WHY I DO NOT PERFORM BREAST AUGMENTATION WITH FILLERS?

 WHY I DO NOT PERFORM BREAST AUGMENTATION WITH FILLERS?

I personally receive many enquiries requesting breast fillers daily. Touted as a risk-free alternative to breast augmentation with implants; they are actively promoted by many aesthetic clinics to patients as safe, reversible, having no downtime and cheaper to boot. Furthermore, filler breast injections require no hospitalization or surgery. Boobs can be discreetly enlarged in 30 minutes or less with instant gratification.

Hence, the big questions – why I do not perform filler injections for breast enhancement?

The use of fillers for breast augmentation has been performed since the dawn of time. Early attempts at augmentation involved injection of substances such as liquid paraffin or oil into the breast tissues. Other more bizarre materials such as ivory or glass balls and rubber have been tried. Then came the era of the injection of liquid silicone, polyacrylamide hydrogel and hyaluronic acid.

Virtually all of these injectable substances have been associated with high rates of unacceptable and often irreversible complications.

During the 1940s and 1950s, a half-century after the paraffin saga, history repeated itself again with silicone injections. Some of the complications were even worse, because industrial grade silicone was injected and contaminants were purposely added to the silicone injections, to cause sclerosis of the silicone, to hopefully restrict its migration.

During the past 20 years, a newer class of injectable material emerged: Polyacrylamide Hydrogel. This material was originally introduced under the name of Royamid in the late 1980s. It was subsequently marketed under the name of Interfall and Formacryl. In 1997, it was approved by the State Drug Administration in China (the Chinese equivalent of the FDA). Most preparations marketed today are manufactured by Contura International (Denmark), under the brand name Aquamid which was popular in Malaysia.

Numerous reports subsequently appeared, demonstrating that numerous complications can occur after these filler injections. These can develop from several months to three years after injection. They include the following: migration, breast lumps, pain, infection, granulomas and permanent disfigurement. Migration of Polyacrylamide fillers appears to be due, in part, to a leak of the viscous injected material from the pocket, through the injection tract.

The filler thus has been rebranded as Outline, Bioformacryl, Argiform, Amazing Gel, Ao Mei Ding and Bio-Alkamid and pushed to various guillable medical professionals around the world again leaving a trail of often uncorrectable complications.

Migration of filler material from breasts to abdomen (tummy).

https://www.dailymail.co.uk/femail/article-3980808/Toxic-breast-injections-slide-Chinese-woman-s-stomach.html

https://medicalxpress.com/news/2006-06-amazing-gel-woes-enormous.html

Realizing that Polyacrlyamide Hydrogel has been banned in several countries, manufacturers decided to capitalize on the ‘apparent’ safety of cross-linked hyaluronic acid which has been used in smaller amounts on the face to translate to breast enhancement. Marketed by Q-Med as Macrolane since 2008, colloquially referred to as the "30-minute boob job”. A recent study showed that Macrolane complications may appear months after treatment, as local infections, product dislocation, and breast lump onset. Ultrasound and MRI help to diagnose the nature of the complication. Patients must be warned that it can be impossible to totally remove Macrolane, once implanted.

https://www.dailymail.co.uk/femail/article-1163295/My-30-minute-scalpel-free-boob-jab-turned-year-long-nightmare.html

https://link.springer.com/article/10.1007/s00238-011-0576-z

MRI showing accumulation of filler material that failed to resorb causing infection.

In Sweden there have been a number of cases of erection problems and pain associated with erection when Macrolane injections were used to increase penile size, prompting a mandatory investigation into the safety of the product. Macrolane has thus been discontinued.

https://www.surgery.org/consumers/plastic-surgery-news-briefs/lunchtime-boob-jobs-banned-uk-1036624

But many knock-off versions appeared in the market legally (example Charmost hyaluronic acid Ultra D breast fillers and 100s of other brands) under various trade names all touting “safe” hyaluronic acid that is cross-linked and is non-permanent and offer instant breast enhancement. Many doctors like to perform these injections as the profit margins are high and the procedure is easy to learn and perform.

