Dear 1317, Age, in itself, isn't the primary determining factor when considering suitability for an arm lift or any other surgical procedure. It's more about the overall health and vitality of the patient. I've performed arm lift surgeries and reductions on patients who are in their 80s, and they have emerged from the procedure both happy and healthy. They have been extremely satisfied with their results. So, at 65, you're certainly not too old to consider an arm lift if you're in good health. Regarding the specific arm lift procedure where the scar is hidden underneath the arm: Yes, this technique exists. It's designed to place the incision in the natural crease of the arm, making it less visible when the arms are down by your side. However, the extent of the scar and its placement can vary based on the amount of skin to be removed and the surgical technique used. For patients desiring maximum removal of excess skin, they often opt for the arm lift that extends down the forearm. This approach allows for a more comprehensive skin removal and a tighter, more contoured result. Recovery time can vary among individuals. Generally, patients can expect to return to light daily activities within a week, while more strenuous activities, like lifting heavy objects or intense exercise, should be avoided for about 4-6 weeks. It's essential to closely follow post-operative care instructions and attend follow-up appointments to ensure optimal healing and results. Always consult with a board-certified plastic surgeon to discuss your specific concerns, desired outcomes, and to get a comprehensive understanding of the procedure, risks, and recovery timeline. Wishing you the best as you consider this transformative journey. Sincerely, Dr. Katzen