Dramatic Arm Transformation at Age 45Comprehensive Arm Contouring with Liposuction, Thread Lift, and Arm Lift Surgery
Arm Concerns Are Not Just About FatOne of the most common complaints among patients is:“I’ve lost weight, but my upper arms still look large.”
Case overview
| Procedure | Liposuction (circumferential upper arms) / Surgical skin lift (excision) / Thread lift |
|---|---|
| Sessions | 1 session |
| Cost | ¥2,000,000 (price at the time of treatment) Price list |
| Main risks | swelling, bruising, pain, edema, skin irregularities, asymmetry, scars, scarring, redness, heat, etc. (see details below) |
| Doctor | Dr. Shin Moriwaki (Director) |
“I exercise regularly, but the sagging under my arms won’t go away.”
“As I’ve gotten older, the skin on my arms has become loose.”In many patients over 40, arm fullness is not caused by fat alone.Often, several factors contribute simultaneously:● Excess subcutaneous fat● Skin laxity● Soft tissue descentFor this reason, liposuction alone may not always provide the ideal result.
Case Presentation
This patient is a 45-year-old female who underwent:
● Circumferential Arm Liposuction
● Arm Thread Lift
● Short-Scar Arm Lift Surgery
Approximately 1,500cc of purified fat was removed.
After reducing the excess fat, thread lifting was used to support the tissues, while excess skin was removed through a short-scar arm lift procedure.
At 4 months postoperatively, some redness remains in the scars, which is expected during the healing process.
However, the overall contour improvement is dramatic.
Why Liposuction Alone Is Sometimes Not Enough
In younger patients, skin often contracts well after liposuction.
However, in patients in their 40s, 50s, and 60s, skin elasticity may be significantly reduced.
Removing fat alone can occasionally leave excess skin behind.
This is why combining:
● Liposuction
● Thread lifting
● Skin excision
can produce superior results.
AVAN TOKYO Focuses on Shape, Not Just Size
Our goal is not simply to make the arms smaller.
We focus on the entire upper-body silhouette:
Neck
Shoulders
Upper arms
Axillary area
Breasts
These areas must work together to create a refined appearance.
Every treatment plan is customized according to the patient’s anatomy, skin quality, and aesthetic goals.
Patients From Their Teens to Their 60s
Arm contouring is not only for younger patients.
At AVAN TOKYO, patients ranging from their teens to their 60s seek treatment.
The key is selecting the most appropriate procedure for each individual:
● Liposuction alone
● Liposuction with thread lifting
● Liposuction with arm lift surgery
The optimal choice depends on each patient’s unique anatomy.
Advanced Arm Contouring at AVAN TOKYO
The upper arm is one of the most technically demanding areas in body contouring.
Fat removal,
skin contraction,
scar placement,
and shoulder-arm transitions
all influence the final result.
At AVAN TOKYO, we combine multiple techniques when necessary to achieve the most refined and natural arm contour possible.
Procedure
Circumferential Arm Liposuction + Arm Thread Lift + Short-Scar Arm Lift
Patient
45-Year-Old Female
Follow-up
4 Months Postoperative
Fat Removed
Approximately 1,500cc of Purified Fat
Risks & Side Effects
Swelling, bruising, fibrosis, contour irregularities, pigmentation changes, scarring, asymmetry, sensory changes, skin necrosis, and infection.
Surgeon: Dr. Shin Moriwaki (Director, AVAN TOKYO Ginza Liposuction Clinic)
Risks and side effects
Liposuction may cause swelling, bruising, pain, edema, skin irregularities or tightness, asymmetry, pigmentation, and scars at the small incision sites. Rarely, complications such as infection, hematoma, numbness, or reduced sensation may occur. On the upper arms, shoulders, and back, skin laxity, rippling, or a pulling sensation may occur.
Surgical skin lifts may cause scars, asymmetry, changes in sensation or movement due to nerve injury, rarely skin necrosis, and relapse.
Tightening treatments such as thread lifts and Morpheus8 may cause redness, swelling, a sensation of heat, bruising, pigmentation, skin dimpling or pulling, and individual variation in results.
These symptoms may occur during recovery and most improve over time, but their severity and the recovery period vary from person to person. If you have any concerns, please consult your doctor rather than judging for yourself.