Aquafilling was developed in 2005 and its use for breast augmentation has gained speed in several countries claiming that it lasts from 5 to 8 years but costs a fraction of a formal breast augmentation surgery or breast fat grafting. Its declared composition is 98% water and 2% polyamide. Various studies and case reports revealed the extent of complications/adverse effects of Aquafilling but the product and various generic brands of hyaluronic acid fillers for breast enlargement are still available in the market and is widely popular in Malaysia.

https://www.thestar.com.my/metro/metro-news/2019/11/16/hazards-of-breast-injections-with-fillers

https://pubmed.ncbi.nlm.nih.gov/32936330/

https://personalinjurylawyers.pl/i-was-told-this-was-safe-serious-concerns-over-aquafilling-bodyline-los-deline/

Granulomas forming after filler substance injection. Easy to perform, hard to remove.

I have seen and treated many of these patients presenting even years after filler injection. Some cases even warranted mastectomies (complete removal of breast tissues) and reconstruction for treatment of the complication.

Infected fillers removed surgically.

Fillers injected in high volumes often do not fully disintegrate as claimed by manufacturers.

The only lesson history has taught us so far in the use of fillers for breast augmentation is this – we have not learnt anything from history and hence history has repeated itself and is repeating itself.

I urge all patients seeking breast augmentation to not take short-cuts and opt for breast fillers no matter how tempting it may appear from an economic point of view (these fillers are still not cheap and costs start from RM12,000 and up to RM45,000) and also in seeking to avoid undergoing surgery at any costs (which contrary to popular belief is safer than breast fillers).

 

#breastfillers #dontdoit #breastfillerscomplications #aquafilling #macrolane #nonsurgicalbreastenlargement #breastaugmentationfiller #fillergranulomas #fillerinfections #breastaugmentation #fatgrafting #breastfatgrafting #breastimplants #hybridbreastaugmentation #motivaimplants #motivaimplantsmalaysia #lifesilimplants #bliteimplants #aumentodemama #drleesengkhoo #skincheckmalaysia88 #gemclinic

 

Follow us on

https://www.facebook.com/skincheckmalaysia/ and on Instagram #skincheckmalaysia88 #drleesengkhoo

If you have had complications after breast fillers treatment or would like to learn about safe breast enhancement, please Whatsapp +6014 2006558 or call 03-5621 1909. Alternatively, you may email contact@skincheckmalaysia.com

 

Sincerely yours,

 

Dr Lee Seng Khoo

 

 

 

 

Doctor (Nose) Best – Not All Nose-Jobs Are Created Equal

Doctor (Nose) Best – Not All Nose-Jobs Are Created Equal

 

“This doctor ripped me off! I could have gotten one for $200!”

Many patients are always puzzled in the difference of pricing between surgeons who perform rhinoplasty.

Some doctors may perform a rhinoplasty (nose job) for as little as USD $200.00 and yet some surgeons who may charge as high as USD $10,000 to $20,000.

Why is there such a huge discrepancy in pricing?

After all, a nose job is nose job is a nose job! How different can it be?

 

Not All Nose-Jobs or Surgeons are Created Equal?!

Just like a car – 4 doors, 1 steering ,1 gear box and 4 wheels.

A Yugo or a Perodua is not a BMW, Jaguar or a Bentley. And we all know that! Yes, the Yugo gets you from A to B and so does the BMW – here is where all similarities end.

So, yes not all surgeons are of the same ability or pedigree (not that a better pedigree equates to a better result) as there are various factors at play including the surgeon’s experience with rhinoplasties and the technical and intellectual ability of planning the rhinoplasty AND the material used to perform the rhinoplasty.

 

Asian Rhinoplasty – Enter the Silicone Nose Implant

In Asia, the most popular form of rhinoplasty is with the use of the closed method rhinoplasty.

The doctor makes a small incision (cut) at the nose margin, dissects and inserts an L -shaped silicone implant and voila – a nose job done in 30 minutes or so!

Patients are more often extremely happy with the results and the surgeon is commended for being fast with an economical price to boot.

