Well done Liposuction can remove the subcutaneous fat in your arm, but this procedure would not address skin laxity. Bodytite despite hype and claims will not add any skin tightening on top of what Liposuction itself will contribute. The only effective way to treat skin laxity is direct skin surgical excision. A mini arm lift will give you a mini result. You have skin laxity that is most likely not very visible with your arm in a down position. That skin laxity with your arm in an out position does however, go almost out to your elbow. Finding a plastic surgeon who can deliver consistent quality, circumferential arm, liposuction results is going to be more difficult than most people realize. The number of plastic surgeons who’ve mastered this procedure is pretty small. This means the chance of having a quality outcome without any contour irregularities is not all that great, unless patients are highly selective when it comes to properly vetting providers. To find the right provider, I suggest patient’s schedule multiple in person, consultations with plastic surgeons, who seem to have a proven track record with Liposuction in your community. During each consultation ask each provider to open up their portfolio and show you their entire collection up before, and after pictures of previous patients, who had similar body characteristics to your own. An experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients for commonly performed procedures like Liposuction. My preference is to assess and judge results with arms and a down position. I typically assess skin laxity with arms in an opposition like you’ve posted in your pictures. It’s very important to differentiate between subcutaneous fat and skin laxity. The two tissues are inherently different and are treated by completely different Procedures. There is no option that is effective for skin tightening with the exception of direct skin, excision, which will leave visible scars. I see nothing wrong with having liposuction which will reduce your arm size and living with the skin laxity, which is inherently difficult to treat without leaving visible scars that tend to be unacceptable to most patients. Recognize that Liposuction is a permanent and irreversible procedure that can’t potentially leave people disfigured. Being board-certified in plastic surgery with years of experience in an overall good reputation, does not mean somebody has mastered Liposuction, is good at Liposuction or likes doing the procedure. Unfortunately, there are major discrepancies in regards to skill when it comes to Liposuction, including those with proper certification and years of experience. Mastering Liposuction is in fact, far more difficult than most people realize. I think your current surgical strategy may leave you disappointed especially if you anticipate that it will address skin laxity adequately. In the end, there are two variables that determine most cosmetic surgical outcomes. The first is patient candidacy, and the second is the skill of the provider. There isn’t much patients can do regarding their own candidacy. What patients do have control over is provider selection. There’s no correct number of consultations needed to find the right provider. Sometimes it’s simply a matter of luck. The more consultations you scheduled the more likely are to find the better provider. The biggest mistake patients make is scheduling only one consultation and then scheduling surgery. This pretty much eliminates the ability to choose the better provider. Be extremely careful when considering permanent irreversible procedures that can leave people disfigured. Best, Mats Hagstrom, MD