Thank you for your question regarding a revision arm lift, arm reduction or brachioplasty. I'm sorry you had suboptimal results; you were guided into a limited incision brachioplasty instead of the traditional full brachioplasty from the armpit to the elbow. It sounds like you can undergo a revision arm lift. This is not uncommon during your revision arm lift. Arm liposuction will be performed in addition to an incision from the armpit to the elbow. This should significantly reduce your arms. It is essential that you also be at a stable weight. Please consult with an experienced board-certified plastic surgeon who is comfortable performing arm lifts, arms reduction, or brachioplasty. Thank you for your question, I hope my answer helps. I specialize in arm lifts. I hope that I have answered your questions regarding the arms reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, don't hesitate to get in touch with my office. Since a brachioplasty or arm lift surgery is difficult, 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, President of the American Society of Bariatric Plastic Surgeons, 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.)