Thank you for reaching out and sharing details about your concerns related to your inverted triangle body shape, as well as the provided photos. I would recommend focusing on three primary areas to achieve a more balanced silhouette: arms, abdomen, and breasts. Arms: An arm lift, also known as brachioplasty or arm reduction, would be beneficial for you. This procedure: Is performed under general anesthesia and typically takes about three to four hours. Involves arm liposuction and an incision extending from the armpit to the elbow. You can expect a recovery period of approximately two weeks. Abdomen: To enhance the waistline, I would recommend a procedure aimed at achieving an "hourglass" figure. Options include: Vertical Torsoplasty: Involves an incision from the lower bra line to the top of the hip, removing an elliptical portion of skin and fat. Midline Vertical Tummy Tuck: Entails a central incision, from between the breasts down to the pubic region, removing a large elliptical area of the abdomen. Other potential treatments include aggressive love-handle liposuction and even rib removal for extreme waist narrowing. Breasts: To redirect the focus from the broader upper body, considering modest breast implants can be beneficial. This would emphasize especially the medial or inner cleavage of the breasts, adding volume and balance to your overall silhouette. These suggested interventions aim to modify and balance your inverted triangle body shape to a more harmonized appearance. Always consult with a board-certified plastic surgeon to discuss your options and desired outcomes in depth. Best wishes on your body contouring journey. Sincerely, Dr. Katzen