Dear Jaspsadie, Thank you for your question. This is relevant not just for yourself but also many others who seek an answer for this common presentation. First of all, well done for looking after yourself and losing some weight with a focus on healthy living. Understandably, by this stage, we should have advanced with non-surgical techniques to alter the appearance of soft tissues after massive weight loss. Although a lot has improved in terms of techniques and research pertaining to radiofrequency, dermabrasion, lipofilling, platelet-rich plasma, and energy based devices, we still have a lot to learn and improve on. This is why cosmetic research is essential. Without performing a thorough clinical assessment, it is impossible to provide a dedicated and accurate plan for you. However, upon basic visual inspection, it appears that you may have moderate skin excess with associated irregularities of the surface of the skin. Of course, serial non-surgical procedures may assist temporarily in the mid-term especially with tightening the skin. Please realise that tightening the skin may not necessarily translate to the outcome you desire. This is a whole assessment on its own. The cumulative cost and unpredictable outcomes may be expected should you require further amendments following skin tightening. Non-surgical options may have it's role for specific goals but this needs to be carefully assessed. There is another option, which is surgery or brachiaplasty with or without simultaneous liposuction of the arms. Disclaimer: All surgical procedures have it's inherent potential risks and complications. It is imperative to seek a second opinion from a qualified medical professional prior to any surgical undertaking. Always consider your decision carefully after being fully informed about the procedure of your choice. The benefits of surgical excision of the soft tissues of the arms may involve permanent removal of the redundant excess tissues that may present as "sagging" or "rippling" and the likely reduction of volume and diameter of around the arms. The downside of surgery of course are the potential risks of surgery such as scarring, numbness and contour irregularities especially around the scar line. It is essential to have a comprehensive consultation with regards to your presentation from a trusted and experienced doctor or surgeon specific to aesthetic surgery. To learn more about our quality consultation in Melbourne especially related to the component of liposuction you are welcome to click below. Learn about your options with confidence.