Hi annie8I am sorry that you are unhappy with your liposuction result. This presents a difficult restoration challenge. In looking at this one picture alone, I think that additional fat removal alone would be ill advised. Using laser lipo to just tighten the skin would also be risky at best.I think your best bet would be a brachioplasty. This is a rather big operation compared to the original plan, but it will take care of your concerns and address the loss of tissue strength and other problems that I suspect are underlying.I have enclosed a link.Best.Se
Thanks for the question. It depends how long it has been since you had the surgery. These irregularities may be a result of swelling. Consult with your surgeon for any further questions.All the best,Dr. Results