About the procedure

As we age, the elasticity of the skin decreases and it becomes loose and saggy. This sagging can also be a result of the natural fat distribution or caused by a significant reduction in weight.

Brachioplasty is a surgical procedure aimed at removing excess skin and subcutaneous fat from the armpits and axillae, and in certain patients from the lateral surface of the chest. In certain cases, in order to achieve optimal results, the procedure can be combined with liposuction in the area.

Depending on the degree of accumulation of subcutaneous fat, the degree of sagging of the skin and the subcutaneous tissue, as well as the preservation of the elastic capacity of the skin, the following main techniques are employed:

  • circumferential liposuction and / or prophylactic radiofrequency minimally invasive BodyTite procedure – for patients with minimal amount of subcutaneous fat, without ptosis 
  • liposuction with radiofrequency minimally invasive BodyTite procedure  – for patients with moderate amount of subcutaneous fat with 1st degree ptosis / up to 5 cm / 
  • excision with / without liposuction – for patients with significant amount of subcutaneous fat with II degree ptosis / 5 to 10 cm /  
  •  excision with / without liposuction  – for patients with significant amount of subcutaneous fat with III degree ptosis / over 10 cm /  

Arm lift

At A Glance

Frequently Asked Questions

How is the procedure performed?

Depending on the individual case, local or general anesthesia may be used. The duration of the operation is about two hours.

At the discretion of performing liposuction and / or BodyTite procedure, as an individual technique or in addition to conventional brachioplasty, small incisions are made in the armpit and on the back of the elbow. The excess fat is removed through them and the skin is tightened through the radio frequency energy of BodyTite. Adjacent areas that can be treated at the same time include: the shoulder, armpits, forearms, back or the bra-bulge area.

In people with very sagging and drooping skin, but without a significant excess of subcutaneous fat, the solution is to remove a longer or shorter ellipse from excess skin. The boundaries of the area to be covered depend on the extent and volume of the excess –  from the back of the elbow, along the line between the inside and back of the arm, curving into the armpit and even to the lateral surface of the chest. The incision is made so that the scar is as inconspicuous as possible.

Some patients have both types of problems – they have both excess fat and excess skin. In these cases, liposuction and skin removal are combined.

Before the procedure

Your surgeon will give you detailed information for the preoperative preparation a few weeks prior to your plastic surgery.

The most important advice for smokers is to stop smoking for at least 2 weeks (or 4 weeks and even more, if possible). Smoking prevents healing and increases the risk of complications. You should not smoke until the wounds heal well, at least two weeks after surgery.

You should stop taking aspirin or medicine containing aspirin, anti inflammatory drugs and herbal supplements as they all increase the risk of bleeding. Your surgeon will advise you how long prior to the operation you should stop taking these medicines. 

High blood pressure also needs to be well controlled during surgery. So if your blood pressure is elevated, you should discuss it with your surgeon.

It is extremely important to discuss your expectations with your plastic surgeon. This will allow him to assess whether they are achievable with the selected procedure. In some cases, two or three sessions may be needed to achieve the desired effect, and in others – it may be necessary to combine procedures for a better result. 

You will be accompanied by an employee of ours to the clinic and where you are staying before and after the operation.

Aftercare and recovery

If you only perform liposuction with / without BodyTite, you will have minimal to moderate swelling and probably bruising which is transient. You may feel a slight stiffness, but you will not have restriction in the movement of the arm. You will need to wear a special compression garment for 2-4 weeks.

If excess skin is removed, recovery will take a little longer. You may feel pain and slight discomfort for the first few days until you remove the bandage. The bandage may cause swelling that will go away in a few days. Your surgeon may prescribe painkillers if you need them. You will have to be absent from work for about 2 weeks. You should not exercise or work out for 2 months after the procedure.

You will need to wear compression garments after the procedure. How long exactly – this will be determined by your surgeon, depending on the intervention. Compression garments are worn to reduce swelling and help achieve better end results.

For faster recovery, you must follow your surgeon’s instructions.

What are the risks of the operation?

All possible risks will be discussed with you during the consultation with your surgeon. Some of the normal risks are bleeding, larger scars, infections, loss of sensitivity for a while and asymmetry. To avoid all these risks after the operation, you will need to trust and follow exactly all the instructions given by your surgeon.

