Hi 4everruth, Thank you for your question regarding arm lift surgery. The arm lift is called a brachioplasty. Instead of being called an arm lift, the procedure should really be called an arm reduction. During a brachioplasty or arm reduction, excess arm fat and excess arm skin are removed. Typically, arm fat and skin are removed at the same time. The arm fat is removed with arm liposuction and direct arm fat excision. Arm skin can only be removed with an incision.There are different types of arms. Some arm types respond just to arm liposuction. Some arms have mild excess arm skin and fat next to the armpit. These types of arms can be managed by a hidden crescent incision. A crescent area of skin and fat is removed. Other arms have more skin and fat down the inner arm. These patients require a T incision. Sometimes, this is called a modified T arm lift. An incision extends 1/3 to 1/2 way down the upper inner arm.In your case, you have excess skin and fat from the armpit to the elbow. You have a Type 4 arm.Your arms will be best managed with arm liposuction and an incision from the armpit to the elbow. The brachioplasty procedure takes approximately 3 hours. For the first week, you will have ACE bandages from the wrists to the elbows. For the second week, you will have ACE bandages from the elbow to the armpit. Usually the arm scar heals very well and fades with time. Postoperatively, I would highly encourage you wear arm compression garments for six weeks. In addition, I would suggest you apply silicone gel and sheeting for six months. Thank you for your question regarding arm lift or arm reduction (brachioplasty). If you have any questions regarding arm lift surgery, please contact my office. Good luck! Sincerely, Dr. Katzen