Hello, thank you for question regarding a mini or crescent arm lift. The crescent or mini-arm lift treats the proximal or upper third of the arm. During the mini arm lift, a crescent area of upper skin is removed; that is why some plastic surgeons also call the mini arm lift a crescent arm lift. The mini arm lift is ideal for patients with minimal arm deformity or for patients who cannot tolerate a longer arm scar AND realize this surgery's limitations. Type 2 arm patients have minimal upper arm skin and fat which is limited to the upper 1/3 of the arm. Type 2 arm patients are best treated with a mini arm arm lift. However, based on your picture, you are a Type 3 arm patient. That means you have excess upper arm skin and fat all the way to the elbow. Type 3 arms are best treated with a full brachioplasty or full arm lift / arm reduction. Also, because of your age and significant upper arm sun exposure (partially from living in Arizona and playing tennis), your upper arm skin has lost its elasticity. You need a full arm lift. Even if your underlying upper arm fat was reduced, your arm skin would not bounce back. So, you have to ask yourself, "do you want great arm lift results and a longer arm scar or do you want minimal to (at best) mediocre arm lift results with a smaller arm lift scar? I hope that I have answered your questions about the different types of arm lifts. If you have any more questions regarding the arm lift, please contact my office. When searching for an arm lift specialist, please seek an experienced, board certified plastic surgeon with significant expertise in arm reduction surgery. Demand to see many before and after pictures of patients just like yourself on forums like RealSelf and their website. Check out patient reviews of your chosen plastic surgeon on forums like RealSelf. Thank you. Sincerely, J. Timothy Katzen, MD, FACS, FICS, FASMBS. (Certified by the American Board of Plastic Surgery, member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and International Society of Aesthetic Plastic Surgery, and fellow of the American College of Surgery, International College of Surgery, and American Society for Metabolic and Bariatric Surgery).