Thank you for your question regarding whether minimal brachioplasty is as effective as the traditional long scar brachioplasty. Also, will your arms be tight with a minimal versus traditional long scar brachioplasty? In plastic surgery, there is a saying. The saying goes, "The longer the scar, the better and more extensive your results." Comparing the minimal or crescent arm scar to the traditional long arm scar is comparing apples and oranges. With a minimal brachioplasty, a small crescent area of skin is taken from the upper inner arm, usually with the width of the specimen being about 3 centimeters. It affects the upper inner arm and tightens it. It does not affect the middle or 1/3 of the upper arm. In contrast, the traditional long brachioplasty provides a much better result. An incision is made from the armpit to the elbow during a traditional Brachioplasty. Excess skin and fat are permanently removed in an elliptical fashion. The arms are much tighter than a traditional longitudinal brachioplasty. In comparison to a minimal scar brachioplasty. Also, the overall effect of a traditional long scar brachioplasty is much more apparent than a minimal scar brachioplasty. My suggestion is to undergo the traditional underarm scar brachioplasty for maximal results. Scars fade. And multiple options can be done to minimize scarring. I hope this helps answer your question regarding whether minimal brachioplasty is as effective as the traditional long scar brachioplasty. I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.