Downtime is minimal, there is no harvest of rib, nasal septum or intricate procedures that result in prolonged swelling and a higher price to boot.

Indeed, for many doctors this is what they only know how to do or for some, only choose to do.

Many patients may be limited by budget and also some unprepared to use autologous material such as rib (costal cartilage) or nasal septum and additional ear cartilage grafts; and swayed by online marketing ads often come to my practice requesting a pure silicone L shaped rhinoplasty. Although not my first choice, a safe reasonable result is often achievable with silicone nose implants. I do perform silicone rhinoplasties for certain patients with limited budget who understand its limitations.

Today other options include filler injections and PDO threads (again, not my preference although I have performed these procedures extensively at one point). I will touch more on that in future.

 

Wait! Isn’t A Silicone Nose Job Cheap & Good Enough?

For many decades, silicone nose job was the preferred choice of material for nose jobs. It was cheap (and still is!), the surgical procedure was quick and patients were thrilled (especially immediately post-surgery).

The patient also avoids additional general anesthetic and recovery room charges.

Ideally, the augmentation rhinoplasty should be achieved with autologous materials (from own body such as buttock dermal fat, rib and septal cartilage). These procedures are uncomfortable and unpleasant for the patient if not performed under general anesthesia.

However, there were specific complications associated with the use of silicone implants in rhinoplasties. The complications typically don’t occur until 12 months and sometimes a few years after nose implant surgery.

Silicone nose implant extrusions are one of the known complications as the nose tip skin is thin.

 

Examples of impending extrusion and extrusions due to excessive pressure of silicone implant on nose tip skin (a shorter implant should have been used)

And yes, if you are asking, the results of a shorter implant would be less aesthetic. Here, there is compromise between safety and enhanced appearance.

As silicone nose implants are foreign bodies and the implant has no external shell (unlike breast implants), they carry a higher risk of infection compared with cartilage grafts and dermo-fat grafts.

 
 

When infection (pus/abcess) and impending extrusion occur – the only solution is removal of the implant and replacement with a more biocompatible implant material such as Megaderm or autologous (own) rib graft or dermo-fat graft (more on that later).

Silicone being a foreign body elicits capsular contracture with calcification and can occur causing a distorted upturned nose even years or a decade after implantation.

 
 
 

  

 

Examples of silicone nose contractures

 

Up close of view of Calcium deposits on the silicone nose implant causing contractures.

This is not a knock against surgeons who continue to use Silicone nasal implants (even I do too!) but it is important to understand why cheap surgery is not always cheap in the long term.

Our nose has two joints, one connecting the cartilage with the bone and the other one connecting the alar cartilage with the upper cartilage.

These joints allow free movement of the nose from left to right, upwards and downwards.

If we place a hard silastic silicone implant above these structures, the joints will be fixed and any medium velocity force to the nasal area can lead to resulting trauma, much like placing a nail over the nose. Thankfully, we have much better silicone implants today such as the hybrid soft-hard silicone implants that I now use in my practice.

 

Ok Doc- You Sound Like Your Surgery Costs a Bomb! What are the Alternatives?

Rhinoplasty Is way more than putting in an implant!

Surgical work on the tip to manipulate the size and shape is as important as increasing bridge height.

But anyway, let’s talk briefly on alternative implants (they cost more but are safer and more biocompatible)

Acellular dermal matrix (example Megaderm) is derived in the lab from human skin components that have been washed off immunological and bacterial debris leaving only the viable matrix. They have no risk of extrusion and have a lower risk of infection compared to Gore-Tex and silicone nose implants. Megacartilage are obtained from cadaveric ribs and are immunologically cleaned and hence inert and safe.

   

Megaderm & Megacartilage nasal implants

Dermofat (skin and fat graft) can be used to augment the nasal bridge safely.

Dermofat graft harvested from the buttock in an inconspicuous manner hidden incision. This is less invasive than a rib graft harvest.

All the aforementioned above are more costly than a simple silicone rhinoplasty and hence will cost more. It is not easy on the wallet short term but are safer and more stable for the nose structure.

