Brachioplasty: extended or CoolSculpting, which is better? (Photos)

A brachioplasty would always be better than a non-surgical method for the arms, unless you have very little excess fat and no loose skin. The brachioplasty is a surgical procedure, but it definitely removes the excess skin and fat, and the skin excision is tailored for the patient. Patients are elated with the procedure. The scar in on the inside of the arm is just a line and should have no suture marks whatsoever. Recovery requires a compression dressing for a couple of weeks according to how much skin and fat is removed. The good thing about a brachioplasty is that it works every time. I suggest consulting a plastic surgeon certified by the American Board of Plastic Surgery and with experience with this procedure.Thank you for your question and photos, and good luck.

Usually, I start with Vaser ultrasound liposuction and/or Smart Lipo laser to address the fat and skin. Tightening will occur over several months and in some cases, a skin excision may still be required at the same time or later depending upon your examination.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations. 

No non-surgical method can work if there is large amount of redundant skin that follows massive weight loss.  Hence, you must accept the appearance of scar, although remember that a good doctor will make every effort to place it in discreet place, such as the inner aspect of your arm and armpit. 

Visit a board-certified plastic surgeon (ABPS member) who performs body lift for massive weight loss patients on a regular basis.  He or she can explain to you all the possible options and ramifications. 

Good luck and best wishes.