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    How is the operation performed?
   
  The surgeon begins by marking the area of excess skin, with the patient either standing or sitting. The anesthesia is administered and then incisions are made on the inner and under surface of the arm, most often in a zigzagged line. The pattern of skin removal usually follows an elliptical or triangular shape. Often some fat is suctioned at the same time. The surgical opening may run from the armpit to as low as the elbow. While the excess skin and fat is removed, the remaining skin is stretched and sutured into place. Occasionally a drain is used to lead excess fluids from the site of incision, allowing the skin better to adhere to the tissue beneath. The incisions are then bandaged. An arm lift usually takes about two hours.
 
 
 
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