Hi, Bright384848, in Chicago, IL. Thank you for your question regarding whether an arm lift is right for armpit folds. Thank you for your history and your pictures. First, we should analyze your pictures to determine the best procedures. According to your pictures, you have very mild cutis pleonasmus (excess skin) and dermatocholosis (loose skin) without stretch marks (striae) in the axillae (armpits). Your arms are normal. Most plastic surgeons would consider your armpit skin folds normal. You need some loose skin in your armpit so you can abduct and move your arm. If all the skin in the armpit were tightened, you would not be able to abduct or extend your arms. You do not need an arm lift because your arms appear normal. However, if the excess skin and fat in the armpit bother you, an incision can be made to remove some skin. However, not all the loose armpit skin can be removed. I hope that I have answered your questions regarding the armpit folds. If you have any more questions regarding the arm lift, arm reduction, brachioplasty, arm scar revision, or arm crease fat grafting, contact an experienced plastic surgeon. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. Good luck. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS, FASBPS (Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)
