When it comes to upper-arm liposuction, the area that looks the simplest yet is actually the most difficult to sculpt beautifully is the batwing region.

Many patients request “super-slim arms” or a “dry, shredded look,” but in reality, the batwing area is not something that should be aggressively suctioned without a strategy.

Why over-suctioning is a mistake

The batwing region is prone to:

• Skin laxity
• Rippling and unevenness
• Sagging over time
• Loss of feminine contour

This is why blindly removing all the fat can often lead to unnatural and aging results.

Our philosophy: intentionally leaving a thin superficial layer

At AVAN TOKYO GINZA LIPOSUCTION CLINIC, even for patients who request a very slim look,

we intentionally leave a thin superficial fat layer in the batwing area.

This approach:

• Prevents postoperative skin laxity
• Maintains youthful texture
• Produces a smooth, straight-line contour
• Minimizes long-term complications

Batwing fullness is often caused by “skin laxity,” not fat

A drooping batwing is often the result of skin quality, not just excess fat.

Therefore, liposuction alone is not the ideal solution unless the following conditions are met:

Ideal candidates for batwing-only liposuction:

• Age: early 20s
• Pure fat volume: < 500cc
• Good skin elasticity and firmness

For others, combining treatments such as:

• Thread lifting
• RF tightening (FORMA, Morpheus8 Burst)
• Arm lift (brachioplasty)
  may be recommended for optimal results.

Case Study: 30-year-old woman, 1050cc pure fat removed

• Full-circumference arm liposuction
• Arm thread lift performed simultaneously
• 3 months postoperative

By leveraging “natural adhesion during the contraction phase,”

the thread lift provided a long-lasting lifting effect, even after the threads dissolved.

Achieved results:

✔ Sharp, straight arm line

✔ No sagging

✔ Smooth contour without irregularities

Conclusion

The batwing area determines the entire aesthetic outcome of upper-arm liposuction.

Beautiful results require not only fat removal but precise control over what to remove and what to leave.

At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we take a meticulous and anatomical approach to ensure the safest and most aesthetic results.