoother, tighter line from the armpit towards the elbow
- Treat skin left loose by major weight loss, ageing or heredity
What it cannot do
- Avoid a scar: the line along the arm fades but stays visible
- Keep the skin tight if your weight later changes a lot
- Work as a weight-loss treatment
- Stop the gradual loss of firmness that comes with age
Is it right for you?
An arm lift suits adults whose main concern is loose skin rather than fat, whose weight has settled and who are well enough for surgery. Suitability is decided at an in-person examination.
Usually a good fit if
- Marked loose skin on the underside of the upper arm that exercise has not changed
- A relatively stable weight, without significant excess weight
- Loose skin left after major weight loss, once your weight has settled
- Good general health, with no condition that slows healing or raises surgical risk
- Acceptance of a long scar in exchange for the new contour
Better to wait or consider alternatives if
- Mainly fat with skin that is still elastic: liposuction alone may be enough
- Ongoing or planned weight loss, which would loosen the skin again
- Smoking that you cannot stop for several weeks before and after surgery
- Conditions such as anaemia that raise the risk of complications
- Expectations surgery cannot meet, such as an arm without any visible line
Techniques
The incision depends on how much skin needs to go and where it hangs: the more excess, the longer the scar.
Standard arm lift
The incision runs from the armpit towards the elbow, usually along the inner arm and sometimes further back. A 2022 review linked the inner-arm position with somewhat more complications, a trade-off worth discussing.
Best for
Loose skin along most of the upper arm
Mini arm lift
When the excess is small and close to the armpit, the incision can stay largely within the armpit. The scar hides better, but only the upper part of the arm changes.
Best for
Mild excess skin near the armpit
Extended arm lift
After major weight loss, loose skin can continue onto the side of the chest. The incision then runs from the elbow through the armpit and down the chest wall, treating both areas together.
Best for
Large skin excess after major weight loss or bariatric surgery
Arm lift with liposuction
Fat is removed directly or with liposuction in the same operation; in a systematic review, adding liposuction reduced some complications. Liposuction alone does not remove loose skin.
Best for
Arms with both extra fat and loose skin
Op. Dr. Bilgehan İlker
Specialist in plastic, reconstructive and aesthetic surgery
- Specialist training: Dokuz Eylül University
- Medical degree: Trakya University
- Health tourism authorization: ST-2657
- Dr. İlker speaks English and Turkish.
How Dr. İlker approaches arm lift surgery
Op. Dr. Bilgehan İlker is a specialist in plastic, reconstructive and aesthetic surgery, trained at Dokuz Eylül University. She sees the upper arm as a series of options: liposuction when the problem is fat, radiofrequency or skin-tightening laser treatment for mild looseness, and an arm lift only when the skin has stretched beyond what those can tighten.
The choice is made at the examination, not from a description. For an arm lift she typically combines a crosswise incision in the armpit, which hides well, with a lengthwise one on the inner upper arm, which is harder to hide, and she explains that second scar plainly before you decide.
- Options compared for your arms You hear why one approach is recommended over another, including when surgery is not needed.
- Dissolving stitches Dr. İlker closes the incisions with stitches that dissolve on their own, so there are usually none to remove.
- A protected first night Her usual plan includes one night in hospital so your arms can be kept raised and checked; after a limited lift you may go home the same day.
- The scar before the consent form You are shown where the scar will run and how it usually changes colour over the first year before you sign anything.
The operation, step by step
This is the usual sequence; the details depend on the technique chosen for you.
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Consultation and examination
Op. Dr. Bilgehan İlker examines both arms, asks about your weight history and health, and explains whether liposuction, non-surgical tightening or an arm lift fits. You then receive a written plan.
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Marking
Before surgery, the incision lines and the skin to be removed are drawn on your arms, a good moment to check where the scar will run.
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Anaesthesia
Most arm lifts are done under general anaesthetic; a small, limited lift can sometimes be done under local anaesthetic.
