Thank you for your question about whether you would benefit from arm liposuction, a formal arm lift, or brachioplasty. Thank you also for your question regarding breast augmentation and whether your appearance would improve with a breast lift or mastopexy. All these questions can be answered with a thorough physical examination. This could be done either physically in the office or virtually. Without pictures, it is difficult for me to answer your questions. However, if you're young and have not lost that much weight, less than twenty pounds, you may be able to have optimal results with arm liposuction. If you do not have many breasts sagging or hanging, you may get ideal results with a moderate breast implant. The breast implant can also serve to lift the breast. However, if you have lost over 100 pounds and have a significant amount of loose skin, you need an arm lift. Depending on the amount of skin will determine if you need an axillary or crescent arm lift or a formal brachioplasty, where an incision is made from the armpit to the elbow. Often the arm and the breast surgery can be combined in one surgery. Please seek an experienced board-certified plastic surgeon. I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)