Ästhetik am Isartor
Editorial upper body in peach knitwear with a raised arm — the natural contour of the inner upper arm. Ästhetik am Isartor practice, Munich
TreatmentBody surgery05

Brachioplasty · classic or liposuction with Renuvion

Sagging upper-arm skin after weight loss or ageing — tightened precisely. Where the skin quality is good, even without a visible longitudinal scar.

Treatment

What is Arm lift?

The arm lift (brachioplasty) is a surgical procedure to remove excess skin and fatty tissue on the inner side of the upper arms — usually after pronounced weight loss, in the natural ageing process or where skin laxity is genetically determined. At the Ästhetik am Isartor practice in Munich it is offered under the medical direction of Dr. Fabian Weinschenk in two variants: the classic brachioplasty with a longitudinal incision on the inner upper arm between the armpit and the elbow, and liposuction with Renuvion through the fine incisions of the aspiration and the Renuvion treatment — the latter where skin quality is good and laxity mild to moderate. The operation is carried out under local anaesthetic, twilight sedation or gentle general anaesthesia, takes about two to two and a half hours and requires either an outpatient setting or one night as an inpatient. Patients wear a compression garment for six weeks; sporting activity is possible again after three to four weeks.

Suitability

Who is Arm lift suitable for?

Sagging upper-arm skin usually arises after weight loss, in the natural ageing process or through a genetic predisposition. Brachioplasty corrects it — in two variants, depending on the skin quality.

Woman in her mid-forties in a peach knit bralette on a wooden bench — calm editorial portrait, mature composition

Suitable for

The arm lift is suitable for sagging upper-arm skin after weight loss, in the natural ageing process or where there is genetically determined skin laxity. The liposuction-with-Renuvion variant comes into question for mild to moderate laxity with good skin quality; the classic brachioplasty for pronounced laxity or poorer skin elasticity. A precondition in both variants: a stable weight, a healthy lifestyle, realistic expectations.

Not suitable for

The arm lift is not appropriate where weight has not been stabilised — here we would first like to work with you on stabilising your weight. Acute wound-healing disorders or infections as well as active anticoagulation that cannot be paused postpone the operation. Where there is very pronounced laxity with functional complaints, we combine it where appropriate with other body-tightening procedures.

Which variant comes into question — classic or liposuction with Renuvion — we decide together in the personal initial consultation, after assessing the skin quality.

Method

Classic or liposuction with Renuvion — a question of skin quality.

Both procedures tighten the upper arms; they differ in the incision, the resulting scar and the indication. The choice depends on how much skin has to be removed and how elastic the remaining skin is.

Which variant is suitable depends on the skin quality — we assess it in the medical initial consultation (€100). Specific treatment costs are calculated individually; clinic fees are shown separately.

Instrument

When the skin works with you.

Where the skin quality is good, liposuction followed by a Renuvion treatment is usually enough: through the fine liposuction access points, a helium-plasma handpiece tightens the skin from within — no long longitudinal scar, a barely visible correction, provided the skin brings the right conditions with it.

A doctor's hand holding the Renuvion handpiece with a peach-orange glow over bone-cream cotton on charcoal-green linen — close-up detail
Sand-taupe linen with a fine peach silk thread on charcoal-green linen — calm atmospheric texture
A scar three years after the operation — practically nobody comments on it. That is what we aim for.
Treatment philosophy · practice at the Isartor

Procedure

How the procedure works

Four clearly separated steps — from the initial consultation through the assessment of the skin quality to consistent aftercare with arm sleeves. With liposuction and Renuvion the pace shifts: no longitudinal incision, a shorter recovery.

  1. Dr. Fabian Weinschenk in a personal consultation at the Ästhetik am Isartor practice in Munich
    Schritt 01approx. 45 min.

    Consultation

    In the personal initial consultation (€100) we assess your skin quality clinically — decisive for the choice between classic brachioplasty and liposuction with Renuvion. We discuss the choice of method, the risks and the alternatives. You receive a written cost estimate afterwards.

  2. Woman in her mid-forties folding a bone-cream cardigan into a small leather bag at home — a calm morning preparation
    Schritt 02

    Preparation

    The pre-operative tests (blood count, ECG where indicated) must be available; no nicotine for at least 4 weeks beforehand. A weight that has been stable for several months is a precondition. As one night as an inpatient is planned, pack a small bag with comfortable, loose clothing for the journey home.

  3. Sterile operating theatre at the Ästhetik am Isartor practice in Munich
    Schritt 03approx. 2–2.5 hours

    Operation

    The operation is carried out under local anaesthetic, twilight sedation or gentle general anaesthesia. With the classic brachioplasty, liposuction of the upper arms is carried out first; excess skin and fatty tissue are then resected through a longitudinal incision on the inner side, followed by a multi-layered suture. With liposuction and Renuvion, the helium plasma tightens the skin from within through the fine incisions of the liposuction — without a longitudinal incision.