Rhinoplasty is more than just placing in an implant!!!

Sometimes internal cartilages are crooked and impair breathing or cause the nose to be deviated.

       

They have to be removed, straightened and placed back into the space inside the nose.

And no, the implant alone will not solve this problem!

Sometimes in a fat nose tip, the size has to be reduced by removing some cartilage as follows.

The green area of the upper lateral nose cartilage is removed.

Once removed the upper lateral cartilages are smaller and a finer nose tip is possible.

But that’s not all!

Tip sutures further refine the nose.

     

Notice how the suture makes the tip finer and less wide.

 

Dome spanning sutures further increase the height of the nose.

 

 

Example of a tip work with cephalic trim and domal sutures, patient also had Septal Extension grafts and various techniques of tip grafting

An example of a shield tip graft (obtained from rib or ear cartilage) to increase projection in the nose.

 

Sometimes the nose buckles when a shield tip graft is placed hence a collumelar strut is needed to add strength so the nose maintains its shape over decades.

 

 

Various types of Septal Extension Grafts/Collumelar Struts are used to change tip inclincation, shape and direction.

 

 

Again, these are minute intricate surgery requiring the septal surgery and modification. We have not yet touched on osteotomies (breaking the nasal bone to reduce a wide nose) and other intricate procedures such as spreader grafts, correcting alar flaring and alar overhang and various other types of grafts, This is not achievable with a simple 30 -minute “cheap and good” silicone rhinoplasty.

 

Example of an osteotomy design (in blue) to break the nasal bones to allow repositioning to be less wide.

Osteotomies may require spreader grafts to prevent breathing difficulties in future.

Parting Thoughts

Rhinoplasty is an intricate surgery requiring specialized skills and training for satisfactory long-term results. Silicone rhinoplasty although less favourable is still the main choice in the Asian market due to competitive pricing, low downtime and high number of surgeons able to perform pure silicone rhinoplasty.

However, there are better implants in the current market such as Megaderm, Mega Cartilage and Silicone-PTFE Hybrid implants. The best option is autologous material from dermo-fat, ear cartilage or rib grafts. Patients may not agree to have dermo-fat or rib cartilage harvested. Many patients also have limited understanding on various grafting techniques to improve the appearance, inclination and angle of nose. Nose tip refinement techniques do cost more time and require good skill and experience of the rhinoplasty surgeon. Not all surgeons are created equal AND not all nose-jobs are created equal.

Sometimes we get exactly what we pay for! Remember you do your rhinoplasty once but should last you a lifetime. A good surgeon will find a middle path between technique/approach, budget and expectations while not breaking the bank! Don't let your nose job become a botch job.

 

       

 

#nosejob #rhinoplasty #siliconenosejob #asianrhinoplasty #budgetnosejob #cosmeticrhinoplasty #functionalrhinoplasty #botchednose #cheapandgood #plasticsurgery #skincheckmalaysia88 #gemclinic #drleesengkhoo

 

Follow us at http://www.facebook.com/skincheckmalaysia and on Instagram #skincheckmalaysia88 #drleesengkhoo

To make an appointment to see the rhinoplasty works (before and after) of Dr Khoo, please Whatsapp +6014 2006558 or call 03-5621 1909. Alternatively, you may email contact@skincheckmalaysia.com

 

Sincerely Yours,

 

Dr Lee Seng Khoo

PENILE ENLARGEMENT GONE WRONG -PENILE PARAFFINOMA

 PENILE PARAFFINOMA

One of the type of conditions which still at this day and age; presents to the dermatologist and plastic surgeon is penile paraffinoma or sclerosing lipogranuloma of the penis 

Many men undergo injections of illicit substances such as mineral oil or paraffin motivated by a desire to increase penile shaft length and girth in an attempt to satisfy their sexual partners or to boost self-esteem.

https://coconuts.co/bangkok/news/might-cut-off-doctor-warns-thai-men-penile-injection/

Some even insert foreign objects leaving a bizzare appearance that will require surgery for correction.

https://www.urologynews.uk.com/features/features/post/artificial-penile-pearls-what-every-urologist-should-know

Photo depicts sequela of penile paraffinoma with ulceration on lateral surface of penile shaft

The origins of this practice can be traced back to Austrian surgeon Robert Gersuny who injected paraffin (mineral oil) to correct the testicular deformation left by castration (removal of testicles) for tuberculous epididymitis. The immediate volumization effect was deemed a miraculous success.

