Thank you for your question regarding the fat lump on one of your arms. An arm lift and reduction also known as a brachioplasty with liposuction is the best way to get rid of that excess skin and fat. Steps for Arm Lift & Reduction: Liposuction is performed to remove excess fat of the arms, an incision is made, usually from the armpit to the elbow on the inseam of the arm. The arm is dissected, and as much skin and fat is resected. Since the incision is on the inseam of your arm, it will not be seen unless the arms are up in the air. I believe that an arm lift and reduction is the best option for you because liposuction alone will leave you with excess skin. I have thousands of past arm with patience, and all of them have felt much more confident after having this procedure. Thank you for your question regarding the lump of fat in your arm and I hope this helps. I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen. (“Verified” 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.)