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Removing skin and fat
The marked skin is removed, and fat is taken out directly or with liposuction. The operation typically takes 1–3 hours.
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Closure and dressings
Dissolving stitches close the wound, followed by dressings and an elastic bandage or compression sleeve. A thin drain may be placed.
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First night
You wake with your arms raised on pillows. Pain is usually mild to moderate and eased with painkillers, and most people go home the next day.
Your days in Istanbul
If you travel to Istanbul for an arm lift, plan around two fixed points: the examination before surgery and a check-up before you fly. Your exact dates are set in your personal plan.
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Examination and tests
Before surgery
Arrive early enough for the in-person examination, blood tests and anaesthetic assessment. The plan is confirmed and the consent form signed before the operation day.
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Operation and first night
Surgery day
The operation takes 1–3 hours, usually followed by one night in hospital with your arms raised in a compression bandage.
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Rest with your arms up
The first days
Rest with your arms raised, take short walks several times a day and lift nothing. Bandages are usually swapped for compression sleeves after a few days.
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Check-up, then the flight
Before you fly home
Professional bodies advise waiting at least 5–7 days after body surgery before flying, as surgery and long flights both raise the risk of blood clots. Your surgeon confirms the date after a check-up. On board, wear your sleeves and walk regularly.
Recovery, day by day
These milestones are typical, not fixed. Your timeline depends on how much skin was removed, how you heal and whether other procedures were done at the same time.
- Day 1
Arms raised and bandaged
Expect mild to moderate pain, eased with painkillers. Your arms rest on pillows in a compression bandage, perhaps with a small drain. Short walks help circulation.
- Days 2–3
Swelling and bruising
Swelling and bruising are at their most noticeable. Keep your arms raised when resting and let someone else do any lifting.
- Week 1
Compression sleeves
Bandages usually give way to compression sleeves after a few days, and a check-up looks at the wounds. Use your arms as little as possible.
- Week 2
Desk work for some
Swelling is easing, and any stitches that do not dissolve come out at 1–2 weeks. Desk work may be possible if it does not strain your arms.
- Weeks 3–4
Still protecting the arms
Keep wearing compression as advised, usually for several weeks. No sport or straining of the arms for 2–3 weeks; walking is encouraged.
- Months 2–3
Back to full activity
From about 6 weeks, heavy lifting and strenuous exercise can usually restart step by step, with your surgeon's agreement. The scar is often pink to reddish-purple now.
- Month 6
Scar starting to fade
The scar lightens towards your skin tone. Any change in skin sensation is monitored; it often improves with time but can be lasting.
- Month 12
A flatter, paler scar
Scars mature for around 12–18 months, becoming flatter and paler but staying visible. Sun protection and silicone products can help meanwhile.
Contact us straight away if you notice
- Sudden swelling, tightness or pain in one arm, especially with spreading bruising
- Fever, chills, or redness, heat or discharge spreading from a wound
- Bleeding that soaks through the dressing, or a wound that starts to open
- Pain, swelling or warmth in a calf, or sudden swelling of a leg or foot
- Shortness of breath, chest pain or an unusually fast heartbeat: call emergency services immediately
In an emergency, call your local emergency number.
Aftercare at home
- Keep your arms raised on pillows whenever you rest in the first days.
- Wear the bandage or compression sleeves exactly as instructed, usually for several weeks.
- Avoid stretching or rubbing the incisions, including reaching overhead.
- No straining or sport for 2–3 weeks, and no heavy lifting for at least 6 weeks.
- Walk a little several times a day from the first day to keep blood moving in your legs.
- Once the wound has healed, protect the scar from the sun and ask whether silicone gel or sheets suit you.
Risks and how they are reduced
Every operation has risks, and some after an arm lift are common. A 2022 review of published studies found the most frequent were noticeable scarring, some return of looseness and small wound openings. These figures describe the medical literature, not one surgeon's results; your own risk depends on your health, weight history and smoking.