The technique continued to be popular for the next 2 decades in the early 20th Century with paraffin being touted as the ideal "filler' for breast augmentation, facial wrinkles and etc.

Unfortunately, late complications were common leaving a sequela of nodules, granulomas, deformation, infections (abcesses), necrosis, ulcerations & migration of the material with lymphangitis.

Even modern fillers that we have today and which are widely promoted as being safe, quick with no downtime may have some long-term sequela if not used judiciously. Many complications are seen on a daily basis. And I have written on filler fatigue previously.

https://drkhooleesengplasticsurgery.blogspot.com/2020/08/filler-fatigue-what-your-doctor-does.html

Today, the injection of paraffinoma for penile girth and length enhancement remains popular especially in Asia (especially Thailand & Malaysia) & Eastern Europe and are often done by unregistered practitioners underground. 

Histology will show pseudocystic spaces and giant cell foreign body reaction as the human body is unable to enzymatically degrade the mineral oil.

Histology (microscopic) image showing Giant Cell Granulomas and large cystic spaces.

Treatment with antibiotics, corticosteroids and immunomodulators are not effective in treating penile paraffinoma and the only treatment is surgical therapy.

Various surgical techniques have been described for the treatment of penile paraffinoma.

I attach a link of video of my surgery for penile paraffinoma excision and reconstruction with a scrotal flap.

https://www.youtube.com/watch?v=xbRwaGlpUf4

This is a modal window.

Playback on other Websites has been disabled by the video owner.

I have come across patients who present with non-specific ulceration and nodules over the penis/penile shaft, and it is only after prolonged probing & questioning do they admit the illicit injections done. At first glance, the clinician may mistaken the lesions for a sexually transmitted disease (STD). Wider public education on the dangers of penile injections of paraffin/mineral oil and other substances are essential to curb the practice. 

For penile enlargement, consult an experienced surgeon who has the entire toolkit for the trade which can include detachment of the suspensory ligament of the penis (to increase length) , fat grafting with Platelet Rich Plasma or Platelet Rich Fibrin, and augmentation using alloderm biocompatible material to enhance penile girth.

#penilesurgery #stemcell #dickdoc #penileenlargement #penileelongation #penilelengthening #skincheckmalaysia88 #drleesengkhoo 

Follow us at http://www.facebook.com/skincheckmalaysia

and on Instagram #skincheckmalaysia88 #drleesengkhoo

Our list of services & treatments can be found here https://teleme.co/doctors/profile/khoo-lee-seng#treatment

You may reach our practice by emailing contact@skincheckmalaysia.com

Or +6014 2006558 (Whatsapp Only) or call us at 03-56211909 to schedule an appointment.

References

Gómez-Armayones, S., Penín, R.M. and Marcoval, J. (2014). Penile Paraffinoma. Actas Dermo-Sifiliográficas (English Edition), [online] 105(10), pp.957–959. Available at: https://www.actasdermo.org/en-penile-paraffinoma-articulo-S1578219014002868 [Accessed 30 Jan. 2021].

Glicenstein, J. (2007). [The first “fillers”, vaseline and paraffin. From miracle to disaster]. Annales De Chirurgie Plastique Et Esthetique, [online] 52(2), pp.157–161. Available at: https://pubmed.ncbi.nlm.nih.gov/16860452/#:~:text=In%201899%2C%20Robert%20Gersuny%2C%20an [Accessed 30 Jan. 2021].

Downey, A.P., Osman, N.I., Mangera, A., Inman, R.D., Reid, S.V. and Chapple, C.R. (2019). Penile Paraffinoma. European Urology Focus, [online] 5(5), pp.894–898. Available at: https://pubmed.ncbi.nlm.nih.gov/30007541/ [Accessed 30 Jan. 2021].

