Mommy Makeover Surgery is a great way to recover your pre pregnancy body, and carries a high level of patient satisfaction. I tailor each Mommy Makeover procedure to my patients' particular needs. Most include Tummytuck, with or without liposuction to flank and thigh regions and breast lift, with or without implants. It is best to wait at least 6-9 months after your final pregnancy, to allow your body to recover from the pregnancy and allow you to lose as much of the weight gained as possible during that time. If breast feeding, you must wait at least 3-6 months to pass once breast feeding has ceased. I would do the arm lift separately, at another time, too much surgery. Be sure to consult with a board certified plastic surgeon. Good Luck!