Age 22 & saggy arms - arm lipo or arm lift? (Photos)

At your age, the chances are good that you will have skin retraction following liposuction. Unfortunately, if the skin does not retract, you may still need to have a formal brachioplasty, or arm lift, but I would not jump straight to that based on your age and the appearance that I can see in the photos.

Thank you for your question regarding whether you need an arm lift, arm reduction, brachioplasty, or arm liposuction. With your pictures, you need an arm lift, arm reduction, or brachioplasty. If you did an arm liposuction, you would be left with a significant amount of redundant or extra arm skin. This skin would not retract after just arm liposuction. Therefore, you need brachioplasty. During your brachioplasty, I would perform arm liposuction and an incision from the armpit to the elbow. Excess skin and fat would be directly removed. The procedure takes approximately 3-4 hours. The brachioplasty is performed under general anesthesia. I do not use drains for the brachioplasty. Please plan on a two-week recovery after your brachioplasty. Please plan to take off two weeks of work. If your work entails significant lifting, I will take 3-4 weeks off to recover from your brachioplasty. I hope this helps answer your question regarding whether you need an arm lift, arm reduction, brachioplasty, or arm liposuction.
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.)