Dr Stefano Cotrufo is a Board Certified Plastic Surgeon based on Harley Street in London, with over 15 years of experience in plastic and reconstructive microsurgery. He combines meticulous technique with artistic insight for exceptional results.
An arm lift (brachioplasty) is known as a surgical procedure that” excises” the excess skin and fat from the upper arms, improving contour and symmetry.
VASER liposuction is designed initially to assist the same process by using ultrasonic energy (Ultrasound Waves: Vibration Amplification of Sound Energy at Resonance) to painlessly break down and suction fat, often with less bruising and a faster recovery. VASER is highly effective at producing smooth results, but even more so at inducing skin contraction.
Nevertheless, VASER alone is not comparable to “direct skin excision” in cases where 1) the stretch marks are more advanced and 2) the skin excess after massive weight loss is penulous..
The basic principle is that for those with minimal to moderate skin excess/laxity, VASER alone is sufficient; for those with more severe skin laxity, skin excision is a strong indication for optimal results.
Following many years of speculation about the effects of VASER liposuction on several body segments, Dr Cotrufo developed his own technical approach to apply VASER liposuction to the arms, along with “minimal access skin excision,” achieving outstanding results with smooth, natural contouring and very short skin incisions.
Dr Cotrufo tailors your treatment, which may be performed under local or sensory anaesthetic. Two small, discreet incisions—one at the elbow, one in the armpit—enable precise fat removal and skin tightening with VASER. For full brachioplasty, excess skin is also removed. All sutures are dissolved, and natural symmetry is prioritised. Most surgeries last 2-3 hours for optimal results; you may return home the same day. A compression garment is worn for 6 weeks post-procedure to provide support and enhance results.
With a stable weight and a healthy lifestyle, your results are long-lasting: expected to last 10 years without significant weight changes.
Expect moderate discomfort for 3–5 days, managed with pain relief and support.
Incisions are carefully placed in the elbow and armpit folds for subtle, concealed scars.
Swelling and bruising fade in weeks; final contours are visible within 3–6 months.
Yes, especially in expert hands. Risks are minimal but are discussed thoroughly at the consultation.
Younger patients with firm skin may benefit from VASER alone. After weight loss or for older patients, skin excision ensures the best result.
Costs vary based on your needs, the chosen technique (VASER alone or with a skin lift), and the clinic’s facilities. Financing options include interest-free and long-term plans; exact quotes are provided at consultation.
Ready for slimmer, firmer arms and renewed confidence? Book a private consultation with Dr Stefano Cotrufo to discuss your options and witness real-life transformations. Learn more about Stefano through his testimonials or follow our Instagram page for more.









© 2025 Dr Stefano Cotrufo | All rights reserved
© 2025 Dr Stefano Cotrufo | All rights reserved