Tag Archive | Skin



Brachioplasty, also known as an arm lift, is a surgical procedure to remove skin and fat from the upper arm, reducing skin redundancy, be it from fatty tissue, skin, losing weight or muscle.

Aging, fluctuations in weight, simple forces of gravity… all contribute to the loss of skin elasticity and tone.


Brachioplasty, arm lift or arm tuck, can, and often is, coupled with liposuction. When the excess skin is detached, the remaining skin is stretched and stitched back into place. The surgery often lasts for 2-3 hours, and the patients can be sent home on the same day.


Our patients have the advantage of a special arrangement we have with Sheraton Hotel, so even if Dr.Fisher has some prior surgery and the patient is taken into the OR in the afternoon, they can rest comfortably, accompanied by our staff, and transition into a wholesome uninterrupted sleep. Healing time after the surgery will vary between individuals. Dr.Fisher will ask you to avoid engaging in strenuous activities such as lifting heavy objects.

Who are ideal candidates for brachioplasty? Those who have lost weight after a massive surgery (e.g. bariatric surgery or “stomach stapling”), who exceeded their tanning, or even people who find that aging process inflicted unwanted and undesirable effects on their bodies. If a patient has predominantly excess of fatty tissue (all over the body) then liposuction must be performed first (or alongside with brachioplasty). Naturally, people who have some counterindication, such as multiple infections of the sweat glands (Hidradenitis Suppurativa) must be treated appropriately first. In cases of radical mastectomy (extensive breast cancer surgery) swelling of the arms is normal and an added aesthetic procedure may neither achieve the desired effects and/or cause unnecessary complications.

Before deciding on getting an arm lift, one must reflect on the scars that will be permanently found on the side of his or her arms. Depending on the length of the incision, the scar could extend from just within the armpit area or down to the elbow.  Although Dr.Fisher has already hidden these scars at the inner side of the arm, its appearance varies from one patient to the other and you should consult with Dr.Fisher on the issue in detail. What matters here is the extent of the procedure. Minimal skin excess may be treated with an incision in the armpit alone. Moderate laxity is treated with an incision from the armpit to the elbow. Most patients fall into this category. More severe cases are rare and may require extension of the incision past the elbow onto the forearm. Dr.Fisher performed dozens of incisions of all three types and has unparalleled experience in the area.

Finally, if you are planning or anticipate a significant loss of weight in the future, it is probably best to postpone your arm lift until after this has occurred to optimize your results.

Following arm lift surgery, many patients experience an immediate improvement in their self-esteem and discover a greater self-confidence. In addition, many also find greater access to different clothing styles and fashions and are less self-conscious at the gym, around the pool, or at the beach.

More on Microdermabrasion

There are two kinds of microdermabrasion treatments. One approach involves a hand-held device that streams tiny crystals across your skin. An attached vacuum simultaneously suctions those exfoliating crystals back into the machine, along with the dead or loosened skin.

The latest approach uses a diamond-tip wand that is gently moved across your skin to exfoliate. Each treatment will last about a half hour. You may feel a mild scratching as the procedure removes the superficial skin cells. Additionally, you will notice a vibrating sensation akin to a massage. There is also a suction mechanism to lift off the dead skin. Dr.Fisher invariably recommends a special moisturizer or facial product to enhance and prolong your result. You need to consult with Dr.Fisher or our expert nursing staff in person.

Any discomfort experienced as part of microdermabrasion is usually short-lived. This can include redness and swelling, which should subside within a few hours. Later, you can expect the skin to be flaky and dry for several days. Additional rare risks may include bruising, which can occur as a result of the suction, but does not last more than 2-3 days. Post-microdermabrasion, your skin will be more sensitive to sun exposure. Therefore, please use sunscreen, especially immediately following a microdermabrasion session. (viz. Dr.Fisher’s video advice on U-Tube)

Your polished new look should be long-lasting, depending on the severity of your skin damage and the number of treatments that you receive. Many people have two microdermabrasion treatments per month at first and then one per month as part of a maintenance plan. Finally, facial microdermabrasion is sometimes performed with no medical oversight, often in conjunction with facial spa treatments. However, the only way to prevent unwanted, unwarranted complications is to consult with a specialized expert. Dr.Fisher’s focus encompasses all facial and dermal problems, and he is indubitably the authority you need to consult if you have any questions, doubts or worries.

Chemexfoliation and Microdermabrasion

Here, in California, sun exposure is inevitable, and often leaves our skin dry, of uneven, wrinkled tone, perhaps even spotted or scarred. The exposure to UV rays accelerates aging, which many of us, sadly, realize only when it is too late.

If you want your skin to look smoother and younger, consider a chemical peel, which uses a chemical solution to smooth the texture of your skin by removing the damaged outer layers.

A chemical peel, also called chemexfoliation or derma peeling, is one of the least invasive ways to improve the appearance of your skin. Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and hands: age and liver spots can be significantly eradicated, acne and acne scars can be smoothened and virtually erased, freckles and irregular skin pigmentation, including rough, scaly patches and scars can be practically removed by repeated chemical peel.

On more sensitive areas of your body, we recommend microdermabrasion, which is a less aggressive approach than dermabrasion, make use of a minimally abrasive instrument to gently sand the skin, removing the thicker, uneven outer layer. This type of skin rejuvenation is used to treat light scarring, discoloration and sun damage and there’s even microdermabrasion for stretch marks.

Microdermabrasion uses microparticles, or a diamond-tipped wand, to slough off the top layer (epidermis) of your skin and stimulate new skin growth. This technique also helps to thicken your collagen, which results in a younger looking complexion.  Collagen is a protein in your skin that’s abundant when you’re a child and makes skin appear taut and smooth. Collagen production declines as we age, resulting in looser, uneven skin.

There is almost no discomfort in microdermabrasion, meaning you won’t need a topical or local anesthetic and there is no recovery or downtime.

More on Microdermabrasion tomorrow…