Dear Donabella,The arm lift or brachioplasty removes excess skin and fat from the upper arm. The upper arm is described as the area from the armpit to the elbow. By definition, the arm lift or brachioplasty does not remove skin and fat from the forearm. A forearm lift or reduction removes skin and fat from the forearms. Typically, the incision extends from the elbow towards the wrist. The severity of the forearms determines how long the arm and forearm incision is. If the forearm has only a mild amount of skin and fat around the elbow, then the scar is shorter. If there is excess arm skin and fat to the wrist, the incision and resulting scar will extend to the wrist.I have performed this procedure many times. I always combine the arm lift or brachioplasty with the forearm lift on the same day of surgery.