Salauddin, S.A. and Ghazali, H. (2019). Surgical Techniques for Correction of Penile Paraffinoma. The Malaysian Journal of Medical Sciences : MJMS, [online] 26(6), pp.137–142. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939734/ [Accessed 30 Jan. 2021].

CLEFT SURGERY – A LIFE FREE FROM BULLYING

CLEFT SURGERY – A LIFE FREE FROM BULLYING

Growing up with a cleft condition in her rural village in Malawi was extremely challenging for Tereza. She was constantly teased and bullied and was often called ‘an animal’ or ‘half a person’. Tereza was completely ostracized from village life. The harassment eventually got so bad that she abandoned her schooling and isolated herself from her neighbors and other members of her community

 “I remember one day a boy just called me every name possible about my nose and my lip and I ended up losing control and shouted so many things back then sat in my room all night and cried, but it didn’t make me feel better. In fact it taught me that retaliating wasn’t going to change the way I looked and it certainly wasn’t going to change that boy’s opinion of me, it was only going to show him that he had won by getting a reaction out of me.” – Jacqueline, adult with a cleft

“Bullying is probably the hardest thing to deal with besides the surgeries about having a Cleft lip and palate. And that is a debatable statement. It’s very tough to try to explain such a complex condition to a friend in most likely such a short period of time (At lunch, between classes etc.) as well as needing to making sure they fully understand what you’re saying. Plus, usually, whether they mean to or not, people tend to ask about it in fairly rude ways: “What happened?” or “What’s wrong with you?” are the two main ways I am asked. When you know that you couldn’t have done anything to prevent it and there isn’t much you can do about it now, these questions feel offensive. But honestly, after years and years of it, all of the asking, the making fun, the bullying, I don’t blame them. They are seeing something different about someone and are just plain curious.” Andrew, adult with a cleft.

It has occurred to all of us at some time, at a park, at the shopping center, when walking down the street, etc.  We see a disabled, maimed, contorted, crippled, individual and we look away.  Why do we do this?  Most of us don’t do it to be mean, but we do it because we are hurt about the unfairness of life and it pains us to see a fellow human in such distress.  Many do the same thing when stopping at an intersection and see a homeless person begging for money.  We look away because the sight disturbs us.  Some look away because they don’t want to contribute as well.

https://www.parents.com/health/parents-news-now/parents-say-disney-character-with-cleft-lip-could-lead-to-bullying/

We attempt to “sterilize” our vision to eliminate unpleasant imagery. We do not want to see things that disturb us.  This may be a natural protection mechanism, but it does not make it right.  We need to condition ourselves to do the opposite.

As Albert Einstein once said, “The world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing.”

https://www.bbc.com/news/av/uk-england-south-yorkshire-44244746

Apart from aesthetic surgery, I maintain a commitment to children (and adults) born with facial deformities with cleft lip, cleft palate and major craniofacial deformities. Operating on complex cleft deformities allows me to sharpen and apply my aesthetic surgical skills in creative ways. Paying homage to all my Plastic Surgery and Cleft Surgery mentors, I carry on the legacy to provide high level care in cleft surgery incorporating fat grafting, stem cell/Platelet Rich Plasma treatments, advanced rhinoplasty techniques, scar camouflage with laser resurfacing and moustache hair transplants.

I am a member of Mission Smile, an international Cleft Charity and today nothing gives me greater joy than giving back to the underprivileged and those less fortunate.

As we look back at all the giants in the field of plastic surgery of the 20th Century, virtually ALL continued to challenge themselves with reconstructive surgery. Whether it be the great Harold Gillies, Fernando Ortiz-Monasterio, Paul Tessier, Ralph Millard and Ivo Pitanguy— all these plastic surgeons never forgotten their roots and continue to see and treat patients for reconstructive problems.

A properly operated cleft lip and palate repair can make a world of difference for the child! Now, we extend our services via a cooperation between Skin Check Malaysia & Gem Clinic to serve the less fortunate.

