Do I need an arm lift? (Photo)

Thank you for your query on whether you need an arm lift. Based on your shared details and image, arm reduction surgery seems a viable option for you. The two main methods are Vaser High-Definition Liposuction and a Formal Arm Lift with an incision.
Given your minimal loose skin and no history of massive weight loss, I'd recommend the Vaser High-Definition Arm Liposuction. It effectively sculpts the arms and removes excess fat, with skin naturally 'shrink-wrapping' around your newly shaped arms.
Alternatively, a Formal Arm Reduction, which involves liposuction and a longitudinal arm incision, can also be considered, though it leaves an incision on your arm.
In conclusion, Vaser High-Def Arm Liposuction appears to be your best bet. I hope this has clarified your options.
sincerely,
Dr. Katzen

The posted photo doesn't really show if you would be a good candidate for an arm lift. Liposuction of the area may be adequate to reduce the size. If there is significant skin laxity, then the arm lift would be recommended to best address that. Visit with a board certified plastic surgeon near you to learn more.