Possible complications of this type of intervention are – visible scars, contracture, contour deformities, hypertrophic scars and keloids and others – all possible risks will be discussed with you during the consultation with your surgeon. A skilled and experienced surgeon can minimize many of the possible complications, but the patient’s co-operation in following all postoperative instructions also plays a huge role in this prevention. Some specific complications and side effects, such as hypertrophic scarring with rough scars and keloids, are genetically predisposed.

How much does an arm lift cost?

Prices are formed individually after an online consultation and depending on the patient’s personal needs. Once we know what you want, you will receive our offer within 24 hours. You also can check our PRICE LIST.

How do we work

Once you have made contact with us, we will organize a free video consultation with the surgeon we believe is best suited for your particular situation.

This consultation will be within 5 days of your request. Prior to the video consultation, we will ask you to fill out a questionnaire about your medical history and send photos of the problematic areas. 

If necessary during the video consultation your doctor will advise you to take additional photos of the problematic areas and suggestions for the angle from which to take photos.

This consultation will be combined with a detailed discussion about your wishes and the possibilities for achieving them.  We will discuss with you the expected results, possible risks and any other issues that you might be concerned about.

We advise you to make a list of all the questions you may want to ask concerning the procedure before the actual consultation. After the official request to us, and if you wish, we can arrange a meeting for you with our representative in London.

Within 24 hours of the video consultation, we will send you a costing describing the price of the procedure and the needed length of stay in Bulgaria. In the costing there will also be preferential prices offered for our partner hotels with which we work and for which we can guarantee the quality and comfort. 

You will then have 3-4 days of time to reflect, and give us your decision.

If you decide to proceed and agree with all terms and conditions , you will have 48 hours within which you must prepay 30% of the total amount of the procedure. This amount is paid directly to the clinic where your procedure will be performed and thereby you will have a reserved date and time for your procedure and a room in the hotel you have chosen. The remaining balance has to be paid by the day before the procedure itself after conducting the preliminary examination in the clinic.

If you decide or need to cancel the procedure, this must be done at least 30 days before the date of your flight in order to be able to trigger a process for returning your deposit.  

If you decide to cancel our services within the last 30 days before your flight, you must have a good reason for doing so (supported by evidence) in order to take your money back. If you cancel it within these 30 days and the reason is acceptable, your money will be returned, but you will be suspended 50 euro for an administrative fee. If you wish to change the date of the procedure, this can happen at least 30 days before.

If you wish, we can also arrange your travel from your home to the airport. We are partners with a transport company and you can use our preferential prices. This also applies to your return flight. To do this, you will need to send us the details of your flight one week in advance.

Upon arrival in Bulgaria, you will be greeted at the airport by one of our employees who will take you to your hotel.

On the day before the operation, you will have a preliminary examination, where some necessary tests will be performed (e.g. blood tests) and we will specify all the details related to the operation (treatment plan, proposal for some additional or adjacent procedures for a better outcome, recovery plan etc). Our employee will take you to the clinic and after that to the place where you are to be accommodated.

Before the surgery, you will need to sign an informed consent document (i.e. a document certifying that you have been informed by the doctor about all potential risks and complications and that you understand them) and agree to proceed with the procedure).

On the day of the operation our employee will bring you back to the clinic. Depending on the procedure, you may need to have one or several days of hospital stay. After the completion of the procedure and the hospital stay, our employee will take you back to your hotel.

During the entire stay, our employee will be at your service throughout. 

If you wish, and if the procedure allows, we can arrange your stay according to your requirements but this must be specified in advance.

On the day of departure, you will be accompanied by our employee back to the airport.

If you wish, we can arrange your stay according to your requirements. This must be specified in advance.

You will be provided with a detailed plan on the recovery process. 

Online consultations in the recovery period will be arranged with your surgeon, but if you have stayed in the hospital after your procedure, the doctor will give you post-operative examinations on the first and third days.

On the seventh and fourteenth days, preventive online consultations will be made to track how the recovery goes.  

Online consultation reviews are also done on the 1st, 2nd, 3rd and 6thmonths.You will be able to contact us at any time!