Hello Keelyjanep in Great Britain, Thank you for your question regarding at age 42 years, is it sensible to get an arm lift and thigh lift at the same time. If you are healthy and your labs are normal, the brachioplasty (arm lift or arm reduction) can be technically performed at the same time as a thighplasty (thigh lift or thigh reduction). However, most experienced plastic surgeons who specialize in reconstructive plastic surgery after massive weight loss would NOT recommend performing the brachioplasty with the thighplasty. The problem is not in the ability to complete these combined procedures. The problem is in the patient’s recovery process. If you have combined arm reduction and thigh reduction surgeries, all your extremities are “out.” If you have arm lift and thigh lift surgeries, it is very difficult to get out of bed becaues you will need your arms, walk to the bathroom because you will need your thighs, pull down your thigh garment becase you will need your arms, sit on the toiket because you will need your thighs, wipe and keep yourself clean beacuse you will need your arms, pull the garment back on beacuse you will need your arms, walk back to bed beacuse you will need your thighs, and get back into bed beacuse you will need your arms. Therefore, most experienced plastic surgeons would not recommend combining an arm lift and a thigh lift into one surgery. Good luck, I hope that I have answered your question regarding at age 42 years, is it sensible to get an arm lift and thigh lift at the same time. 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 an arm lift expert 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, MD, MBA (Aesthetic, Cosmetic and Reconstructive 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, , 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.)