Thank you for your question regarding what to do with your arms. Based on your pictures, I would suggest a formal arm lift or arm reduction, also called a brachioplasty. In my opinion, whether you have J-Plasma or VASER liposuction of the upper arms, your arms will not contract even if you have “firm skin”. In my opinion, I would not waste money on arm J-Plasma or VASER arm liposuction. In my opinion, after J-Plasma or VASER arm liposuction, you will still have loose hanging arm skin and your arms may actually look worse rather than better. In my opinion, you would benefit most from a formal arm reduction. During your arm reduction or arm lift, arm liposuction is performed and excess arm skin and fat is removed from the armpit to the elbow. I am certain your arms would be much skinnier after this procedure compared to J-Plasma or VASER arm liposuction. If you are considering J-Plasma or VASER arm liposuction, your down time would be approximately 1 week. However ,your results will be minimal or perhaps worse. If you have an arm reduction or brachioplasty, your down time will be approximately 2 weeks, but would have far more superior results than J-Plasma or VASER arm liposuction. In my opinion, I would go with results and plan for just 1 more week recovery. Do not jeopardize your final results based on the amount of time needed for arm surgery recovery. I specialize in arm lifts. I perform J-Plasma to the arm, VASER arm liposuction, and arm reductions, arm lifts, and brachioplasties. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the J-Plasma, VASER arm liposuction, arm lift, arm reduction, or brachioplasty, please contact my office. 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, 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.)