You would need a physical exam in order to help answer your question. Velashape and Viora are two nice high tech procedures that help to tighten skin utilizing radio frequency without surgery. An upper arm lift is a surgical procedure that excises excess skin. I incorporate the FINESSE technique which I invented. Bleeding is minimal and patients typically wake up in little to no pain. Recovery is typically quicker versus traditional techniques. I hope you find this information useful. Please watch the enclosed video.