My arms have fat and sagging skin. Opinion on: JPLASTY, Mini-brachioplasty, or High Def lipo? (photos)

Thank you for your question and photos.
CAST Liposuction combined with mini-brachioplasty produces excellent upper arm contour. Liposuction of upper arm can produce excellent results in individuals with mild to moderate skin laxity. Additional skin tightening can be achieved with J-Plasma powered by Renuvion (Cool Helium Plasma).  I recommend the Circumferential para-Axillary Superficial Tumescent (CAST) technique for upper arm contouring. The use of tumescent anesthesia, micro cannula, and meticulous post operative care maximizes skin retraction and can give excellent improvement. If there is skin laxity, a brachioplasty may be required to tighten the skin. The minibrachioplasty is ideal for correcting the loose skin in the upper third of the inner arm. An ellipse of skin is removed from the axilla (arm pit) and the thin skin of the upper inner arm is advanced and tightened. The scar generally heals well and is well hidden, allowing you to wear short sleeves and sleeveless blouses. For certain patients, dermal tightening with J-plasma can allow you to avoid scar as it produces excellent skin tightening.
 I generally try to avoid performing a full Brachioplasty unless the skin is extremely loose. In such cases the resulting improvement in the contour of the arm can be dramatic, but the scars are difficult to hide.
Please consult with a Board-Certified Plastic Surgeon.
Best regards,
Andrew Lyos, M.D., FACS

Thank you for your question regarding what to do with your arms. Thank you for your history and your pictures. In examining your pictures, you have excess skin and fat. The fat can be removed with Liposuction or direct excision. The skin can only be removed with surgical excision. J Plasma will not help at all. Neither will Hi-Def Liposuction. You will need a brachioplasty or arm reduction since you have excess skin and fat on the elbow. It would be best to have an incision from the elbow to the armpit. A mini brachioplasty will not get the results you want. Do the correct surgery from the on-set to avoid disappointment and a need for revisional surgeries. You can have the brachioplasty performed under twilight anesthesia if need be. General anesthesia is much better and maybe even safer. Please consult with a board-certified plastic surgeon. I hope I helped to answer your question. Good Luck.
Sincerely,
Dr. Katzen

Based on you pictures you seem to be a good candidate for an arm lift an in-person consultation is always best for a detailed exam and evaluation.Always see a board certified PS.

It appears that there is excess skin from the arm pit to the elbow. This was best be treated with a full brachioplasty. Liposuction will not tighten the skin and a mini-brachioplasty will only leave you with a webbed armpit scar in this case. A brachioplasty can be done with IV sedation in combination with liposuction and the reasult will be very noticeable.

Thank you for your question...You are a good  candidate for liposuction and arm lift under general anesthesia.

Thank you for your question and photos. Noninvasive options like coolsculpting and skin tightening can help improve your arms some, but if you are looking for dramatic improvement, Surgery is the only option. You are a candidate for liposuction and brachioplasty (arm lift) and most surgeons would recommend doing those under general anesthesia. This will allow for maximal reshaping of the arms and excision of extra skin. Being at your ideal weight is definitely best before undergoing any surgery. Good luck.
Sincerely,
Olga Bachilo, MD

Hello dear!!
Thanks for the question and provided information as well. 
Based on your pictures, you are a great candidate for a brachioplasty (arm lift) with liposuction. 
I suggest you to visit a board certified plastic surgeon for a personal evaluation and to talk about your goals.
Good luck :)

It appears from your pictures that you would be a good candidate for brachioplasty. You would need a physical exam to confirm this. This is a procedure that suctions out the excess fat and excises the excess skin in the upper arms. Many of my patients tell me they enjoy wearing tank tops, spaghetti straps etc. after surgery. I incorporate the FINNESSE technique, which I invented. Bleeding is minimal and recovery is much quicker versus traditional techniques. I hope you find this information useful. Please watch the enclosed video. 

Hi there, thanks for your question. I do think surgery is the best option for you. Minimally invasive treatments such as cool sculpting are best in situations with minimal skin excess. In your care, I think you could benefit from targeted liposuction and a skin excision procedure. This could be tailored to your preferences regarding scar type and location. Be sure to see a fully trained plastic surgeon for a complete evaluation. Best of luck to you.