In lipoedema, especially in moderate to advanced stages, the arms can develop loose, hanging skin after the abnormal fat has stretched the dermis or following volume reduction from conservative care or prior liposuction. The skin loses elasticity due to chronic inflammation and fibrosis, leading to folds that chafe, trap moisture or limit arm range.

Brachioplasty corrects this by excising redundant skin and fat, then redraping and suturing the remaining tissue for a smoother, toned appearance. Incisions typically run along the inner or posterior arm from elbow to armpit, depending on the extent of laxity, allowing hidden placement where possible. When combined with water-assisted liposuction, as often done by Mr Vasu Karri, the procedure first removes residual lipoedema fat, then tightens the skin envelope.

This dual approach yields more predictable tightening and reduces the risk of irregular contours. The focus remains on preserving sensation and mobility while achieving functional and aesthetic improvement.

The benefits of this procedure include:

• Removal of excess loose skin for firmer upper arms
• Reduced chafing, irritation and discomfort from hanging tissue
• Improved arm shape and symmetry
• Enhanced ability to wear short-sleeved clothing confidently
• Better overall arm function and reduced self-consciousness