What are some arm lift alternatives? (Photo)

Thank you for your question regarding alternatives for the treatments of the
arms.  Based on your arm picture you have a type 4 arm with excess arm skin
and fat to the elbow. Therefore, you need fat arm fat an arm skin removed. Arm
liposuction alone will not remove the arm skin. Therefore, you need a formal
arm lift (brachioplasty) or arm reduction. This would include arm liposuction
and an incision for the arm pit to the elbow. 
I would ask you why you would not consider surgery. The arm lift is
performed under general anesthesia. The procedure takes approximately 3 hours.
You will have some mild pain not extreme pain. Your results will be
life-changing and extremely dramatic. The arm lift scar is a trade-off for
getting rid of the excess arm skin and fat. However, by far, the majority of my
patients would trade the excess arm skin and fat for an arm scar any day. Very
few of my arm lift patients need arm scar revision. However, the arm lift revision
can be done in the office either with surgical revision or with a laser. I
would not waste your money on anything else, but an arm lift. CoolSculpting and
Thermage will do nothing for your arms. Save your money. I hope I have answered
your questions about your arms. If you have any more questions regarding the
arm lift, please call my office.
Sincerely,
Dr. Katzen

This is a difficult problem...liposculpture alone would remove the excess fatty tissue, but there would be a lot of looser skin. Thermage is a non-invasive method of tightening skin (radio frequency). The problem is that the "tightening" may take weeks or months and even then, the skin may still be loose and sag.
Arm reduction is an excellent way to correct the problem. The first part of the procedure would be liposculpture of the arm (from elbow to armpit), then the ellipse of skin and fat will be removed with a large ellipse extending from elbow - armpit (axilla). It can then be extended onto the lateral chest wall (lateral to the breast).
The scars heal well and are on the inside of the arm, so they are well concealed. Patients are extremely happy with the results and it is worth the trade-off of the scar versus the result.

I do not think there are many better alternatives to an arm lift in your case. You have a significant amount of loose skin that can most effectively be removed surgically. It is very important that you seek the advice of a surgeon who is certified by the American Board of Plastic Surgery and has extensive experience with arm lifts. I wish you the best, Dr. Gabbay.