Saggy skin under breast, back boobs, and under arm skin. What can I do about them? (photos)

Thanks for your question and photos and congratulations on your weight loss. It is very common to have loose skin in different areas of the body after massive weight loss. The trade-off to getting rid of this skin is the resultant scarring. The bra strap area looks like it could benefit from such an excision. I suggest you meet with a reputable board certified plastic surgeon for an exam and to go over your options. Good luck!

Hello,Along with arm liposuction and lift, your back would need a bra strap upper body lift to tighten that loose skin. A vertical extension of an arm lift incision down the sides of your chest are in the wrong vector to remove skin effectively. Discuss with your surgeon. Best of luck!

dear patient! Thanks for your question and your photos! I treat thousands of patients that undergo drastic weightloss.  You will need a Brachioplasty, revision of Tummy tuck and a Breast Lift, and yes they can all be performed in one sitting by a skilled Board Certified Plastic Surgeon that is expert in these types of procedures.

Dear Apollo star,it is hard to tell without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Congrats on your initial surgeries. Yes, you can have excess skin and fat removed directly from the back/bra roll area and the arms (Brachioplasty). Physical exam in the office would be required to advise you as to how much skin could be removed. Some of your excess tissue might benefit from liposuction but it's the interplay between fat fullness and skin laxity that exam will tell us, in order to help you decide whether direct skin excision is required in each area of concern or if lipo may be appropriate. See a board-certified plastic surgeon with expertise in body contouring.

Brachioplasty (arm lift) and back skin can be excised in same surgical settings. If you are willing to accept scarring associated with these surgeries you can proceed. 

Yes each of these areas can be addressed surgically.  The time for your consultation is when you are within 10% of your final target weight.
Hope this helps.
Dr. Ali Mosharrafa

Congratulations at losing all the weight. You probably gained another 10 years of life and are feeling great. However, many patients that lose that much weight have the tradeoff of having their body resemble a Sharpei; too much skin. Techniques of body contouring involve volume removal (liposuction) and skin removal when necessary (Tummy Tucks, Breast Lifts, Arm lifts, etc.) The issue all of these techniques have in common is that they come with a compromise (requiring a scar to get the result). There are some minimally/ non-invasive technologies that have been promoted but, thus far, none of them can give the results of surgically removing the skin. So, depending upon where the extra skin is and whether a patient will accept the scar, skin can be removed to achieve a good result. For example, extra skin along the bra line can be removed transversely across the back and hid under the bra strap. To discuss these techniques further, find a Board Certified Plastic Surgeon experienced in these techniques. 

Thank you for the question and the information provided.
An arm lift, or brachioplasty, is a surgical procedure that:
Reduces excess sagging skin that droops downwardTightens and smoothes the underlying supportive tissue that defines the shape of the upper armReduces localized pockets of fat in the upper arm region
And for your back excess skin a back lift may be a good option for you. 
I recommend you to make a consultation with a board certified plastic surgeon to discuss the best options for you. 

Best Wishes.