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Darren M. Smith, MD, FACS

Before & after

GLP-1 Weight Loss Case 3: Extended Arm Lift & Breast Reshaping

Before and after photographs from Dr. Darren Smith’s practice. Individual results may vary.

Case 3 · Extended arm lift and breast reshaping

Extended brachioplasty and breast reduction/lift with auto-augmentation

This patient lost more than 100 pounds with a GLP-1 medication. An extended arm lift addressed excess upper-arm and underarm skin, while breast reduction and lift with auto-augmentation reshaped her breasts using her own tissue without implants.

Patient goal
Improve arm and underarm contours and reshape the breasts after major weight loss
Treatment
Extended brachioplasty; breast reduction and lift with auto-augmentation
Technique
Skin removal across the upper arms and axillae; breast tissue repositioned for upper-pole fullness
Photographed
Age range
Implants
No breast implants
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Individual results may vary.

Before and after extended arm lift and breast reduction and lift with auto-augmentation following more than 100 pounds of GLP-1 weight loss. Her own breast tissue provided fullness without implants.View larger ↗
Before and after extended arm lift and breast reduction and lift with auto-augmentation following more than 100 pounds of GLP-1 weight loss. Her own breast tissue provided fullness without implants.
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Little arm fat, but substantial loose skin

After losing more than 100 pounds with a GLP-1 medication, this patient's arms had little remaining fat and significant excess skin. Her concerns extended into the axillae, or armpits, where the arms meet the side of the chest. Dr. Darren Smith planned her treatment around the relationship between the arms, underarms and breasts.

Why use an extended arm lift?

The extended brachioplasty removed excess upper-arm skin and addressed the neighboring underarm skin. Treating these areas as a unit allowed the plan to account for the transition from the arms through the axillae to the breasts.

Her main arm concern was skin excess after weight loss, rather than a large amount of residual fat. That distinction explains the role of skin-removal surgery in this case.

Breast fullness using her existing tissue

She retained enough breast tissue to reshape her breasts without implants. Her procedure combined reduction and a lift with auto-augmentation: excess volume was reduced, the breasts were lifted, and remaining tissue was repositioned to provide upper-pole fullness.

Here, “augmentation” describes redistribution of fullness within the breast. It does not mean that an implant was added or that overall breast size increased. Her own tissue supplied the volume needed for the intended shape.

The coordinated upper-body result

The side-by-side photographs show the arms, underarms and breasts together, illustrating the areas addressed in her surgical plan. The result reflects her starting tissue and the extent of skin excess after weight loss.

Read about plastic surgery after GLP-1 weight loss or meet with Dr. Smith in Midtown Manhattan, NYC to discuss loose skin and breast reshaping.

Individual results vary.

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