The Multiplanar Arm Lift in Beverly Hills: Why Working in a Single Plane Is Not Enough for the Upper Arm
Most arm lift surgery works in one plane. The skin is excised. The wound is closed. The arm is slimmer. For patients with very mild tissue excess and good skin quality, this produces a satisfactory result. For every other patient, it produces something more complicated: an arm that looks improved at six weeks and gradually reveals, over the following months and years, that the underlying tissue was never really addressed.
The skin of the upper arm is not the source of its laxity. It is the consequence of it. The deeper fascial support structures that once held the soft tissue of the arm in its correct anatomical position have weakened. The subcutaneous tissue has descended. The skin above is following everything underneath it, and removing only the skin while leaving the deeper layers unchanged is addressing the visible symptom of a structural problem without touching its cause.
The Multiplanar Arm Lift in Beverly Hills is Dr. Daniel Golshani’s proprietary approach to brachioplasty that corrects this. By engaging the deep fascial layer, the intermediate soft tissue, and the skin envelope as distinct but coordinated components of a single surgical plan, the Multiplanar Arm Lift produces results that are more structurally grounded, more durable over time, and more natural in contour than standard single-plane brachioplasty can achieve.
What Standard Brachioplasty Does and Where It Falls Short
A standard arm lift removes excess skin from the inner arm, closes the wound under tension, and relies on the skin closure alone to maintain the correction over time. This approach has produced generations of patients with improved arms that gradually relax, soften, and in many cases descend back toward the appearance that brought them to surgery in the first place.
The reason is anatomical. The laxity of the upper arm is a multi-layered problem. The skin stretches because the soft tissue beneath it has descended. The soft tissue descends because the fascial support that once held it in correct anatomical position has weakened. Excising the skin and closing the wound under tension addresses the surface but leaves the deeper structural failure completely untouched. The skin, now bearing the full structural load of the correction without internal support, does what skin always does under sustained tension: it stretches. The result gradually returns toward its pre-operative appearance, and the patient wonders why.
The Multiplanar Arm Lift addresses this at every level simultaneously.
The Three Planes of the Multiplanar Arm Lift
The Deep Fascial Plane
The brachial fascia, the fibrous sheath that encases the upper arm musculature, provides the deep structural anchor for the overlying soft tissue. In a standard brachioplasty, this layer is not directly engaged. In the Multiplanar Arm Lift, Dr. Golshani incorporates the deep fascial layer into the surgical plan through specific suturing techniques that reattach and tighten the descended soft tissue to this deep anchor, reestablishing the structural connection between the inner arm soft tissue and its anatomical foundation.
This deep fascial work provides the internal scaffolding that a skin-only closure cannot: a structurally sound foundation that holds the soft tissue in its correct position independently of the skin envelope above it.
The Intermediate Soft Tissue Plane
Between the deep fascia and the overlying skin sits the subcutaneous fatty layer of the inner arm. In patients where fat accumulation accompanies skin laxity, this layer is addressed through liposuction performed as the first step of the procedure, reducing the volume, improving the composition of the tissue being lifted, and allowing the deeper fascial work and skin excision to operate on a leaner, more responsive tissue architecture.
In patients where fat accumulation is not the primary concern, the intermediate plane is addressed through the precise elevation and repositioning of the soft tissue as a distinct layer from the skin above it, allowing each plane to be individually corrected in the direction and to the degree the anatomy requires.
The Superficial Skin Envelope
The skin is addressed last. Because the deep fascial work and the intermediate tissue repositioning have already established a stable internal foundation before the skin is resected and closed, the skin closure in the Multiplanar Arm Lift is performed with significantly less tension than in a standard brachioplasty. This lower-tension closure directly benefits the scar: less tension at the closure line means better scar quality, less widening, faster maturation, and a meaningfully improved final scar appearance compared to a closure that is bearing the full structural load of the correction.
The skin excision pattern is also adapted to the individual anatomy, with the incision designed to achieve the necessary correction while placing the scar in the most discreet location possible for each patient’s specific tissue configuration.
How the Multiplanar Arm Lift Differs From a Standard Brachioplasty
The difference is not just technical. It is clinical.
More durable results. Because the correction is internally grounded through fascial reattachment rather than relying on the skin closure to maintain the position of everything above and below it, the Multiplanar Arm Lift result holds its position over time. The internal scaffolding does not relax the way skin does.
Better contour. An arm that has been corrected at multiple tissue depths has a softer, more natural contour than one whose only structural intervention was a skin excision. The tissue sits correctly at every layer, and the surface reflects that internal organization.