  4. Woman in her mid-forties at home in a green velour armchair with a warm cup of tea — a calm moment of convalescence in a long-sleeved top
    Schritt 04

    Aftercare

    As an outpatient or with one night as an inpatient. Immediately afterwards you wear compression arm sleeves around the clock for 6 weeks. Take it easy with the arms in the first 2 weeks — no lifting movements above the head. The first check-up is after 14 days, with further appointments after 6 weeks and 6 months. Sporting activity is possible again after 3-4 weeks.

Facts

Key facts

Type
surgical, outpatient or 1 night
Anaesthesia
local anaesthetic, twilight sedation or gentle general anaesthesia
Duration
approx. 2–2.5 hours
Stay
outpatient or 1 night
Incision
longitudinal scar on the inner side OR the incisions of the aspiration and the Renuvion treatment
Compression
arm sleeves for 6 weeks day and night
Taking it easy
2 weeks with no lifting movements above the head
Exercise
after 3–4 weeks
Consultation
€100 · required before every treatment

Recovery

Recovery & final result

  1. DAY

    0.

    Waking up, resting.

    Operation; the compression arm sleeves are fitted straight away. Outpatient, or one night of inpatient observation. Pain is usually mild to moderate — well managed with painkillers.

  2. WEEK

    1–2.

    Go easy on the arms.

    Treat the arms strictly gently. No lifting movements above the head, no heavy objects. Compression sleeves around the clock. First wound check after 14 days.

  3. WEEK

    3–4.

    Moving again.

    Compression continues day and night (six weeks in total). Light sporting activity is possible again after consultation. The scar begins to mature.

  4. MONTH

    3–12.

    Fading.

    With the classic variant: the scar fades markedly over 1-3 years. Patients' experience after 3 years: practically nobody comments on it. With liposuction and Renuvion: barely visible scars.

Endergebnis

The final result can be assessed after 3 to 6 months — with the classic variant, scar maturation takes 1-3 years until the scar has faded as far as it will.

Once matured, the scar on the inner upper arm is very inconspicuous — three years after the operation, patients report consistently that it is not noticed in everyday life. Where the skin quality is good, we opt from the outset for the scar-sparing liposuction with Renuvion.

A folded bone-cream compression arm sleeve with a peach silk ribbon, an olive branch and a ceramic bowl on charcoal-green linen — aftercare still life

Patience

Six weeks, then rarely commented on.

Compression arm sleeves around the clock for six weeks are not a recommendation but a precondition for clean scar healing. The longitudinal scar on the inner side fades markedly over the first 1-3 years — patients three years after the operation report consistently that the scar is practically not noticed in everyday life.

Consultation

100

approx. 45 min · medical · mandatory before every treatment (§ 8 HWG)

Let us establish the indication together.

Which method suits your situation can only be established reliably in a personal examination and consultation.

What is included

  • Examination & establishing the indication
  • Choice of method, risks & alternatives
  • Written cost estimate afterwards

Risks

Risks & informed consent

When carried out properly, the arm lift is an established procedure. Liposuction with Renuvion involves a considerably smaller surgical profile. We discuss all risks in the personal informed-consent consultation.

  1. General

    Swelling and bruising on the upper arms are part of the expected course in the first weeks after the operation and typically subside completely within a few weeks. Wound-healing disorders are reduced to a minimum by sterile operating conditions, consistent compression sleeves and taking it easy with the arms in the first two weeks.

  2. Specific

    With the classic brachioplasty a longitudinal scar remains on the inner upper arm — it does, however, fade markedly over one to three years. We avoid asymmetries or uneven skin tension through precise pre-operative planning. A temporary change of sensation on the upper arm is possible and as a rule resolves within months.

  3. Very rare

    Thromboembolic events are avoided by early mobilisation and consistent compression. Impaired lymphatic drainage in the upper arm is very rare and is prevented by wearing the arm sleeves.

All individual risks are documented in detail during the personal informed-consent consultation in accordance with § 8 HWG (German Health Advertising Act).

Costs

Costs at a glance

The arm lift starts from €9,900. Liposuction with Renuvion is calculated individually, as an outpatient procedure it varies with the effort involved and the skin quality.

Starting price

from €9,900 classic brachioplasty

Variants

Classic brachioplasty vs liposuction with Renuvion

AspectClassicLipo + Renuvion
IncisionLiposuction + longitudinal incisionIncisions of the aspiration + Renuvion
Visible scaryes (fades over 1–3 years)practically none
Indicationpronounced laxitygood skin elasticity
Surgery time2–2.5 hoursshorter, individual
Anaesthesialocal anaesthetic, twilight sedation or gentle general anaesthesiaindividual, local where appropriate
Stayoutpatient or 1 nightconceivable as an outpatient procedure
Starting pricefrom €9,900individual

Which variant comes into question is decided by the skin quality — we assess it in the medical initial consultation (€100). Clinic fees are shown separately.

