In some patients who have a moderate amount of excess fat, and pretty good skin tone, you can get away with liposuction. Techniques like using the laser (SmartLipo) and using a circumferential approach can generate some decent skin tightening,
However, if you have the saggy "bat wings" or very little fat (As in patients who have lost a lot of weight) there are really no alternatives othere than the long arm scar.


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