Hi, Thank you for your question regarding whether you can improve the appearance of your arms, and for providing your history and pictures. In regards to your arms, you need an arm lift or brachioplasty. Arm liposuction made your condition worse because the fat was removed and left the skin literally hanging. Now you need a procedure to remove the excess hanging skin. During a brachioplasty, arm liposuction is performed, and an incision is made from the armpit to the elbow. A large elliptical area of skin and fat is removed from the inner arm. The incision can be carried around the elbow to get rid of excess skin and fat near the elbow. The procedure takes about 3 to 4 hours under general anesthesia. Drains usually are not needed, and it is an outpatient procedure. You are usually able to return to work approximately two weeks after the brachioplasty. Please seek an experienced plastic surgeon for this procedure. Thank you for your questions regarding how to improve your arms' appearance after arm liposuction. Good luck. Sincerely, Dr. J. Timothy Katzen, MD, FACS, FICS