Hi, JessicaHumble. I can understand your quandary! Every surgeon has his/her preferred combinations vs. staged procedures, and there are pros and cons to each option. Your surgeon's training, experience, and level of comfort or degree of conservationism goes into the recommendation.Some things to consider: Both a tummy tuck and an arm lift are each a relatively large surgery, with a good amount of surface area to heal and a good amount of incision length to heal, and each will result in a certain degree of blood and fluid loss. Depending on the amount of liposuction performed, liposuction may also be a relatively large surgery in terms of surface area to heal and blood/fluid loss, but the incisions length is negligible. Combing large surgeries will tax your body's nutritional stores, increase the likelihood of post-operative anemia, and possibly tax your body's fluid and electrolyte status due to the combined swelling and fluid shifts of each of the procedures. However, doing the procedures individually means a complete recovery period and a completely new set of risks with each procedure.Pulling up a girdle and caring for drains and lower abdominal incisions (of a tummy tuck) is a challenge if your arms are out of commission (due to the brachioplasty).If you have optimal skin retraction following arm liposuction, at the same time as the tummy tuck, you may be able to avoid a second surgery (the staged brachioplasty) all together.Combining a Brazilian Butt Lift (i.e. transferring the fat removed with liposuction to the buttocks/hips) with a tummy tuck is also combining two relatively large surgeries, as mentioned above. Post-operative care can be more challenging as pressure on the transferred fat must be avoided at all costs, yet the optimal position following a tummy tuck is on one's back with some flexion. However, and especially if your surgeon generally performs some supplemental liposuction with a tummy tuck, doing a tummy tuck without the Brazilian Butt Lift results in a waste of the fat removed in the tummy tuck for a future butt augmentation.In many cases, there is just no getting around the need for an arm lift. However, the risk of poorer scar quality with an arm lift is much higher than with most other surgeries and may be visible. I hope some of the points help in making your decision or in making you more comfortable with your final decision. And hopefully they won't add to your angst :) Best of luck, and I hope you have an uneventful recovery and the results you were hoping for! Dr. Ghafoori