What procedure is needed to remove skin and the fat from my arms? (Photos)

Thank you for your question: "What procedure is needed to remove skin and fat from my arms?" To clarify, an arm lift is an arm reduction. An arm reduction removes excess skin and fat from the arms. However, what you circled are your arms and your back. Arm surgery does not include the removal of excess skin and fat from the back. If you want the areas circled removed, you will need an arm reduction (brachioplasty). During a torsoplasty excess skin and fat are removed from your torso. I highly suggest a vertical Torsoplasty to remove excess skin and fat in your circled areas. This would entail an incision from your armpit down your side to the bra strap line or just one or 2 inches below the skin fold you circled on your side. The vertical torsoplasty can be combined with your arm lift. Often in the armpit, a Z-plasty is performed to minimize contracture. The arm lift or torsoplasty can be performed under general anesthesia and takes approximately 3 to 4 hours on the arm lift and about 2 to 3 hours on the vertical torsoplasty. A drain will be included in the vertical torsoplasty, which stays in about seven to ten days. Please seek an experience board-certified plastic surgeon who has performed hundreds of arm lifts and torsoplasties. Thank you. I hope this helps answer the question regarding how to get rid of excess skin and fat on the arm and back.
I specialize in arm lifts. I hope that I have answered your questions regarding the arm reduction. If you have any more questions regarding the arm lift, arm reduction, brachioplasty or arm crease fat grafting, please contact my office. Since a brachioplasty or arm lift surgery is a difficult procedure, 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.)

Thank you for your inquiry! It looks like by your photos you would be a great candidate for a Brachioplasty procedure as that will remove excess skin/fullness to your arms and lateral chest. Liposuction to both arms can also be done in the same procedure. I recommend consulting with a board certified plastic surgeon like myself to create a surgical plan targeted towards your specific goals.

Based on the pictures you have shown, there appears to be two separate areas that bother you. the first is the side of the chest that extends into the back. This is best treated with a back lift or bra line excision in which the scar stretches across the back and into the lateral aspect of each breast. The excess arm skin appears to be more minimal based on the pictures you have shown. While a formal brachioplasty will treat the lateral chest rolls to some extent, it may be more prudent to perform a bra line excision with arm liposuction performed during the same or separate procedures.

For arm Liposuction and Brachioplasty can be performed together for the best result, however the extra fat tissue under your arm area and on your back requires liposuction. As a combination solution 2 areas of Vaser Liposuction and Arm Lift/ Brachioplasty can be performed together. Both surgeries require general anastesia.

Most likely you have lost a significant amount of weight, now you have developed saggy skin on your entire upper body: Breast ptosis, the combination of excess of fat and skin on the lateral torso (sedes of breast) and thick/saggy arms. And also some degree saggy back with those back rolls.
So you will be candidate for a After Weight loss surgery approach: upper Body lift which means the combination of breast lift, arm lift with almost 360 lipo yo arms, lateral torsoplasty (crescent incision which connects the breat fold with the arm lift incision) with liposuction to lateral torso and possibly back lift ( brassiere line) with liposuction to entire back. Liposuction as solo procedure to the lateral torso and back will cause a very saggy and wrinkly area.
You might skip the back incision if the lower back is not that saggy.
Be encouraged!!! My recommendation is to look for a Board Certified Plastic surgeon with a lot of experience on After weight loss surgery.
Dr. Cárdenas

Based on these photos, it appears that liposuction of the arms and chest/breast tail, would be sufficient. However, only on the basis of in person evaluation, a board certified plastic surgeon would be able to decide whether skin removal (excision) may be needed. Good luck.

Dear taurzgrl,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from arm lift. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

For you, I would suggest liposuction to remove the excess fat combined with radiofrequency skin tightening like Renuvion which gives good results with small scars.

The procedure you're referring to is typically known as brachioplasty, commonly known as an arm lift. Brachioplasty is a surgical procedure designed to remove excess skin and fat from the upper arms, resulting in a more toned and contoured appearance. This procedure is often chosen by individuals who have experienced significant weight loss or have excess skin due to aging or genetics.Here's an overview of the brachioplasty procedure:1. Consultation:• Before undergoing any surgical procedure, you'll have a consultation with a board-certified plastic surgeon. During this consultation, you'll discuss your goals, medical history, and the plastic surgeon will assess your arms to determine the most appropriate surgical plan.2. Anesthesia:• Brachioplasty is typically performed under general anesthesia to ensure the patient is comfortable and pain-free during the surgery.3. Incision Placement:• The plastic surgeon will make incisions on the inner or backside of the upper arms. The length and pattern of incisions depend on the amount of excess skin and fat to be removed.4. Removal of Excess Skin and Fat:• After making the incisions, the plastic surgeon will remove the excess skin and fat. Liposuction may also be used to help contour the area further.5. Tightening and Reshaping:• The remaining skin is then pulled taut, and the underlying tissues may be tightened to create a more sculpted appearance.6. Closure:• Once the desired contours are achieved, the incisions are closed with sutures.7. Recovery:• After the surgery, there will be a recovery period during which the patient should follow postoperative care instructions provided by the surgeon. This may include wearing compression garments, avoiding certain activities, and attending follow-up appointments.It's important to note that while brachioplasty is effective in addressing excess skin and fat in the upper arms, it does leave scars. The extent of scarring will depend on the surgical technique used and individual healing factors. Your plastic surgeon will discuss the potential scarring during the consultation.As with any surgical procedure, there are risks and potential complications associated with brachioplasty. It's crucial to choose a skilled and experienced plastic surgeon and carefully follow their pre- and postoperative instructions for the best outcomes.

You Liposuction is a very useful tool if used appropriately. If you have good skin elasticity, liposuction can effectively reduce the ‘bulk’ in the area. Your skin tone, based on the photos you have posted, is good. You do have a few stretch marks, but these are far apart, with a good amount of good skin in between. I don’t see a need for an arm lift. Liposuction of the arms and the side of your chest should contour the area nicely.