Surgery

Arm Lifts (Brachioplasty)

Arm lift surgery, also known as brachioplasty, is a cosmetic procedure designed to reshape and improve the appearance of the upper arms. It is typically sought by individuals who have excess skin and fat in this area, often due to ageing, weight loss, or genetic factors. 

During an arm lift, a surgeon removes excess skin and fat from the underportion of the upper arms, between the armpit and the elbow. The remaining skin is then tightened and re-draped. Liposuction may also be used in conjunction with the procedure to remove fat deposits for further contouring.

 

Results 15 - 20 years. Body will continue to age
Time in Surgery 3 hours
Time off work 10 - 14 days
Exercise Limited for 6 weeks

Types of arm lifts:

1. Traditional Brachioplasty: Involves an incision along the inner arm from the elbow to the armpit. This is for individuals with significant skin laxity.

2. Mini Arm Lift: Uses a smaller incision near the armpit and is appropriate for those with mild skin sagging.

3. Extended Brachioplasty: May involve an incision that extends to the chest wall for individuals with excess tissue extending beyond the arms.

 

Indications for arm lift surgery:

  1. Excess, sagging upper arm skin that doesn’t respond to diet or exercise.
  2. Significant weight loss leading to loose skin in the arm area.
  3. Ageing-related skin laxity.

Patients with private health insurance From $17,500
Patients without Private health insurance From $23,000

Some medicare rebates and health fund covers may apply to this procedure

Am I a candidate for surgery?

Before deciding whether to pursue surgery, you may be a good candidate for surgery if:

  • You want to remove excess skin and fat from your arms
  • You are at a stable weight
  • You are well-supported and have realistic expectations of the surgery
  • You’re able to take sufficient recovery time off of work
  • You are a nonsmoker or are willing to abstain from smoking at least 8 weeks before surgery and 8 weeks post-surgery
  • You are 18 years or older
  • You understand there are risks involved and we cannot guarantee outcomes.

The first step in finding out more about surgery is to schedule a private consultation. In this consultation, you will meet directly with your specialist plastic surgeon. This gives you an opportunity to discuss your concerns and get all of your questions answered.

To book a surgery date you can contact our team after a face to face consultation has been completed. You must wait 7 days from the consultation to book a procedure.  

During the consultation, your surgeon will delve into your medical background, inquiring about your medical history and any history of substance abuse, tobacco, or alcohol use. It’s essential to bring along a comprehensive list of all medications and supplements you are currently taking. The consultation includes a thorough examination of your complete and accurate medical history, where you’ll disclose any past surgeries, procedures, or complications you’ve encountered.

This detailed information equips your surgeon to make an informed decision about your general health and assess whether you are an ideal candidate for the procedure—fortunately, the majority of individuals meet the criteria for the intended procedure.

 
As abdominoplasty surgery is lengthy, your surgeon may need you to have pre surgery blood tests or iron infusions.
 

At the end of your consultation, your surgeon will make recommendations about the best course of action to take for your surgery to achieve the result you are after. Every patient is different, and results always vary. While we can look at your inspiration images, we cannot ever guarantee your post surgery results. You must take this into consideration before proceeding with surgery.

Once you’ve booked your surgery date, a pre surgery appointment will be scheduled 4 weeks prior to your date. This is your chance to meet with your surgeon again, ask any further questions, go over the surgery plan and take some images. This appointment ensures you’re well prepared for the upcoming surgery date.

The night before and the morning of your surgery, you’ll need to adhere to certain guidelines. Typically, you should refrain from eating and drinking fluids after midnight, as is common with many surgical procedures.

Depending on your surgeons advice, you may be allowed to take specific medications with a small sip of water, such as beta-blockers or cholesterol medications. To minimise the risk of infection, it is recommended to shower with an antimicrobial soap both the evening before and on the morning of your surgery. Be gentle, during the cleansing process to avoid irritation.

For hygiene reasons, it’s advised not to wear nasal, nipple or facial piercings to the hospital to prevent loss and potential bacterial contamination.

Upon arrival at the hospital, nursing staff will conduct necessary checks, and you’ll have an opportunity to meet with your surgeon just before the procedure to ensure you feel prepared. In the operating room, you’ll be administered the appropriate anaesthesia.

The surgery is usually conducted in a private hospital and takes 3-4 hours. Most patients will be required to stay 1-3 nights in hospital during recovery.


Your surgeon makes an incision, which may vary in length and placement based on the amount of excess skin and fat. Incisions are typically made along the inner arm or the back of the arm, extending from the armpit to the elbow. The underlying supportive tissues are tightened and reshaped with internal sutures. Excess skin is removed, and liposuction may be used to eliminate unwanted fat. The remaining skin is smoothed over the new contour of the arm.

 

After the surgery, patients usually need to follow specific care instructions to ensure proper healing and minimise scarring.

Most patients will also have post operative drains inserted to reduce fluid retention. These stay intact for 1-5 days following surgery.

All sutures are dissolvable, therefore you will not need to have sutures removed post surgery.

