Arm fat rolls - would liposuction and skin tightening help?

Hello,
Great question. Thank you for your pictures. Unfortunately, they do not adequately show your arms, there must have been an issue with uploading. Please visit a board certified plastic surgeon for a detail surgical plan to achieve your desired results. 

From your front view photograph, it appears your breasts are low on the chest wall, pulling down and it may be distorting the axillary skin.  It is possible that you would benefit from a breast lift but your photographs are very limited and I cannot tell for sure.  Certainly, if you have had massive weight loss this would be a possible cause.  Skin tightening is ineffective and liposuction may be possible, but more information is needed.Best Wishes,Gary Horndeski, M.D.

liposuction plus internal heating (j plasma/renuvion is best here) will give you improvement based on your photos you may still have some sagging , the best improvement would be a mini or full Brachioplasty with liposuction and heating.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Thanks for your question and photos. It’s difficult to really tell from the photos submitted, so an in person exam would be best. However from the limited views of your arms it appears that you benefit from liposuction alone. Massive weight loss patients can have excess skin requiring skin excision. That does not appear to be you from these limited view photos.  I recommend you consult with a board-certified plastic surgeon experienced in these procedures to examine you, discuss your goals, and show you before/after photographs to give you a better idea of the type of results you can expect to get. Good luck!

Hi, thank you for sharing your question. 
It is difficult to tell based on your photos and an in person evaluation may be best, however, excess skin of the arms is best treated with skin removal. This can be combined with liposuction to improve contour.
Consult with a board certified plastic surgeon to review all your options. I hope this helps. Best of luck!

Dear heartbreakerss,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I appreciate your concerns, however I am not sure exactly where you require liposuction from the photos submitted. However well defined areas of fat of the upper arms can be treated successfully with traditional liposuction, still the gold standard. At your age skin retraction should not be a problem utilizing this option and skin tightening machines produce disappointing results. Consult with a board-certified plastic surgeon in your area to explore the best options for you. Good luck.

Dear heartbreakerss,
The pictures you submitted are of your shoulders/back but your question is in relation to your arm. Perhaps the area you are referring to is indeed in the photographs, but to be honest I see nothing that would I would recommend surgery for in the photographs you submitted. Perhaps more photographs specific to the area you are interested in or a consultation with a board-certified PS is best for you. Many surgeons are offering virtual consultations so try someone nearby.
Best of luck.

I have used just about every liposuction and skin tightening device out there and have lectured on this subject may times. In 2020 my favorite for arms is the Bodytite system combined with liposuction for those patients with fat and moderate skin laxity. Gastric bypass or massive weight loss patients usually need skin excision but someone like yourself should do very well with Bodytite/lipo. Arms are great under local anesthesia so no need for general anesthesia if just arms are done (or other limited areas). I have a series of 550 patients to date with the Bodytite system. I am local to you and we are back doing in person or virtual consults.

It is hard to say without a consultation with a board certified plastic surgeon. That being said, from the photos you provided, you would benefit from high defintion VASER liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee