Arm Tuck or Arm Lift for loose skin and bat wings?

The term "bat wings" suggest that you have significant loose skin in your upper arms. If that is the case the best treatment would be a brachioplasty or "arm lift" The demand for this procedure has increased more than 800% since 1997. This is the greatest percent change of any of the commonly performed cosmetic surgical procedures Much of the increase in popularity is due to the growing number of patients who undergo massive weight loss. In performing this procedure an incision is made on the inside of the arm extending from the elbow into the armpit. Sometimes it is necessary to extend the incision further into the armpit and sometimes past it. Utilizing this incision excess skin is removed and the wound is closed. It is very important to position the scar properly so that it is concealed as much as possible. A well-placed incision should result in a scar that is only visible when the arms are raised. This operation is normally performed as an outpatient. It is very important for the surgeon to discuss the resultant scar thoroughly with the patient preoperatively. Very commonly this scar takes a longer time to undergo the full healing and maturation process. Maturation refers to the process whereby the scar becomes less apparent. Brachioplasty scars commonly take up to 2 years to fully mature. Immediately after the operation compressive Ace wraps are placed from the fingers up to the armpit. Be sure to consult a surgeon board certified by the American Board of Plastic Surgery who has extensive experience in all forms of body contouring. Good luck

Thank you for your question and photo.  Your expectations will dictate the best procedure(s) for you and if Brachioplasty is necessary.  I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals.  Best of luck!
Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Chicago
Hoffman Estates 
Oakbrook 
Orland Park

Usually if you have large amount of loose skin / fat content,  the arm tuck/lift is likely your best choice.  Liposuction can be done prior to excision to thin out area and excise more skin.