Better scar. Lower tension at the skin closure produces consistently better scars than high-tension closures, which are prone to widening, thickening, and hypertrophy. Every technical refinement that reduces the load on the skin closure improves the final scar appearance.
Appropriate for more demanding anatomy. The multiplanar approach is particularly valuable for patients with significant tissue excess, post-bariatric anatomy where the structural support of the arm has been severely compromised, or revision cases where prior brachioplasty has left altered anatomy that a surface-level re-lift cannot durably address.
Who Is the Right Candidate
The Multiplanar Arm Lift is indicated for patients with moderate to significant upper arm laxity, patients who want the most durable and most structurally complete correction available, and patients whose anatomy specifically benefits from the deeper fascial work.
For patients with very mild laxity limited to the proximal arm, the Mini Arm Lift is frequently the more appropriate recommendation, providing meaningful improvement through an axillary incision with no scar along the inner arm. Dr. Golshani determines which approach is correct during consultation based on the degree of laxity, its distribution along the arm, and the degree of structural deficit in the deep supporting layers.
Good candidates share these characteristics. They are at a stable weight, ideally for at least six months before surgery. They are in good overall health and non-smokers or committed to cessation. Their primary concern is the appearance of their upper arms and they have realistic expectations for both the result and the scar.
The Scar: An Honest Conversation
Every arm lift produces a scar. The Multiplanar Arm Lift produces a scar with better characteristics than standard brachioplasty, specifically because the lower-tension closure allows for better healing. But it is a permanent scar, and the conversation about its location, its appearance at various stages of healing, and its final appearance at twelve to eighteen months happens during consultation rather than after surgery.
Dr. Golshani uses a multi-layer closure technique that eliminates tension at the skin surface, combined with a comprehensive scar management protocol that begins in the first weeks after surgery and continues through scar maturation. Scar taping, silicone gel, sun protection, and where indicated steroid injections for hypertrophic tendencies are all part of the post-operative plan. The goal is a thin, flat, pale line that sits along the inner arm crease and reads very differently from the drooping tissue it corrected.
For a detailed discussion of the mini approach and the scar comparison between the two techniques, see the Mini Arm Lift and Brachioplasty page.
When the Multiplanar Arm Lift Is Part of a Larger Plan
- Liposuction, High Definition Liposuction and Liposculpture as the fat reduction component performed ahead of the fascial work when a fatty component accompanies the laxity
- Post-Weight Loss Body Sculpting where the Multiplanar Arm Lift is most commonly performed, as post-bariatric patients present the most significant degree of structural support failure in the arm soft tissue
- Tummy Tuck and Advanced Abdominoplasty when abdominal skin laxity accompanies the arm concern in a comprehensive body contouring plan
- Breast Lift and Multiplanar Mastopexy in patients where upper body laxity is diffuse, addressing both the breast and the arm in the same or staged sessions
- Mommy Makeover incorporating the arm lift for patients where post-pregnancy changes include upper arm laxity alongside breast and abdominal changes
- Mini Arm Lift and Brachioplasty as the alternative approach for patients with mild, proximal-only laxity where the multiplanar technique is more than the anatomy requires
- Body Contouring as the broader category within which the Multiplanar Arm Lift sits alongside the full range of body reshaping procedures at this practice
Why Beverly Hills Patients Choose Dr. Golshani for Multiplanar Arm Lift Surgery
Patients who arrive at Dr. Golshani’s Beverly Hills practice for arm lift surgery have frequently had the standard approach described to them elsewhere and recognized that it was not addressing the structural problem they were experiencing. They are looking for a surgeon who understands the arm at every anatomical layer, not just the one that is visible, and who has developed the technique to correct it accordingly.
Dr. Daniel Golshani, MD, FACS is a double-board-certified plastic and reconstructive surgeon with advanced training in cosmetic surgery and extensive experience in body contouring across the full spectrum of complexity. His Multiplanar Arm Lift represents his proprietary synthesis of deep fascial engagement, intermediate tissue repositioning, and low-tension skin closure into a single, coordinated approach that produces results of durability and naturalness that standard single-plane brachioplasty cannot match.
His practice at 9301 Wilshire Blvd., Suite 410 in Beverly Hills serves patients from Beverly Hills, Bel Air, Brentwood, West Hollywood, Pacific Palisades, Santa Monica, and internationally. When the goal is an arm lift that holds its result because it was built to, this is where that surgery is performed.
