What arm lift techniques can you perform? January 25, 2023 An arm lift is an outpatient procedure that typically takes about two to three hours to complete. To begin, an anesthetic will be administered to ensure you are comfortable and pain-free throughout your surgery. Dr. Downey or Dr. Bullocks will then perform a combination of any of the following arm lift techniques. The surgical techniques Dr. Downey or Dr. Bullocks will use during your arm lift will be discussed while developing your personalized treatment plan during your one-on-one consultation. Traditional. Dr. Downey or Dr. Bullocks removes excess fat, skin, and tissue from a long, continuous incision made from the armpit to the elbow. Extended. This technique uses an incision that extends towards the chest or the wrist, depending on which area has loose skin or requires contouring. This technique may be required for patients with a large amount of excess skin. Hidden. Also known as a limited-incision brachioplasty, a hidden or “mini” arm lift involves a small incision along the underarm crease and is often used for mild to moderate sagging. Liposuction. Liposuction is often used during an arm lift to reshape the arm of patients with good skin elasticity, little-to-no excess skin, and a small amount of fat.