Much of the risk is shaped before surgery: stopping smoking at least 4 weeks ahead, a stable weight, a review of your medicines and an assessment of your personal clot risk, so that compression, early walking and, where indicated, blood-thinning medication can be planned. Operating time matters too, because complication rates rise with every extra hour of surgery.
| Risk | How often |
|---|---|
Noticeable or widened scarringIn the 2022 review, about 1 in 10 people (9.9%) had abnormal scarring, and about 7% had a further operation for cosmetic reasons. | Common |
Return of some loosenessSome laxity came back in about 8% of people; large weight changes make this more likely. | Common |
Wound opening and slow healingSmall separations along the incision occurred in about 7%, and delayed healing or skin loss at the edge in about 2%. Nicotine slows healing. | Common |
Fluid or blood under the skinA fluid collection (seroma) occurred in about 6% and a collection of blood (haematoma) in about 2%. | Common |
InfectionWound infection affected about 4%. Redness, warmth, discharge or fever need prompt assessment. | Common |
Nerve and lymph changesNumbness, tingling or pain along the inner arm, and swelling from disturbed lymph drainage, were each reported in about 2.5%. Sensation often recovers but can stay altered. | Common |
Blood clotsBody procedures carry a higher clot risk than face or breast surgery: in a large cosmetic surgery database, about 0.2% had confirmed clots, more often when procedures were combined. | Uncommon |
Results and how long they last
The new contour shows as soon as the bandages come off, though swelling blurs it for a few weeks. The scar changes most in the first year: it starts pink or reddish-purple, then flattens and lightens over 12–18 months. It fades but never disappears, and how it settles varies from person to person.
The result is long-lasting if your weight stays stable and you stay active. Some loss of firmness with age is natural, but most of the improvement remains.
How long it lasts: Long-lasting while your weight stays stable; ageing still brings gradual change.
With any surgical or interventional procedure, results vary from person to person. We recommend a detailed consultation with your doctor before any procedure.
Before and after
Before and after photos are shared only with patients’ written consent. You can ask to see examples during your consultation.
Before and afterQuestions to ask at your consultation
Take these to any surgeon you see — including us.
- Is liposuction, non-surgical tightening or an arm lift right for my arms, and why?
- Where exactly will my scar run, and how long will it be?
- Will you perform the whole operation yourself?
- Where will the operation take place, and how long will I stay in hospital?
- How do you assess my risk of blood clots, and how will you reduce it?
- How long should I stay in Istanbul before flying home?
- Can the arm lift be combined with other procedures, and how would that change the risk?
- What is included in the plan and quote, and what is not?
- Whom do I contact if I have a problem after I return home?
What shapes your plan and quote
We do not publish prices, because no two arm lifts are the same. After your assessment you receive a personal written plan that states what is included and what is not.
- How much skin needs to go, and whether a mini, standard or extended incision is needed
- Whether liposuction is added
- The length of the operation and the hospital stay
- Anaesthesia, compression garments and medicines after surgery
- Any other procedures planned in the same operation
We do not publish prices: every plan is personal and is written for you after your assessment.
Frequently asked questions
Will an arm lift leave a scar?
Yes. An arm lift always leaves a scar, usually along the inner side of the upper arm from the armpit towards the elbow. It starts red or purple and fades towards your skin tone over 12–18 months, but it never disappears completely. When the loose skin is limited, the incision can sometimes stay within the armpit, where it hides better.
Is there an arm lift without a long scar?
Only when the excess skin is small. A mini arm lift keeps the incision short and close to the armpit, but it can only tighten the upper part of the arm. The more loose skin there is, the longer the scar has to be. Non-surgical tightening may help mild looseness, but it cannot remove skin.
Do I need an arm lift or liposuction?
It depends on your skin. If the problem is mainly fat and the skin is still elastic, liposuction alone may be enough. If the skin hangs loosely, liposuction cannot remove it, and an arm lift is needed. If you have both, the two can be combined in one operation. The decision is made at an in-person examination.
