Reshape and restore firmness to your upper arms. We eliminate the loose skin of the inner arm with precise technique, a discreet scar and natural results in Madrid, Marbella and Gibraltar.
With age or following significant weight loss, the inner upper arms can lose elasticity, developing folds and sagging that disrupt overall body harmony. An arm lift — or brachioplasty — corrects this excess skin, tightens the underlying tissue and restores a slender, youthful appearance with natural, long-lasting results.
In mild cases, a short incision is concealed within the axillary crease, leaving a scar that remains hidden even with the arms raised. When the sagging is more severe, the incision extends along the inner arm toward the elbow (the vertical technique). Targeted liposuction may be added in the same session to remove residual fat and refine the contour. The procedure is performed under general anaesthesia and takes approximately two hours.
Dr. Marco Vricella assesses skin quality, the amount of residual fat and the patient’s overall health during the consultation, in order to design the most appropriate surgical plan. Reaching a stable weight before surgery enhances the outcome, and abstaining from tobacco at least three weeks before and after the procedure is critical for optimal healing.
Meet the DoctorThe surgical plan is personalised according to the degree of skin laxity, the presence of residual fat and each patient’s goals. Dr. Vricella explains every option in detail during the initial consultation.
For mild cases of skin laxity. The short incision is hidden in the axillary crease, invisible even when the arms are raised. Ideal when there is little excess skin and looseness is concentrated near the upper arm.
Axillary scar · Mild casesIndicated for severe sagging or after major weight loss. The incision extends down the inner arm toward the elbow, allowing a greater skin resection and a complete remodelling of the arm contour.
Severe sagging · Post-bariatricA combination of arm lift and targeted liposuction in the same session, addressing both excess skin and residual fat deposits. Delivers a more complete and balanced remodelling of the upper arm.
Full remodelling · Combined
Brachioplasty is performed under general anaesthesia in approximately two hours. The incision is placed in the least visible area for each clinical case, with Dr. Vricella tailoring every detail of the surgical plan to the patient’s anatomy and goals.
Recovery from brachioplasty is gradual and well controlled with appropriate medication. Some swelling and minor bruising is normal and improves noticeably within the first two weeks. Dr. Vricella’s team guides patients through every stage of the process.
Brachioplasty is indicated for patients with inner-arm laxity that does not respond to diet or exercise. A personalised assessment determines whether you are an ideal candidate and which technique best suits your case.
Assessment of the degree of sagging, skin quality, presence of residual fat and overall health. Selection of the most appropriate technique. No commitment required.
Design of the surgical plan: type of brachioplasty, possible combined liposuction, anaesthesia, and scheduling at the Madrid, Marbella or Gibraltar clinic. Clear pre-operative instructions provided.
Procedure under general anaesthesia lasting approximately 2 hours. One overnight stay. Dr. Vricella’s team ensures the highest standards of safety and patient comfort throughout.
Scheduled reviews to monitor progress, manage the compression sleeve and support a gradual return to daily and sporting activities.
The most common questions about brachioplasty with Dr. Marco Vricella in Madrid, Marbella and Gibraltar.
Take the first step towards slimmer, firmer arms. Dr. Vricella and his team will assess your case personally, answer all your questions and design the most appropriate plan for you — with no obligation.