One of the most challenging areas where fat is difficult to lose and eliminate is the arms. Arms do not easily slim down through traditional methods such as exercise and dieting. Therefore, we aim to introduce you to arm lipomatic surgery.
One of the major concerns, particularly among women, is having large or disproportionate arms. In some cases, even individuals with a normal BMI and no excess weight may genetically have larger arms. The presence of large arms creates an imbalance in body proportions. Reducing fat around the arms is extremely difficult, and it is rarely observed that exercise alone can successfully eliminate arm fat and achieve proportionate arms. In fact, if you attempt to reduce the accumulated fat under your arms through exercise, not only will it fail to remove the fat, but it may also lead to increased muscle development in the biceps and triceps, which can further enlarge the arms and produce the opposite of the desired effect.

Reasons for Undergoing Arm Lipomatic Surgery

The primary reason for undergoing arm lipomatic surgery is to reduce the volume of the arms and create symmetry. If you have large, bulky arms and dieting, exercise, and other weight-loss methods have not successfully reduced the fat under your arms, the best way to achieve proportional arms is through arm lipomatic surgery. Below are some of the key reasons for considering arm lipomatic surgery:

• Noticeable reduction in arm size
• Weight loss
• Achieving arm proportions in harmony with the rest of the body
• Reaching an ideal body shape
• Reducing skin friction between the underarm and the body

Candidates for Arm Lipomatic Surgery

One of the most common questions people ask is whether they need arm lipomatic surgery. According to Dr. Hamidreza Vafaei, almost all individuals with large arms are suitable candidates for this procedure.
However, there are specific cases where certain individuals are not ideal candidates. For example, those who have undergone extreme weight loss (around 40 to 50 kg) either through cosmetic surgeries or strict dieting may experience sagging arm skin due to the depletion of fat cells. These individuals are not suitable candidates for arm lipomatic surgery and would require a brachioplasty (arm lift) to remove sagging skin. Apart from these rare cases, which account for less than ten percent of individuals, most people with large arms are ideal candidates for arm lipomatic surgery.

Advantages of Arm Slimming with Lipomatic Surgery

Arm lipomatic surgery offers more benefits compared to other weight-loss methods. Here are some of its key advantages:

• Performed without general anesthesia (using only local anesthesia)
• Short procedure duration (maximum of one hour)
• Ability to resume daily activities immediately after the procedure
• No need for incisions or stitches (only a 2mm hole at the back of the arm)
• No visible scars on the body

Arm lipomatic surgery is performed without general anesthesia and takes less than one hour. It does not require stitches, and no scars will remain on the skin. Immediately after the procedure, you can resume your daily activities.

Is It Possible to Perform Lipomatic Surgery Around the Entire Arm?

In some cases, patients insist on undergoing lipomatic surgery around the entire arm. However, this request is a mistake. Performing lipomatic surgery around the entire arm is a serious error that can damage the arm’s nerves and lymphatic vessels. Due to the anatomy of the arm, more than 90% of the fat that is removed is located in the back of the arm, on the triceps muscle. The front part of the arm contains the deltoid muscle, which is the site for intramuscular injections. Therefore, lipomatic surgery should not be performed on this area under any circumstances.

Simultaneous Lipomatic Surgery on the Arms and Other Procedures

The decision to combine arm lipomatic surgery with other procedures depends on the doctor’s assessment. According to Dr. Hamidreza Vafaei, if the additional procedure is minor, such as abdominal or flank lipomatic surgery, it can be performed simultaneously.
However, if the other procedure is more extensive, the doctor may prefer to perform the surgeries separately for several reasons. One major concern is prolonged anesthesia, which can be harmful and dangerous for the patient. Additionally, arm lipomatic surgery is performed under local anesthesia, meaning the patient remains conscious and can cooperate with the doctor during the procedure, leading to better surgical outcomes.

Duration of Arm Lipomatic Surgery

Arm lipomatic surgery does not require much time and is performed without general anesthesia. The entire process is completed in less than an hour. Once the procedure is done, you can immediately resume your daily activities.

According to Dr. Hamidreza Vafaei, patients can begin aerobic exercises the day after surgery without any issues.

Recovery Period for Arm Lipomatic Surgery

As previously mentioned, arm lipomatic surgery is a non-surgical, outpatient procedure performed without anesthesia. Patients can immediately return to their normal daily activities with no movement restrictions. The procedure involves creating a small, 2mm incision at the back of the elbow. In some cases, minor bleeding or discharge may occur for one to two days after the procedure, which can be managed using sterile gauze or sanitary pads.
As with any surgical procedure, smoking is not recommended for at least one month after arm lipomatic surgery. Smoking can lead to the formation of fibrous tissue and adhesions in the wound, increasing the risk of uneven skin texture and prolonging the healing process. Additionally, smoking after lipomatic surgery may result in scarring or permanent marks on the arm.
Dr. Hamidreza Vafaei states that patients can engage in aerobic exercises starting the day after surgery without any complications. However, strength training and resistance exercises specifically targeting the arms should be postponed for about 20 days to one month to allow the tissues to heal properly before engaging in intensive arm workouts.