How long is the recovery after an arm lift?
Most people return to desk work within 1–3 weeks. Use your arms as little as possible at first, avoid straining them and any sport for 2–3 weeks, and wait at least 6 weeks for heavy lifting or strenuous exercise. Swelling settles over a few weeks, while the scar keeps maturing for 12–18 months.
How long do I wear compression after an arm lift?
Usually for several weeks. You leave surgery in an elastic bandage or compression sleeve, and bandages are often swapped for sleeves after a few days. Compression helps control swelling while the skin heals. Your surgeon tells you exactly how long to wear it, depending on how much skin was removed.
When can I drive after an arm lift?
The medical guidance gives no fixed day. Drive only when you can move your arms freely and turn the wheel without pain, you are no longer taking medicines that make you drowsy, and your surgeon agrees. Ask about it at your check-up rather than guessing.
How long should I stay in Istanbul after an arm lift?
Plan on at least 5–7 days after surgery before flying. Professional bodies recommend this wait after body procedures because surgery and long flights both raise the risk of blood clots. Arrive early enough for the examination and tests before the operation. Your surgeon confirms your return date after a check-up, and your personal plan sets the exact dates.
Are arm lift results long-lasting?
Yes, as long as your weight stays stable. The removed skin does not grow back, but a large weight change can loosen the remaining skin, and some gradual loss of firmness with age is natural. In published studies, some looseness returned in about 8% of people, so a stable weight before and after surgery matters.
Will my arm feel numb after surgery?
It may. Nerve-related changes such as numbness or tingling along the inner arm were reported in about 2.5% of people in a review of published studies. These changes often improve over months but can be lasting. Ask your surgeon how the incision is planned in relation to the nerves of your arm.
When can I have an arm lift after weight loss or bariatric surgery?
Once your weight has been stable for some months. After bariatric surgery, weight usually settles within 12–18 months, and many surgeons look for 3–6 months of stability before body contouring. Operating while you are still losing weight risks the skin loosening again. Your nutrition and blood results may also be checked first.
Can an arm lift be combined with a tummy tuck or thigh lift?
Sometimes, but not always in one operation. Some surgeons avoid combining an arm lift with a tummy tuck or thigh lift, because recovering arms and body at the same time is very demanding. Longer operations and more procedures also raise the complication rate. Your plan sets the order, often starting with the area that bothers you most.
Does an arm lift hurt?
Expect some pain, usually mild to moderate and eased with painkillers. The first days are the most uncomfortable, especially when you move your arms. Keeping them raised and resting them helps. Pain that suddenly gets worse, particularly with swelling in one arm, should be reported straight away.
Medical informationThe information on this page is general information only. It is not medical advice and does not replace a diagnosis or treatment. Every surgical and interventional procedure carries risks, which will be explained to you in detail during your consultation. Whether this procedure suits you can only be decided after an in-person examination and assessment. We encourage you to also seek independent advice from your own doctor before deciding.
Sources
- ASPS: Arm lift
- Cleveland Clinic: Brachioplasty (arm lift)
- Cleveland Clinic: Excess skin removal
- Aljerian et al. Complications in brachioplasty: systematic review and meta-analysis (2022)
- Winocour et al. Venous thromboembolism in the cosmetic patient (2017)
- Hardy et al. Impact of operative time on complications (2014)
- ASPS: Lifts after weight loss (2026)
- WHO: Smoking greatly increases risk of complications after surgery
- ASPS: Briefing paper on cosmetic surgery tourism
A conversation, at your pace.
Would you like to talk it through first?
Send us your questions about the scar, the recovery or whether liposuction might be enough. You can decide on any next step afterwards, in your own time.
- Nef 22 Ataköy, D Blok, Kat 1, Daire 36, Çobançeşme E-5 Yanyol Cad. No:22, Bakırköy / İstanbul
- Monday to Saturday, 10:00–18:00
- +90 542 280 27 51
- Dr. İlker speaks English and Turkish.
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