Is It Possible to Get Rid of These Indents ( As I Refer to Them As E's) in my Arms with out a Arm Lift?

Thank you for your question regarding whether it's possible to get rid of indents in your arms without an arm lift. These indents are thought to be due to your genetics. You may consider looking at your baby pictures. If you had these bands when you were a child it is probable you inherited these from your mother and father. Nonetheless, to treat these indentations. I would suggest two options: the first option includes liposuction on either side of the indentation, this brings "the hills" down. Then, I would harvest fat from the abdomen or love handles and transfer this fat to the valley or the indentation. Thus the end result would be that the hills around the indentation would come down. The indentations come up. This should result in a smooth service. Another option that I've employed is been direct incision of the scar. This winds up in a Z plasty. This definitely removes the indentation. However it leaves a zig zag scar. Thank you for your question regarding whether it's possible to get rid of indents in your arms without an arm lift.
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.)

It's not unusual for patients to develop redundant saggy upper arm tissue after a significant weight loss. When this situation arises, a variety of treatment options are available. The specific choice will depend upon the patient's aesthetic goals and anatomic findings.Although your pictures are helpful, it's virtually impossible to make a specific recommendation without a physical examination. In the absence of an examination, your pictures suggest a significant amount of excess skin. This excess skin will almost certainly require a brachioplasty with an incision along the inner aspect of the arm. In some cases, an axillary incision will be necessary as well.It's important to realize that this type of procedure involves a series of trade-offs between excess saggy arm skin and additional scarring. For this reason, it's tempting for patients to opt for procedures that have less scarring. Under these circumstances, patients may be left with residual skin sag.If you're considering this type of procedure, it's important to thoroughly discuss these issues with a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Since you are trying to avoid an armlift, discuss with with plastic surgeon,  liposuction and perhaps even the option of ultrasonic liposuction or laser liposuction.  These added energy sources during liposuction may tighten your skin and decrease your chance of needing an armlift.   If there is too much skin after the liposuction heals, you may then more accurately evaulate your skin crease situation then.