Hi Skinnyme53,Yes,an arm lift or brachioplasty can be combined at the same time as a breast reduction. For massive weight loss patients, typically first, I perform the lower body surgery. This includes a tummy tuck or 360 body lift combined sometimes with a medial thigh lift. One to two months later, I will return to perform surgery on the upper body. Typically, this entails an arm lift or brachioplasty combined with a breast lift or breast reduction.Usually, the arm lift takes 3 to 4 hours. Typically, bilateral breast reduction takes 3 to 4 hours. Both procedures are performed under general anesthesia. Therefore, your surgery could take between six and eight hours. As long as you are healthy and cleared by your internist for surgery, I do not see any contraindications to performing both surgeries at the same time.I think it is a wise idea to undergo arm lift or brachioplasty with a breast reduction at the same time. I think it is a good idea because your board certified, plastic surgeon can remove not only the excess skin and fat of the arm and the breast, but also in the area between the armpits and the breast. Often, there is an area of skin and fat that hangs over the bra strap line. This can be treated during the combined arm and breast surgery.If you have a desk job, I would take off work for two weeks. If you have a job that entails a significant amount of lifting I would take off from work 3 to 4 weeks. Often, the arm lift or brachioplasty and breast reduction are covered by medical insurance.Please seek a board-certified, plastic surgeon who specializes in arm lifts and breast reductions. In addition, please insist on seeing pictures of arm lifts and breast reductions in patients of your skin type. Be sure your board-certified plastic surgeon has experience with African-American patients.I hope this answers your question regarding arm lift or brachioplasty and breast reduction surgical options. If you have any questions, please not hesitate to contact my office. Sincerely, Dr. Katzen