Hello Self-improvement1981, Thank you for your inquiry about arm lift or arm reduction (brachioplasty) revision. In addition, thank you for your arm lift pictures. Yes, I would suggest arm revision. In your case, I would suggest arm liposuction and resection of excess arm skin and fat. Arm liposuction and removal of arm skin and fat can be removed at the same time. In addition, I would revise your arm lift scars. In regards to your forearms, I would suggest forearm liposuction. Your arm lift and forearm liposuction surgery should take about 4 to 5 hours. Drains are not needed. Arm compression garments are essential. In your case, I would recommend arm garments for 6 to 8 weeks. I would seek a plastic surgeon certified by the American Board of Plastic Surgery with significant experience in arm lifts. Good luck! If you have any further questions regarding arm lift, arm reduction, arm lift revision, brachioplasty, or forearm liposuction, please contact my office. Sincerely, Dr. J. Timothy Katzen.