Once discharged from hospital, into the care of a friend or family member, you’ll be able to recover at home. You will be given a post surgery recovery bra to wear for 6-12 weeks while healing.

Postoperative prescriptions, including antibiotics to prevent infection and painkillers, are often provided, with many cosmetic surgeons prescribing these medications well in advance. Adherence to the post surgery instructions is crucial to ensure optimal healing.

 
 
  • Heavy bleeding from an operated site. This may require a blood transfusion
  • Infection that may require treatment with antibiotics or further surgery in some cases
  • Allergic reaction to sutures, dressings or antiseptic solutions
  • The formation of a large blood clot (haematoma) beneath an incision site may require further surgery
  • Complications such as heart attack, pulmonary embolism or stroke may be caused by a blood clot, which can be life threatening
  • Pain, bruising and swelling around the operated site(s)
  • Slow healing, often related to smoking or diabetes
  • Short-term nausea following general anaesthesia and other risks related to anaesthesia

 

Specific risks and complications associated with arm lift surgery include:

  • Visible and prominent scars such as keloids and hypertrophic scars. These scars are raised, red and thickened, and may form over healed incisions. They may be itchy, annoying and unsightly but are not a threat to health. These scars may restrict the clothing you can wear
  • Numbness around operated sites. In most cases this is temporary and will improve over many months
  • Skin that does not heal and may require a skin graft
  • Restrictive movement to the tightened skin
  • Excess fluid accumulation under the skin (known as a seroma) around an operated site that may require one or more drainage procedures with a needle
  • Fat that has a poor blood supply may result in a discharge from the surgical wounds or palpable lumps
  •  
Recovery Guide

After surgery our recovery specialists will given post-op instructions. It is important to follow carefully. You will be provided with a script for medication, which you will need to purchase after surgery and instructions on when to take the medication over the days ahead. You will be discharged from hospital when your companion picks you up from the hospital. All patients must have a companion to stay with them for 72hours following surgery.

The first week after surgery you should stick to gentle day-to-day activities. This includes minimal house duties, no lifting, staying home as much as possible and sleeping in an elevated position. Commence postoperative exercise (instructions given post surgery).

In the second week of recovery try not to raise your blood pressure too much and still sleep in an upright position. Patients will also be required to attend a postoperative appointment at our office in week 2. this will be scheduled prior to surgery.

 

In week 2 patients may:

  • Commence a light walk

  • Return to work in week 2 if you have an office job with little physical activity

  • Avoid sexual intercourse

  • Start driving provided they are not taking any pain medication. We also recommend waiting 3 days for the medication to be out of your system.

Weeks 3 – 5 patients with more physical jobs can return to work.

 

In weeks 3-5 patients may:

  • Start getting into a light exercise routine, using lower body

  • Start doing more physical household duties

In weeks 6-8 patients may:

  • Commence normal exercise routine and duties. Please note, do not push yourself into being back into your pre surgery routines.

  • Swimming, bathing running, yoga, stretching, spin class and Pilates

  • Stop wearing compression bra (Textured Mentor implants)

At this stage patients are mostly fully recovered and sutures are absorbed. Patients should always wear a supportive bra when exercising or performing physical activity. 

 

In weeks 9-12 patients may:

  • Contact sport

  • Boxing and upper body exercise

  • Stop wearing compression bra (smooth Motiva implants)

Where we perform arm lift surgery

Macquarie University Hospital

Real Patients,
Real Results

Jade Pike

Patient Coordinator

Jade is the friendly and approachable face you’ll first meet at One Cosmetic, dedicated to making each client’s experience smooth and enjoyable—from the moment you book your appointment to the time you leave feeling rejuvenated. With a love for natural beauty, she brings genuine care and intention to every interaction.

Dr. Negin Sedaghat

SPECIALIST BREAST AND GENERAL SURGEON

FRACS MBBS BAS (Phys)(Hons)
Sydney Professional Certificate in Oncoplastic Breast Surgery (USYD)
Full Member BreastSurgANZ
VMO Surgeon BreastScreen NSW

Dr. Negin Sedaghat FRACS leads the breast care program after breast implant surgery at One Cosmetic, an essential component of maintaining breast health. Dr. Sedaghat is an Australian-trained Specialist General Surgeon with subspecialisation in Breast Surgery and Breast Surgical Oncology. She is BreastSurgANZ certified in breast surgery and awarded professional certification with distinction in oncoplastic breast surgery from the University of Sydney. Dr. Sedaghat combines her highly qualified and experienced surgical expertise with a compassionate and holistic approach to patient care. In addition to breast implant care, Dr. Sedaghat accepts consultations for women seeking comprehensive breast assessment and treatment for a wide range of breast concerns at the welcoming and luxurious environment of One Cosmetic in Double Bay – a valid GP referral at the time of consultation will be needed.

Maree Riitano

Nurse

With a clinical background in perioperative nursing, Maree brings medical precision and a strong eye for detail to her work in aesthetic medicine. She is an experienced cosmetic nurse and over the years has trained under leading injectors in the space. She is passionate about combining science with artistry to deliver natural and refined results.

