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Arm lift and/or lipo options? (Photo)

I've had a few in-person consultations, and three surgeons have given me the suggestion to get Lipo with RF skin tightening. And two of suggested arm lift w/bra fat lipo (one suggested full arm lift, and two suggested, short scar arm lift with lipo+mode on my arms and armpit brought that area). I'm 5'4" late 40's at 138 pounds. I do a lot of weight lifting and running. Not sure which direction to go. Women on my mom's side of family gain a lot of fat in the arms compared to other body parts.

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