– Upper-Arm Liposuction + Excisional Arm Lift + Thread Lift (6-Month Recovery) –

Liposuction is extremely powerful for reducing fat volume, but it cannot correct excess skin.

For patients who have:

• Significant pre-existing skin laxity
• A history of major weight fluctuation
• Reduced skin elasticity due to age (commonly 30s and above)

skin looseness will inevitably remain after fat is removed.

And in these cases, no amount of RF tightening (Morpheus8, FORMA, INDIBA), massage, or threads will provide a true solution.

Threads can refine contour, but they cannot eliminate redundant skin.

To achieve a truly slim, sharp, upper-arm contour,

excision is sometimes the only option.

■ When an Excisional Body Lift Becomes Necessary

✔ Significant skin redundancy

When there is too much lax, stretched skin, RF or threads simply cannot tighten enough.

✔ Desire for the “maximum” slim result

If a dramatic improvement is the goal, removing excess skin is essential—otherwise the remaining skin will always appear loose.

✔ Age-related reduction in skin quality

Loss of collagen and elastin means the skin cannot retract well after liposuction.

■ Case Example (34-year-old female)

• Upper-arm liposuction: 1,650 cc of pure fat removed
• Excisional arm lift to remove redundant skin
• Thread lift to stabilize remaining mild laxity
• 6-month result: a straight, sharp, upper-arm line that cannot be achieved with liposuction alone

This transformation is possible because the procedure addresses both fat volume AND skin excess simultaneously.

■ Advantages of Excisional Arm/Body Lift

• Directly removes excess skin—the true cause of laxity
• Allows liposuction contouring to be maximized
• Creates long-lasting, stable arm and upper-body aesthetics
• Ideal for patients wanting dramatic contour refinement

■ Disadvantages (honestly explained)

• A visible scar will definitely remain
• Recovery is longer compared with liposuction alone
• Patients with strong fibrosis may experience prolonged tightness

However, for strong laxity, no non-surgical or minimally invasive device can permanently fix it—this is an anatomical limitation, not a technical one.

■ Takeaway

• For moderate-to-severe laxity → Excisional lift is the best and only definitive method
• For mild laxity → RF tightening + threads may help
• Liposuction alone cannot eliminate excess skin
• To achieve a truly slim, elegant arm contour, excision is sometimes essential

At AVAN TOKYO Ginza Liposuction Clinic, we analyze each patient’s

skin elasticity, fat volume, age, lifestyle, and aesthetic goals

to determine the most effective long-term approach.

If your goal is to create a refined, sharply contoured upper arm and upper body,

a tailored combination of liposuction and excisional lift may be your optimal path.