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.)

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.

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.