What can be done about these ripples on my upper arms? Not sure if it’s cellulite or sagging? (photo)

Hi, thank you for reaching out with your concerns about the appearance of your arms, and for providing your history and pictures.
The wrinkling and rippling of the skin on your arms could be attributed to several factors. These may include the natural loss of fat or muscle mass in the upper arm area, as well as general aging processes. Factors like the loss of collagen, hormonal changes due to menopause, and sun damage can also contribute significantly to the appearance of arm wrinkles.
For treating arm wrinkles, an arm lift, also known as brachioplasty or arm reduction, is a procedure you might consider. This surgery involves the removal of excess upper arm skin and fat. It is performed under general anesthesia and typically takes about 3 hours. You should plan for a recovery period of around two weeks.
When considering an arm lift, it's crucial to consult with an experienced, board-certified plastic surgeon who specializes in this type of procedure. They can provide you with personalized advice and a treatment plan tailored to your specific needs and aesthetic goals.
I hope this information answers your questions regarding options for improving the appearance of wrinkles on your upper arms. Wishing you the best of luck in your journey and a successful outcome.
Thank you,
Dr. Katzen

I appreciate your question. 
One of the most common cosmetic surgery procedures I perform in my practice is brachioplasty, sometimes referred to as an arm reduction, arm reshaping, or an arm lift. Most of my patients come to me after a major weight loss or are simply noticing the effects of aging, as in your case, and want to get rid of unsightly loose skin under their arms. An arm lift is a skin tightening/skin removal procedure where I treat the underside of the upper arms by trimming loose skin, removing excess fat, and tightening the underlying tissues, resulting in a tighter, more toned arm appearance. 

The goal of this procedure is to restore a more natural look to the arms. My signature arm lift has been designed to tighten the arms while leaving the most amount of lymphatic, nerve, and blood vessels behind. This allows patients to heal quicker with minimal trauma to the area. 

The best way to assess your needs and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Based on your pictures it looks like you can benefit from bodytite to your arms to tighten the area, always see a board certified PS.