• Wearing a compression garment for one to two months will significantly help shape the arms.
• Starting from the second week, massaging the arms improves blood circulation, reducing pain, inflammation, and swelling.
• Smoking leads to fibrous tissue formation and adhesions in the wound, which may result in uneven skin texture.

The Importance of Post-Lipomatic Care for Arms

Just like any other cosmetic procedure, post-lipomatic care for arms is extremely important to ensure a more satisfying outcome. Achieving weight loss and body slimming not only relies on multiple surgeries or different dietary regimens but also requires determination and persistence for long-term effectiveness. Arm lipomatic surgery is no exception. To achieve the desired arm shape, patients must carefully follow post-procedure care instructions. One of the most crucial post-lipomatic care steps is wearing a compression garment for one to two months after the procedure. This helps significantly in shaping the arms and prevents skin sagging after lipomatic surgery.
The second important factor in post-operative care is massaging the arms, which is generally recommended starting from the second week. Massaging increases blood circulation in the arms, reducing pain, inflammation, and swelling, leading to a smoother and more uniform final result. It is advised to massage the arms daily for 30 minutes to one hour using oils such as bitter almond oil, black seed oil, or similar alternatives.
For some individuals, depending on the doctor’s assessment, RF (radiofrequency) treatment may be recommended. This method is particularly beneficial for those with larger arm volume, as RF helps tighten and smooth the skin after lipomatic surgery, giving it a more refined shape.

Cost of Lipomatic Surgery

To obtain an accurate price for arm lipomatic surgery, an in-person consultation with Dr. Hamidreza Vafaei is required. His clinic is located at:
Unit 505 – 5th Floor – Paydar Complex – Beginning of East Sarv – Kaj Square – Saadat Abad.
Alternatively, you can call +989109505447 to schedule an appointment. After a thorough examination of arm volume and other considerations, the final price will be determined and communicated to the patient.

Dr. Vafaei’s Recommendations for Arm Lipomatic Surgery

It is essential to be highly meticulous in choosing a surgeon and the method of surgery. The arms are among the areas where fat removal through lipomatic surgery requires specialized skills. If the surgeon lacks expertise, there is a risk of nerve and lymphatic vessel damage, which could have severe consequences for the patient. Unfortunately, some practitioners recommend brachioplasty instead of lipomatic surgery. Brachioplasty is a much more invasive procedure that involves a longer recovery period and leaves permanent scars on the arms. Therefore, patients should be cautious when selecting their surgical approach.

Frequently Asked Questions About Arm Lipomatic Surgery
🔹 Will my arms become loose or saggy after fat removal?
No, with consistent use of a compression garment and regular massages, the skin will tighten. However, the degree of firmness also depends on the skin’s condition before surgery.

🔹 Is general anesthesia required?
No, it is an outpatient procedure performed under local anesthesia.

🔹 Should I lose weight before surgery? Can I exercise after the procedure?
No, weight loss before surgery is not necessary. However, heavy workouts should be avoided for at least one month after the procedure.

🔹 Will my skin be smooth after lipomatic surgery, or will there be bumps?
Yes, after the procedure, the skin will be completely smooth without any lumps. You can view the before-and-after images in this article.

🔹 My friend had severe swelling for 20 days and couldn’t move her arm. Will this happen to me?
Different techniques yield different results. With Dr. Vafaei’s method, there is minimal swelling and no post-surgical pain.

🔹 How soon can I return to work after the surgery?
You can resume your daily activities immediately, but avoid heavy lifting or strenuous hand movements for a few days.

🔹 What is the recovery period? Is there a risk of embolism? Can the fat return?
Outpatient procedures performed without general anesthesia carry zero risk of embolism. Additionally, lipomatic surgery removes all fat cells from the arms, so fat will not return.

🔹 What is “destructive liposuction,” and does it prevent fat from returning?
There is no such term as “destructive liposuction.” However, since arm lipomatic surgery completely removes fat cells, there is no possibility of fat returning.

🔹 Can lipomatic surgery be done around the entire arm?
No, over 90% of arm fat is concentrated in the lower arm area, which is the primary focus of fat removal.

🔹 Should I follow a diet before or after the procedure?
If your only goal is arm fat reduction, a diet is not necessary, as the surgery completely removes fat deposits from the arms.

🔹 As a nail technician, how long should I rest before returning to work?
Since your job involves filing and heavy hand movements, it is best to avoid strenuous activities for a few days after the procedure.

🔹 Will there be stitches after arm lipomatic surgery?
No, the procedure is performed through a tiny 2mm incision without any stitches or surgical cuts.