“A deformity should not just be judged by its appearance. The psychological impact also matters.” Ivo Pitanguy.

 

 

Working with Dr Histeswar Sarma, an excellent cleft surgeon, mentor and friend in India on charity cleft cases.

#operationsmile #missionsmile #cleftlip #cleftpalate #cleftrepair #orthognathicsurgery #craniofacialsurgery #skincheckmalaysia88 #drleesengkhoo #gemclinic

Follow us at http://www.facebook.com/skincheckmalaysia

and on Instagram #skincheckmalaysia88 #drleesengkhoo

Our list of services & treatments can be found here https://teleme.co/doctors/profile/khoo-lee-seng#treatment

You may reach our practice by emailing contact@skincheckmalaysia.com

Or +6014 2006558 (Whatsapp Only) or call us at 03-56211909 to schedule an appointment.

 

 

 

 

ARM LIFT / REDUCTION (BRACHIOPLASTY) IN MALAYSIA: SAY BYE-BYE BAT WINGS

ARM LIFT / REDUCTION: SAY BYE-BYE BAT WINGS

If the underside of your upper arms is sagging or appear loose and full due to excess skin and fat, an arm lift may be right for you.

Changes in weight, growing older and genetics can cause your upper arms to have a drooping, sagging appearance. Exercise can strengthen and improve the underlying muscle tone of the upper arm, but it cannot address excess skin that has lost elasticity or underlying weakened tissues and localized fat deposits. Liposuction alone is not adequate in some scenarios as fat removal alone will result in more loose hanging extra skin.

If the underside of your upper arms is saggy or appear loose due to extra skin and fat, an arm lift may be right procedure for you.

What is an arm lift?

The arm-lift or medical term brachioplasty, is a surgical procedure designed to tighten tissue above the elbow to restore structure to the upper arm and remove fat deposits. The procedure can be completely tailored based on individual needs—some individuals have a full brachioplasty, while others have a smaller mini-arm lift. The goal is to place the incision in the least visible location possible.

Is it the correct operation for me?

Anyone who is unhappy with the appearance of loose, sagging skin along their upper arms is a potential candidate for an arm lift. It is very common for those who have lost a significant amount of weight to turn to an arm lift procedure to remove excess skin and improve the appearance of their arms. Overall, a good candidate is someone at their ideal weight and in good health with a clear understanding of the procedure, recovery process, and end result to expect.

What is the recovery process like?

An arm lift is an outpatient procedure, so patients are able to return home on the same day. Bruising and swelling in the area is common after an arm lift and typically peaks at around three days following the procedure. 

Overall, the recovery process lasts about a week, with most patients returning to work in less than seven days. Heavy lifting and exercise should be avoided for six weeks. Recovery will include several follow-up appointments so your doctor can monitor healing. After surgery, patients are placed in a special compression garment that should be worn for approximately six weeks, after which full activity can be resumed.

Arm lift procedures can truly be life-changing for those who struggle with the appearance of unsightly, sagging skin around the upper arms as they age. With the right surgeon and the right plan, you can say goodbye to loose skin around your upper arms and begin looking and feeling your best. 

How much will arm lift surgery cost?

Cost is always a consideration in elective surgery. The cost for an arm lift may vary based on the type of procedure used, as well as the hospital used. When choosing a plastic surgeon for an arm lift, remember that the surgeon’s experience & pedigree and your comfort with him or her are just as important as the final cost of the surgery.

Interested to say Goodbye to unsightly Bat Wings?

#batwings #brachioplasty #armlift #cosmeticsurgery #plasticsurgery #bariatricsurgerymalaysia #bodycontouring #loveyourbody #skincheckmalaysia88 #drleesengkhoo #gemclinic

Follow us at http://www.facebook.com/skincheckmalaysia

and on Instagram #skincheckmalaysia88 #drleesengkhoo

Our list of services & treatments can be found here https://teleme.co/doctors/profile/khoo-lee-seng#treatment

You may reach our practice by emailing contact@skincheckmalaysia.com

Or +6014 2006558 (Whatsapp Only) or call us at 03-56211909 to schedule an appointment.