Thank you for your question, "When are the results of an arm lift completely? Also, can one lose additional fat after the procedure to tone arms?" Regarding your final results from your arm lift or brachioplasty, your final results show an appearance of the scar maturing at two years. This is for full maturation of the surgical field on a microscopic molecular level. However, in general, the arrival of the arms for approach the final results at approximately 6 to 8 months. Final score maturation takes another 18 months. I highly suggest resistance training in terms of toning your arm after an arm lift. You should focus on three muscle groups: biceps, triceps, and deltoids. There are numerous videos on YouTube designed to workout treatments for you to maximize the appearance of the arms in terms of working out these muscle groups. Alternatively, a personal trainer can come in handy to tone your arms after an armless. I hope this helps answer your question regarding how to tone your arms after an armless and when the final results are apparent after an arm lifter. Thanks. Good luck. 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.)