The amount of skin and fat to be removed is assessed by the surgeon and marked on the inside of the upper arms and then removed surgically. The idea is to place the resultant scar in the most invisible position.
This way even without sleeves the scar is not visible from front or back in a social encounter. The scars will be visible in the raised arms position however.
Many women who experience problem with the proper dress feel much better after the procedure as they find most of the dresses fitting and they are at ease socially.
After completing Arm lift surgery the initial pain and swelling will subside in four to five days, then a week of restricted activity followed by no strenuous exercise for another 10 days to two weeks.
As with any surgery, the general complications of infection, bleeding etc. can happen but not common. Swelling and bruising are part of the surgery and will subside in due course of time. Thick, wide or pigmented scars are potential complications which are undesirable in arm lift surgery.