Hello momzie2three, Thank you for your question regarding the best way to remove fat from the upper arm area. When it comes to removing excess fat from the upper arms, there are a few different procedures to consider, each with its own advantages and suitability depending on your specific condition and goals. It's also hard to give you good advice without photos. I'll break down the different procedures for you. Liposuction: This procedure is ideal for individuals who have good skin elasticity and only need to remove excess fat. Liposuction involves using a cannula to suction out fat deposits from the upper arms. It's minimally invasive and can produce great results if your skin can contract well after the fat is removed. However, it does not address excess skin, which might become more noticeable if your skin does not retract well. Arm Lift (Brachioplasty): An arm lift is more suitable for individuals who have both excess fat and loose or sagging skin. This procedure not only removes fat but also excises the excess skin, resulting in a more toned and firm appearance. It’s particularly effective for those who have experienced significant weight loss or have lost skin elasticity due to aging. The trade-off is that it involves a longer incision, which may result in a visible scar from the armpit to the elbow. VASER Liposuction: This is an advanced form of liposuction that uses ultrasound technology to break down fat cells before they are removed. VASER liposuction is known for being more precise and less invasive than traditional liposuction, making it a good option if you’re looking for a procedure that can effectively remove fat while also preserving the surrounding tissues. It's particularly useful for contouring and defining the upper arms. Non-Surgical Options: There are also non-surgical treatments like CoolSculpting or radiofrequency treatments that can reduce fat in the upper arms. These treatments are less invasive and have minimal downtime, but they generally offer more subtle results and may require multiple sessions. In summary, the choice of procedure depends on the amount of fat, skin laxity, and your personal goals. Liposuction is best for removing fat with good skin elasticity, while an arm lift is ideal for addressing both fat and excess skin. VASER liposuction offers precision and minimal invasiveness, making it a great option for those looking for effective fat removal and contouring. Consulting with a Board-Certified plastic surgeon can help determine the best procedure for your specific needs. Good luck with your decision! Sincerely, J. Timothy Katzen, MD, FASMBS, FICS