Mini arm lift, full arm lift or Liposuction?

Hello thank you for your question and for providing photos!
Judging by your pictures, you seem like a good candidate for an arm lift, of course is always more accurate to do an in person evaluation. Regarding to this special area that is so important and very susceptible to changes during lifetime I like to explain to my patients the available treatments in order of invasiveness which is proportional to the severity.  
1. Liposuction. For patients with good skin quality, not skin redundancy and the main problem is fat deposited in the upper arm. 
2. Mini arm lift. This one could be combined with a mild liposuction and is reserved por patients with not too much redundancy or loose skin, not so good skin quality but not a massive weight loss patient.
3. Arm lift (long incision). Reserved for patients with really poor skin quality or severe skin excess, usually a massive weight loss patient belongs to this category (but not always).
Everybody is different and the surgery should be always customized and planned for a patients specific needs, goals and expectations after a physical and medical evaluation. Remember to discuss your concerns and expectations with your board certified plastic surgeon.
I hope you find this useful, wish you the best

Thank you for your question and based on your pictures you seem to be a good candidate for an arm lift. Always see a board certified PS in person to go over your options.

Thank you for your question and photos.
CAST Liposuction combined with mini-brachioplasty produces excellent upper arm contour. Liposuction of upper arm can produce excellent results in individuals with mild to moderate skin laxity. Additional skin tightening can be achieved with J-Plasma powered by Renuvion (Cool Helium Plasma).  I recommend the Circumferential para-Axillary Superficial Tumescent (CAST) technique for upper arm contouring. The use of tumescent anesthesia, micro cannula, and meticulous post operative care maximizes skin retraction and can give excellent improvement. If there is skin laxity, a brachioplasty may be required to tighten the skin. The minibrachioplasty is ideal for correcting the loose skin in the upper third of the inner arm. An ellipse of skin is removed from the axilla (arm pit) and the thin skin of the upper inner arm is advanced and tightened. The scar generally heals well and is well hidden, allowing you to wear short sleeves and sleeveless blouses. For certain patients, dermal tightening with J-plasma can allow you to avoid scar as it produces excellent skin tightening.
 I generally try to avoid performing a full Brachioplasty unless the skin is extremely loose. In such cases the resulting improvement in the contour of the arm can be dramatic, but the scars are difficult to hide.
Please consult with a Board-Certified Plastic Surgeon.
Best regards,
Andrew Lyos, M.D., FACS

Judging by your photographs it appears that you would require a full arm lift and possibly some liposuction.


Brachioplasty or arm lift surgery is one of the most frequently requested body contouring procedures performed today. The demand for this procedure has increased more than 800% since 1997. This is the greatest percent change of any of the commonly performed cosmetic surgical procedures Much of the increase in popularity is due to the growing number of patients who undergo massive weight loss. Brachioplasty is normally performed as an outpatien. In performing this procedure an incision is made on the inside of the arm extending from the elbow into the armpit. Sometimes it is necessary to extend the incision further into the armpit and sometimes past it. Utilizing this incision excess skin is removed and the wound is closed. It is very important to position the scar properly so that it is concealed as much as possible. A well-placed incision should result in a scar that is only visible when the arms are raised. It is very important for the surgeon to discuss the resultant scar thoroughly with the patient preoperatively. Very commonly this scar takes a longer time to undergo the full healing and maturation process than scars in other parts of the body. Maturation refers to the process whereby the scar becomes less apparent. Brachioplasty scars commonly take up to 2 years to fully mature. Immediately after the operation compressive Ace wraps are placed from the fingers up to the armpit. These can normally be removed within 24-48 hours postoperatively and replaced by elastic compression sleeves commonly worn by athletes. These can be purchased relatively inexpensively at any sporting good store. Most patients wear these for up for up to 4 weeks postoperatively. No vigorous activity or strenuous activity is recommended for 3 weeks postoperatively. Complications following a well planned and well executed brachioplasty are uncommon. They may include however wound infection or wound breakdown. In the last several years improvements have been made in the performance of brachioplasty (arm lift) resulting in better results and more acceptable scars. These improvements includes more precise incision placement, better closure techniques and use of post operative scar reducing systems. With greater attention to these details the benefits of arm lift surgery can be achieved with more acceptable scarring than in the past.