Arm Lift

“Bat wings are for bats… how to get the arms you want”.

Common name – Arm Lift.

Technical name/also known as – Brachioplasty.

Benefits of ARM LIFT

For people who have lost a great deal of weight, the upper arms may have a significant amount of sagging skin often referred to as a batwing. An upper arm lift makes it easier to fit into form-fitting sleeved shirts.  If the excess skin is located close to the armpit, a short scar arm lift may be performed in which the scar is hidden in the armpit with a small T-shaped extension towards the upper arm.


This procedure removes excess skin and some fatty tissue at the upper arm in exchange for a scar.  This scar is on the inside part of the arm close to where the armrests at the side of the body. It will be visible with the arms exposed in short or no sleeve shirts.   This is typically performed in men or women with a history of large weight loss. This operation improves contour, but the visible scar makes this operation undesirable for many people.


For a misshapen arm with significant excess skin, Brachioplasty helps restore the shape of the arm.  Patients report fitting better in sleeved shirts, especially fitted ones.


Scar. Scar. Scar.  The scar will be permanent.  It will be visible in short-sleeved or sleeveless shirts and dresses.  The scar may also be wide, pink, thick, and otherwise unattractive.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

3-4 hours (depending on the extent of procedure).

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.

In or out patient

Generally the same day or outpatient procedure.  If done in combination with another operation, an overnight stay in the hospital might be required.

Time until final appearance

One year for swelling to completely resolve and for scars to fade, though scars may take longer to fade or always stay prominent.

Length of results

Long-lasting, especially when diet and exercise regimen is maintained.

Side effects

Temporary swelling, bruising, and some pain.  The sensation of the skin may be different initially. Dog ears or excess skin at the end of the scar may occur but can be removed in the office at approximately six months post-surgery to allow swelling to resolve.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.

“Patients love the contour of their arms and the way their clothing fits.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults


While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:


1. Arrange a consultation by phone or email,
Phone: 248-885-8858


2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975


3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.


4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.


I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number


Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.

Quick Contact Form

    Before and After Gallery

    When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

    Recovery time

    If healing proceeds as expected:
    Rest at home (princess treatment) 2 weeks (no housework or exercise) or until drains are removed.  Outsource housework and child care while you rest. Walk around the house, but do not work out.

    Return to gentle exercise and household chores at two weeks but no heavy lifting or strenuous activity for six weeks

    Return to full activity 6 weeks after surgery.

    Returning to Work

    This depends on the type of work that you do.   Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then.  Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

    Smoking and Surgery

    If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

    Smoking and Plastic Surgery

    Other Information

    A sleeved garment will be worn after surgery to help hold dressings in place and reduce swelling.

    If you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.


    See what her patients have to say about their surgical experience.

    Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

    Your Appointment

    When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

    You will have the chance to ask any questions you might have.

    Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

    Contact us

    Give us a call to schedule your appointment.

    Our phone number