 

Maree offers all aesthetic medicine treatments and takes a personalised, multi-modality approach when creating treatment plans. She has a focus on restoring and enhancing her clients’ natural anatomy rather than altering them. Her philosophy is centered on subtle, confident beauty and helping clients feel empowered in their own skin.

 

Maree stays at the forefront of the industry by regularly attending advanced training and cosmetic conferences, ensuring she brings the latest techniques and highest standard of care to every client.

Ailiya Greaves

Senior Dermal Aesthetician

Ailiya Greaves is an experienced Senior Dermal Aesthetician with over seven years in the aesthetics and skin health industry.

Throughout her career, Ailiya has built a strong reputation for delivering advanced, results-driven treatments with a focus on safety, precision, and patient care. Her extensive clinical experience spans a wide range of skin concerns, including rosacea, acne, pigmentation, scarring, and age-related changes. She takes pride in creating personalised treatment plans that integrate evidence-based dermal therapies to achieve optimal skin health and natural outcomes.

Currently undertaking a Bachelor of Nursing, Ailiya continues to advance her clinical knowledge and professional capabilities. This additional qualification enhances her holistic approach to treatment, combining nursing principles with her dermal expertise to ensure the highest standards of care.

As a valued member of OC’s Dermal Team, Ailiya is recognised for her professionalism, approachable manner, and commitment to empowering clients to feel confident in their skin. Her dedication to continuous learning, coupled with years of hands-on experience, ensures her clients receive exceptional care and outstanding results.

Katie O'Connor

Practice Coordinator

Katie is our beautiful clinic coordinator at OC and one of the first faces you’ll see when you walk through the doors or call our team. She has several years of experience in a customer service role and brings a wealth of knowledge in managing patients and understands what it takes to support our patients through their cosmetic journeys. 

 

Katie is passionate about skin and skin health, which is so important when patents are seeking advice on where to start. Katie has also recently been through the surgery process herself, so she can give first hand experience when it comes to any surgery related questions. 

Lacey Lopez

Senior Dermal Aesthetician

After completing her diploma in beauty therapy at the Australasian natural therapies in 2011, Lacey was quickly identified as an emerging talent due to her meticulous attention to detail and offering a uniquely holistic and personalised approach to beauty and Wellness.

 

Holistic Wellness is associated with treatments and remedies that are natural, safe and focused on one’s internal and external wellbeing. Much more goes into Wellness of your skin than just a single treatment or product. Ones emotions, hormonal balance, nutrition, and the types of products used on the skin synergistically can make up the health of their skin.

 

Whilst gaining incredible industry experience both here and in the United States, Lacey went on to further her studies in holistic skin analysis – completing courses in lymphatic drainage, advanced dermal needling, skin mapping, hormonal imbalances, massage therapy an integrative nutrition. Her incredibly diverse training in highly customised treatment plans have ensured her reputation as one of the best aestheticians in Sydney.

 

Now, with over 12 years of industry experience Lacey acts as the senior dermal aesthetician for one cosmetic and skin therapist to celebrities. Her expertise lies in being results driven, providing exceptional service, and mastering high quality products and technology on the market. Lacey is forever researching industry innovations in remaining at the forefront of the latest procedures and modalities Lacey has become a renowned skin expert and trainer across the country. Book a consultation with Lacey to create your customised skin plan.

Chelsea Scutts

REGISTERED NURSE

Chelsea has been with One Cosmetic since it’s inception, handpicked by Dr Wessels to manage his practice and patients. Having been in the health & beauty industry for over 8 years Chelsea has a passion for all aesthetic treatments! Her ever evolving thirst for knowledge and passion for delivering the very best to our patient is why Chelsea has a strong base of clients.

 

Chelsea treatments include anti wrinkle, dermal filler, PDO threads, lip enhancements, Morpheus8 face and body sculpting and much more! She has an eye for natural beauty and enhancing her patients features. She regularly attends seminars to learn new techniques for best practice.

 

Book a Consultation with Nurse Chelsea via the online booking system.

Dr. Louis Wessels

SPECIALIST PLASTIC SURGEON

MBChB FRACS (Plast) FCS Plastics (SA) MAdv Plastic Surgery (Macq Uni) Mmed Plastics (SA)

Dr Wessels is a cosmetic, plastic and reconstructive surgeon and is a senior lecturer at the Faculty of Medicine and Health Sciences of Macquarie University.

His practice covers the whole range of procedures in cosmetic, plastic and reconstructive surgery with special emphasis on cosmetic and reconstructive surgery of the breast (augmentation, reduction and breast lift) as well as facial cosmetic and reconstructive surgery.

Dr Wessels received his MBChB in South Africa, completing his internship and general surgery residency, training in one of the most challenging clinical environments, before completing his Fellowship and his Master of Medicine in Plastic and Reconstructive Surgery.

Dr Wessels successfully completed his second Fellowship in Plastic and Reconstructive Surgery when he was awarded a Fellowship of the Royal Australasian College of Surgeons in 2015. He has published world leading research on breast implant infection and outcomes following breast augmentation surgery.