All starting prices are net · plus 19% VAT · excluding clinic fees for anaesthesia and overnight stay. Individual cost estimate in the personal initial consultation (€100).

Questions

Frequently asked questions

  • Classic or liposuction with Renuvion — how do I decide?

    The skin quality decides. With mild to moderate laxity and good skin elasticity, liposuction with Renuvion is enough — through the fine incisions of the liposuction the helium plasma tightens the skin from within, with no visible longitudinal scar. Where laxity is pronounced or the skin quality poorer, the classic brachioplasty with a longitudinal incision on the inner side is the more suitable choice. We assess the skin quality clinically in the initial consultation (€100).

  • How visible will the scar be?

    With the classic brachioplasty a longitudinal scar remains on the inner upper arm between the armpit and the elbow — it does, however, fade markedly over one to three years. Patients three years after the operation report consistently that the scar is practically never commented on in everyday life. With liposuction and Renuvion, barely visible scars remain.

  • When can I exercise again?

    Sporting activity is possible again after 3-4 weeks, following consultation. In the first 2 weeks the arms must be treated strictly gently — no lifting movements above the head, no heavy objects. You wear the compression arm sleeves for 6 weeks day and night.

  • What does an arm lift cost in Munich?

    The classic brachioplasty starts from €9,900. Liposuction with Renuvion is calculated individually, as an outpatient procedure it varies with the effort involved and the skin quality. You receive a written cost estimate in the initial consultation (€100).

  • Is liposuction possible at the same time?

    Yes. With the classic brachioplasty, liposuction of the upper arms is part of the operation — useful where a fat pad as well as the excess skin has to be contoured. With liposuction and Renuvion, the aspiration is an integral part of the procedure in any case.

  • How long do I have to wear the compression?

    6 weeks day and night (removing it only to shower). The compression arm sleeves reduce swelling, shape the tissue and are an essential part of the surgical result — with the classic variant as well as with liposuction and Renuvion.

  • When is the final result visible?

    The first contours become visible after 3-4 weeks. The final result stabilises after 3 to 6 months, once all swelling has subsided. With the classic variant the scar matures over 1-3 years until it has faded as far as it will.

  • Does health insurance cover an arm lift?

    On purely aesthetic grounds, no. After massive weight loss with documented functional complaints (for example recurrent skin inflammation at the armpit), an individual case review can make sense — the application is prepared with you.

  • Why don't you show before-and-after photographs on your website?

    For two reasons — one legal, one ethical. First, the German Heilmittelwerbegesetz (§ 11 HWG, the Health Advertising Act) prohibits advertising surgical plastic procedures with before-and-after photographs on publicly accessible websites — a rule in force since 2012 that protects patients from distorted promotional depictions. Second, we respect our patients' privacy: even where written consent exists, many would rather intimate photographs of their body did not circulate on the open web. What you can expect instead: in the personal initial consultation (€100) we show you anonymised examples from our own practice documentation — matched to your indication, your build and your aesthetic goal. Those images are shown with the written consent of the patients concerned, exclusively within the protected setting of the consultation, and are never published online. You get a realistic sense of what to expect without anyone having to give up their privacy for someone else's advertising.

  • What should I look for when choosing a doctor for aesthetic plastic surgery in Munich?

    Three objective criteria help you get your bearings. First, the specialist qualification: "Facharzt für Plastische und Ästhetische Chirurgie" is a legally protected German specialist title requiring several years of specialist training — unlike general, unprotected descriptions such as "cosmetic surgeon". Second, membership of a medical professional society such as the DGPRÄC (the German Society of Plastic, Reconstructive and Aesthetic Surgeons), which requires binding professional standards and continuous further training. Third, the quality of the consultation: a reputable practice takes its time, is honest about risks, alternatives and realistically achievable results, and does not push you towards a decision. At Ästhetik am Isartor the medical direction lies with Dr. Fabian Weinschenk, specialist in plastic and aesthetic surgery (Facharzt) and a member of the DGPRÄC. Procedures are carried out personally by the specialist, and every treatment is preceded by a detailed medical informed-consent consultation (chargeable at €100).

Related

Related treatments

contactisartorplatz

initial consultation

In the consultation we establish what is possible — and what is not. In person at the Isartorplatz, unhurried, with no sales pressure.

Dr. Fabian Weinschenk, specialist in plastic and aesthetic surgery, at the Ästhetik am Isartor practice on Isartorplatz in Munich
munich · MMXXVI

Dr. Fabian Weinschenk
Specialist in plastic and aesthetic surgery (Facharzt)