Maximer Liposuction - Upper Arms, Inner Axilla, Anterior Axilla, Posterior Axilla

;Includes the upper arms (excluding the anterior surface and elbow), axilla, anterior axillary fat pads, and bra fat. Most clinics typically perform arm and axillary liposuction simultaneously.

 

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ARMS / AXILLA / BRA FAT

 

LATERAL ARMS

 

A prominent lateral arm contour is typically a masculine body characteristic. The deltoid muscle sits above this area, so any prominence may be attributable to muscle rather than fat, and size change after liposuction may be limited.

 

However, even a small amount of fat removal can dramatically reshape the lateral arm contour into a smooth, straight, feminine line. Care must be taken to avoid creating depressions below the deltoid muscle.

 

 

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POSTERIOR INFERIOR ARMS

 

 

The posterior inferior arm is the area most commonly requested by patients seeking arm liposuction, and it yields the most dramatic results. Precise fat removal in the axillary and elbow regions is essential to achieve a beautifully straight arm contour. Incomplete suctioning may result in sagging or a club-shaped appearance.

 

Patients with well-developed biceps and triceps may experience only modest size reduction or some residual skin laxity. Since this area connects to the axilla, combining liposuction with the posterior axillary back produces significantly better results. The fat in this area has properties similar to that of the inner thighs and lower abdomen, with excellent postoperative skin retraction, making it effective even for patients with loose arm skin.

 

 

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ANTERIOR AND POSTERIOR AXILLA = Bra Fat

 

Fat on the anterior and posterior sides of the axilla is commonly referred to as bra fat. Many patients initially undergo arm liposuction alone and later return to address these areas. The anterior axillary area consists of a small amount of elevated fatty tissue extending from the axilla to the breast. Although the fat volume is modest, treating this area produces a remarkable aesthetic improvement as it enhances the chest contour.

 

Depending on body type, accessory breast tissue (polymastia) may be present in the axilla. Patients with excess tissue in this area tend to sweat more in summer and are prone to heat rash. Axillary liposuction can reduce sweating and may also improve underarm odor.

 

Liposuction of the fat above the scapula, combined with posterior arm treatment, produces outstanding results. This area shapes the transition from a feminine inverted triangle to a trapezoidal, straight-line body contour when the arms are raised.

 

When men raise their arms to 90 degrees, the obtuse angle between the arm and axilla creates a masculine, muscular triangular upper body. For women, a straight-line contour at 90 degrees creates the most attractive silhouette. Therefore, combining arm liposuction with posterior axillary back treatment creates a feminine upper body profile, increases the gap between the arm and axilla to reduce skin friction, and notably decreases the posterior arm and axillary bulge visible in the standing position.

 

 

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1. Indications

 

;Patients whose arms appear disproportionately thick relative to the upper body and who wish to undergo simultaneous treatment of the anterior axilla, axilla, and posterior axilla to achieve balanced, natural arm and upper body contours. In most cases, the anterior arm is excluded due to its thin fat layer.

 

 

2. Design

 

;Covers the arm from the lateral scapular prominence to the elbow joint, excluding the anterior arm and elbow, along with the inner axilla (accessory breast tissue), anterior axilla (axillary fat pads), and posterior axilla. The illustration below shows the 360-degree circumferential arm design, which includes the anterior arm and elbow.

 

Additional options: elbow, circumferential arm, axilla, anterior and posterior axilla, bra-line back

 

 

Arm Maximer Type A

 

 

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Treatment area: Circumferential arm (excluding elbow), axilla, anterior axillary fat pads, posterior axillary back

 

 

Arm Maximer Type B

 

 

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Treatment area: Posterolateral arm, elbow, axilla, posterior axillary back

 

 

Arm Maximer Type C

 

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Treatment area: Circumferential arm (including elbow), axilla, anterior axillary fat pads, posterior axillary back

 

 

3. Advantages

 

  • Particularly effective when there is significant fat in the axilla and anterior/posterior axilla, even if the bra-line back has minimal fat.
  • Creates a softer, more natural transition from the arms to the torso and breasts compared to arm liposuction alone.
  • Maximer arm liposuction provides excellent value relative to the treatment area covered, achieving maximum size reduction at a reasonable cost.

 

 

4. Surgical Cases

 

 

CASE I

 

 

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CASE II

 

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CASE III

 

 

 

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