Size 4, 133 pounds. I HATE my arms! What treatment options would be best? (Photo)

Tough to say totally based on this photo, but your best bet will be a surgical arm lift. Scar runs from elbow to armpit, takes about 90 minutes and in and out. Recovery is pretty easy, you have to wear compression and pain is minimal. It can be done under local anesthesia (although I recommend general anesthesia for comfort reasons).
If you're really trying to avoid the scar, you can do liposuction plus a skin tightening device (I like bodytite). That works fairly well but won't be as tight as surgery, however if you really dont want the scarring, that's the thing to try.

In cases like this, the most effective approach is typically a brachioplasty (arm lift) with liposuction. Liposuction reduces excess fat, while brachioplasty removes redundant skin and reshapes the arm contour. Renuvion skin tightening can also provide additional tissue contraction, improving overall definition. While the procedure does involve a scar, it can be hidden on the underside of the arm, and most patients find the trade-off worthwhile for achieving proportionate, balanced results.

There is really only one good option for you and that is a brachioplasty or arm lift. The procedure will require the removal of skin and fat in order to narrow and tighten your upper arms. The older, traditional way of doing this results in the removal of not only the excess skin and fat but also all the blood vessels, lymphatics and nerves contained in the area. This can result in an increased risk of fluid collection, numbness and swelling in the forearm. My preferred technique is to suction out all the fat in the area to be excised so that only skin is left and then cut away the skin only. This preserves all the underlying structures, reducing the risk of complications and eliminates the need for drains. The tradeoff will be a long scar from armpit to elbow. Ask your surgeon about using Brijjits and Embrace to help with the appearance of the scars.

Unfortunately, arms can be extremely stubborn.

Many patients will benefit from Vaser ultrasound liposuction to remove the bulky fat and tighten skin to a degree.

However, you most likely will also need skin removed via arm lift (brachiaplasty)

An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your options and expectations.

The best treatment for you would be a brachioplasty. An incision is made at the axilla and goes down to the elbow. I also use liposuction at the same time to feather the transition between the lifted and no lifted areas. This takes 2 hours to perform under general anesthesia and costs $8,000.

Best Wishes,

Gary Horndeski, M.D.

Hi there,Thank you for your question. There really is only one solution for you and that would be to have a Brachiaplasty, or Armlift. This procedure involves having an incision that runs down the inside of the arm from the armpit to just above the elbow. Excess skin would be removed leaving a tighter appearance of the upper arms. Please consult with a Board Certified plastic surgeon who can guide you through a treatment plan.

Hello. At 48 years old, with a healthy weight and an active lifestyle, if your arms remain disproportionately large despite intense exercise, it's most likely due to excess skin. In your case, the best option would be an arm lift (brachioplasty), which removes excess skin and improves arm contour. It's an effective solution when exercise and diet don't achieve the desired results. You can contact us at 829-554-6062 to schedule a virtual consultation and receive a quote.

Based on the one poster photo you were candidate for a brachioplasty or arm lift. Best of virtual console with for a better understanding. Expect fees to arrange from $8000-$10,000. Again, best of virtual consult with.