With time comes wisdom, perspective, and often, sagging upper arms. I remember that as a young boy I enjoyed playing with the loose skin under my grandmother’s arms. Looking back, I realize what a good sport she was to allow her grand children to play with her “bat wings”.

Dips, triceps extensions, and a healthy diet help, but sometimes nothing works to adequately tighten your arms and make you feel comfortable in a tank top or short sleeve shirt.

There are three basic ways we can help.

If you have full arms, with good elastic skin, we can do liposuction. Upper arm liposuction can remove excess fat so your arms are sleeker. The incisions are minimal and recovery is easy, with wearing an elastic wrap around the upper arms for a few weeks.

If you have a lot of loose skin, the best answer is a brachioplasty (pronounced, brake-ee-oh-plast-ee). Brachioplasty is like a facelift, or tummy tuck, for your arms. Excess skin and fat are removed leaving a row of stitches behind the arm which are removed about two weeks later. This procedure is highly effective at shaping the upper arms, though there is a long thin scar along the back, or undersurface of the arm skin.

For people with some loose skin, but not enough to make a brachioplasty worthwhile, we have Bodytite. In this procedure two or three needle pokes are used to introduce a thin flexible probe under the arm skin. The probe puts in energy which melts fat and tightens the skin. The melted fat is suctioned out at the end and you’ll need to wear an elastic compressive garment afterwards. Over the next several months the skin tightens to its maximal ability and the arm becomes more shapely. This procedure can provide much of the benefit of a brachioplasty, without the resulting scarring.

Sagging upper arms are manageable. Shapely arms and the confidence of knowing you look good in a short sleeved shirt are attainable. The experts at The Spiegel Center can help guide you to the best solution.


Meet Our Doctors

Dr. Jeffrey Spiegel


Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

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Dr. Onir L. Spiegel


Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

Learn More About Dr. Onir L. Spiegel

Dr. Jacob Tower


Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

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