Filler to prep for lipo? (Photo)

In your state of looseness of the upper arm, I would definitely not perform brachioplasty of any kind. Adding sculptra will simply add volume, but not change the elasticity of the skin. That is not the purpose of Sculptra. However, you can undergo a procedure of Renuvion tissue tightening, which should help. I hope this helps and good luck from New York City Plastic Surgery.

sculptra unfortunately, will not create enough scar tissue to cause tightening of the skin. Liposuction is only a benefit when there is excess fat and enough elasticity to accommodate the loss of volume which I don't believe you have. I think a short scar arm lift is your best bet. There's going to be different options from different surgeons so ask around to see what options there are, but other than that, bulking up your arm muscles is your only other option. I have a video on surgical arm lift on my YouTube channel Adam goodwin surgery if you'd like to learn about the different options. Best wishes, Adam, Goodwin.