Your Multiplanar Arm Lift Journey: Step-by-Step
Step 1 — The Consultation
Your consultation begins with a detailed assessment of the upper arm across all relevant tissue layers: the degree and distribution of skin laxity, the fatty component, the integrity of the deep fascial support, the skin quality and elasticity, and how far the laxity extends from the armpit toward the elbow. Dr. Golshani determines whether the Multiplanar Arm Lift or the Mini Arm Lift is the correct approach for your anatomy, explains the scar implications of each, and establishes realistic expectations for the result and the healing timeline. A patient coordinator attends every consultation, recording everything discussed so nothing is lost between your visit and your surgery date.
Step 2 — Preparation
Stopping smoking for at least six weeks before and after surgery, discontinuing medications and supplements that increase bleeding risk, reaching and maintaining a stable weight before proceeding, and arranging recovery support at home. Tasks requiring arm elevation above shoulder height should be delegated for the first two weeks of recovery. His team ensures you have everything you need before you arrive.
Step 3 — The Procedure
The Multiplanar Arm Lift is performed under general anesthesia on an outpatient basis at the Rexford Surgical Institute, an accredited, state-of-the-art surgical center on the same floor as Dr. Golshani’s Beverly Hills office. Liposuction is performed first where a fatty component is present. The deep fascial work follows, with specific suturing techniques reattaching the descended soft tissue to its anatomical anchor. The intermediate tissue is repositioned. The skin is then excised and closed in multiple layers with minimal tension. The procedure typically takes two to three hours depending on the scope of the plan.
Step 4 — Recovery
A compression garment is worn over the arms for several weeks to support healing and minimize swelling. Arms should be kept below shoulder height for the first two weeks to reduce tension on the closure during early healing. Most patients are socially presentable within seven to ten days. Light activity resumes at approximately one to two weeks. Strenuous arm exercise is restricted for six weeks. Scar management begins at the appropriate healing stage and continues through scar maturation. Final results, with the scar fully matured, are visible at twelve to eighteen months.
Multiplanar Arm Lift Surgery FAQs -Beverly Hills, CA
What is the Multiplanar Arm Lift in Beverly Hills?
The Multiplanar Arm Lift is Dr. Daniel Golshani’s proprietary brachioplasty technique that addresses the upper arm across three anatomical layers simultaneously: the deep fascial support layer, the intermediate subcutaneous soft tissue, and the overlying skin envelope. By engaging all three as distinct but coordinated components of a single surgical plan, it produces results that are more structurally durable and more naturally contoured than standard single-plane arm lift techniques.
How is the Multiplanar Arm Lift different from a standard brachioplasty?
A standard brachioplasty excises excess skin and closes the wound, relying on the skin closure alone to maintain the correction over time. The Multiplanar Arm Lift reattaches the deep fascial support, repositions the intermediate soft tissue, and then addresses the skin with a low-tension closure that benefits from the internal foundation already established beneath it. The result is more durable, better contoured, and produces a better-quality scar than a high-tension skin-only closure.
Who is a good candidate for the Multiplanar Arm Lift?
Ideal candidates have moderate to significant upper arm laxity, are at a stable weight, are in good overall health, non-smokers or committed to cessation, and want the most structurally complete and durable arm lift result available. Patients with mild, proximal-only laxity may be better served by the Mini Arm Lift. Dr. Golshani determines the correct approach during consultation based on a thorough anatomical assessment.
Will there be a visible scar after the Multiplanar Arm Lift?
Yes. The scar runs along the inner arm and is permanent, though it fades, softens, and flattens significantly over twelve to eighteen months. Because the Multiplanar Arm Lift’s internal fascial work allows the skin to be closed with less tension than standard brachioplasty, the scar typically heals with better quality and less widening than a high-tension skin-only closure produces. Dr. Golshani’s comprehensive post-operative scar management protocol further optimizes the healing outcome.
What is the recovery time for the Multiplanar Arm Lift?
Arms should be kept below shoulder height for the first two weeks. Most patients are socially presentable within seven to ten days. Strenuous arm exercise is restricted for six weeks. Final scar maturation is complete at twelve to eighteen months.
How much does the Multiplanar Arm Lift cost in Beverly Hills?
Cost varies depending on whether liposuction is included, the scope of the fascial work, anesthesia, and surgical facility fees. Dr. Golshani’s team provides personalized, itemized cost estimates during consultation.
Can the Multiplanar Arm Lift be combined with other procedures?
Yes. It is frequently combined with liposuction of the arm, tummy tuck, breast lift, and post-weight loss body contouring procedures in the same or staged surgical sessions. Dr. Golshani evaluates the correct scope and timing during consultation.
