Brachioplasty (Arm Lift) Procedure Overview Brachioplasty is performed to improve the shape of the upper arms. The ideal candidate has excess skin and fat in the upper arms out of proportion to the rest of their body. Tissue is removed through an incision placed on the inner arms from the armpit to a few inches above the elbow. The scars are hidden with the arms to the side but may be visible with the arms overhead. Patients with little skin excess may be candidates for removal of fat alone with liposuction. The procedure is performed under general anesthesia or sedation with local anesthetic. Most patients choose the latter for cost considerations. Following the procedure a compression garment is worn and exercise is limited for approximately 6 weeks.