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 the question and pictures.

Assuming you have reached a long-term stable weight, you may be an excellent candidate for arm contouring surgery. I would not suggest any operation ( including liposuction surgery)  except for arm  lifting. In your case, it may be that a relatively short  excision and ( resulting scar) will be effective given the appearance of your arms in the posted photos.

The arm lifting operation is an excellent operation that will treat the “sagging arms”;  the downside of course is the long scar ( that can be problematic and require revisionary surgery).  In my opinion one of the keys to this operation is to plan the excision such that the resulting scar  falls along the lower border of the arm ( and therefore is not visible from the front or back views).
I hope this helps.

Hello,

Thank you for the informative photographs and explanation of the issues you are having with the appearance of your arms.  I understand your lack of enthusiasm for having an arm lift with the attendant scar that goes along with it.  Unfortunately, the problems you're having are associated not only with excess fatty tissue, but also skin laxity.

Any significant alternative to an arm lift does not exist, and an arm lift is the only surgical technique that will eliminate your 'E" and give you a flat/straight contour to your inner arm.  The list of inadequate substitutes includes the myriad of devices that pairs liposuction with some high tech energy source like ultrasound, Vaser, waterjets, or lasers like the 'Smart lipo' and 'Lipolite'.  Please beware:  there are many surgeons, even those certified by the American Board of Plastic Surgery, that have purchased these expensive machines and now feel compelled to sell patients on the 'amazing results' that these machines can produce, especially skin tightening.  The fact of the matter is that there is no evidence whatsoever that these machines can tighten skin in any meaningful way more than liposuction alone.

I recommend you visit a few surgeons certified by the ABPS and are members of the ASAPS who do NOT use these devices and have them assess you.  A very good alternative might be, as you said, very good liposuction to see if just reducing the amount of excess fatty tissue has enough of a beneficial effect to make you satisfied.  It wont make your 'E' go away, but it might make it slightly better and have an overall improvement to your arm contour. The downside to this though is the possibility of making some irregularities worse, increasing the necessity for an arm lift.  The risks, benefits and alteranatives will be discussed and then you can decide on what, if anything, is best for you.

Best of luck.