Upper arms look like a 70 year old. What can I do? (Photo)

Hi Gerri, thank you for your inquiry and pictures of your arms. Based on your history on photos, you have excess upper arm skin and fat. I do not think cool sculpting would do anything. If cool sculpting did do anything, it may, unfortunately, only make your arm skin look worse. If you were to do just arm liposuction, this would remove only arm fat. It would not remove arm skin. Therefore, it would probably make your arms look worse, not better. Based on your history and arm pictures, I would suggest an arm lift or brachioplasty. The incision would extend from the armpit to the elbow. The procedure takes approximately two to three hours and is performed under general anesthesia. Your recovery time would be approximately one to two weeks. I hope this answers your question regarding an arm lift or brachioplasty. Good luck.If you have any questions regarding a brachioplasty, please not hesitate to contact my office. Sincerely,Dr. Katzen

Looking at your pictures, I would suggest a full brachioplasty/arm lift. This would remove arm skin and tighten up the arm. I recommend to consult with a board certified plastic surgeon to what would be the best option for you. 

It appears to me that you have skin laxity and some muscle atrophy of your upper inner arms. My recommendations would be to undergo Thermage treatment of your arms. This should help increase the skin tone. Tricep and bicep exercises would help give more definition to the arms. Estrogen loss associated with aging can result in both loss of collagen and muscle atrophy of they extremities. 

Thank you for your question and for sharing your concerns and photos with us. I would recommend Herman left to help with the concerns that you have shared with us. It will reduce the amount of arm laxity in the upper aspects of your arms.  The trade off but you have to decide is the degree of incisions (scars) and the degree of laxity reduction.  I would visit with a qualified plastic surgeon in your area to help you discuss your options in more detail.

Based on your photos, an arm lift would give you the best results.  This procedure will remove excess fat and skin in order to contour the arms.  The result is a thinner, more proportionate upper arm.  The down side is the scars that can extend from the underarm to the elbow crease.  I advise meeting with a Board Certified Plastic Surgeon in your area who can discuss the pros and cons of this powerful procedure.Best of luck!