When preparing for a facelift consultation, it’s essential to gather I nformation about your medical history, current medications, and desired outcomes. Additionally, bring along any questions and photos of your ideal to discuss with Dr. Golshani and his surgical coordinators. Additionally, its always important to be open about your expectations and concerns.
Before your facelift surgery, follow Dr. Golshani’s pre-operative instructions carefully, which will include fasting before the procedure, avoiding certain medications that can increase bleeding risk, and arranging for transportation to and from the surgical facility. It is also important to make sure that you have a comfortable recovery area at home with necessary supplies following your facelift procedure.
The improvements made with a facelift last for years. Your face will continue to age naturally, but you’ll always look younger than you would have without the surgery. You can extend the results and slow the effects of aging by maintaining a stable weight and taking good care of your skin, especially by protecting it from excessive exposure to the sun. If, after a few years, you’re bothered by the effects of aging, you might choose to have a refresher facelift. Nonsurgical treatments can also complement the improvements made with a facelift.
There is no right age for facelift surgery. Timing depends on the changes to your face over time and your readiness for surgery. The surgery is simpler and results last longer for younger patients (in their early 40s, for example) because of the elasticity and resilience of younger skin. But we have had facelift patients in their 70s and 80s who have been delighted with their results. A one-on-one consultation is the best way to determine if you are a good candidate.
Only a surgical facelift can make the comprehensive and long-lasting enhancements to an aging face you see in the before and after pictures on this site. That’s not to say that everyone who’s bothered by the signs of aging needs a facelift. Positive improvements can be made with non-surgical and minimally invasive treatment. Options include chemical peels, microdermabrasion, laser skin resurfacing, dermal fillers, Botox®, and endoscopic procedures. We can combine a customized series of non-surgical treatments to give you a personalized minimally invasive facelift.
The duration of a facelift procedure can vary depending on the extent of the surgery and the particular techniques used by Dr. Golshani. On average, a traditional facelift may take several hours, while a mini-facelift may have shorter operating times.
Typically, a traditional facelift is a more comprehensive procedure that addresses sagging skin, muscle laxity, and excess fat in the face and neck area. In contrast, a mini-facelift, also known as a limited incision facelift, focuses on targeting specific signs of aging in a more limited area with a shorter recovery time and less dramatic results.
A non-surgical facelift typically involves minimally invasive treatments like injectables, laser therapy, or skin tightening procedures to improve facial contours and reduce signs of aging without surgery. In comparison, a traditional facelift is a surgical procedure that involves lifting and repositioning facial tissues for more significant and long-lasting results.
To prolong facelift results, maintain a healthy lifestyle with a balanced diet, regular exercise, and proper skincare routine. Protect your skin from sun exposure, avoid smoking, and follow Dr. Golshani’s post-operative instructions for optimal healing and long-term outcomes.
Swelling, bruising, and initial healing after a facelift may vary, but most of our patients feel comfortable going out in public within 1-2 weeks after surgery. Additionally, makeup can help conceal any residual bruising or redness during the early stages of recovery.
Strenuous exercise and activities should be avoided for several weeks after a facelift to allow for proper healing and minimize the risk of complications. Dr. Golshani and his surgical team will provide guidelines on when you can gradually resume physical activities based on your individual recovery progress.
Generally speaking, the timing of returning to work after a facelift depends on the extent of the surgery, individual healing process, and the nature of your job. Most patients can expect to return to work within 1-2 weeks, but it may vary for each person.
Smoking can have detrimental effects on the healing process and outcomes of a facelift. It is advisable to quit smoking before undergoing a facelift to reduce the risk of complications, improve circulation, and promote optimal wound healing. If you are a smoker, being transparent with Dr. Golshani is incredibly important so that, together, you can come up with the best course of action prior to your facelilft surgery.
A deep plane facelift is a surgical technique that involves lifting and repositioning deeper facial tissues, specifically the SMAS (superficial musculoaponeurotic system). This technique can provide more significant and longer-lasting results compared to a traditional facelift by addressing sagging tissues in a more comprehensive manner. Dr. Golshani is incredibly skilled and experienced with performing deep plan facelifts and uses this technique very often.
On the other hand, a hybrid facelift combines surgical and non-surgical techniques to address facial rejuvenation tailored to each patient. This approach may involve a combination of facelift surgery with injectables, laser treatments, or other minimally invasive procedures to enhance facial contours and address multiple signs of aging. Consulting with a board-certified plastic surgeon, such as Dr. Golshani, can help you determine the most suitable facelift approach based on your goals and anatomy.
