Need help for saggy skin on inner elbows and forearm? Age 50 really fit and slim. (photos)

Thank you for your question what to do with your sagging upper arm skin specially around inner elbow and forearm.  Based on your pictures and limited history I would suggest a conservative approach. Since you’re only 50 with a modest weight loss, I would suggest upper upper arm, elbow, and forearm liposuction. I believe your arm skin will bounce back given the appropriate type of liposuction. I would suggest VASER liposuction.   After your  arm lift surgery, it will be important to wear your arm compression garments for at least six weeks. I don’t think your arms are so bad that they warrant an arm incision. I hope that I have answered your questions about the arm liposuction, arm lift, arm reduction, or brachioplasty  If you have any more questions regarding the arm lift or brachioplasty, please contact my office.  When searching for an arm lift specialist, please seek an experienced, board certified plastic surgeon with significant expertise in arm reduction surgery.  Demand to see many before and after pictures of patients just like yourself on forums like RealSelf and their website.  Check out patient reviews of your chosen plastic surgeon on forums like RealSelf.  Thank you.  Sincerely, J. Timothy Katzen, MD, FACS, FICS, FASMBS. (Certified by the American Board of Plastic Surgery, member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and International Society of Aesthetic Plastic Surgery, and fellow of the American College of Surgery, International College of Surgery, and American Society for Metabolic and Bariatric Surgery).

Based on your pictures you seem to be a good candidate for bodytite of your arms to tighten the areas, an in-person consultation would be best for a detailed exam and evaluation.Always see a board certified PS.

Hello and thank you for your
question and photographs.   It is difficult to assess the skin laxity on your arms from your photographs alone.  I think you
would benefit significantly from an in person consultation with a board certified plastic surgeon.  Be sure to seek a
consultation with an aesthetic plastic surgeon who addresses all
your concerns and discusses the surgery details including the risks and
benefits of the procedure, recovery time, and post-operative course. 
Also, be sure to see plenty of before-and-after pictures in real women, and not
just computer-generated images, who have a similar arm appearance to yours,
in terms of pigment and shape, and preferably at different time
frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical
outcome.  And lastly, I think the most important component of the
consultation is to establish a good connection with your plastic surgeon.  If you don’t feel you have a good connection
with your plastic surgeon after your consultation, he/she may not be the best
surgeon for you.Good luck.Mark K Markarian, MD, MSPH
Harvard-trained Board Certified Aesthetic Plastic Surgeon

With minimal laxity as you describe, I might suggest you consider bodytite as a possible option.  Plastic surgeon's who utilize the devise feel that your case might be a great option.  I have not used this technology yet.  Best wishes