Hello, and thank you for your question regarding arm lift options with a minimally invasive scar. Thank you for your history and your picture. It is impossible to answer this question with just this single picture. You need a virtual or, preferably, a physical consultation. Options regarding the arms include VASER high-definition liposuction. Are you looking for more slender, feminine arms or more athletic, muscular arms, or something in between? If you want to embark on an arm liposuction route, consider either slimming your feminine arms or targeting more areas. VASER high-definition liposuction can provide either slim or athletic-looking arms, depending on your desired outcome. Suppose arm liposuction is not an option for you based on physical examination. In that case, you may be a candidate for an arm lift, also known as brachioplasty. During an arm lift, an incision is made from the armpit to the elbow and is usually combined with liposuction. Arm liposuction alone can be performed under twilight or IV anesthesia. A formal brachioplasty should be performed under general anesthesia. Good luck. I hope I answered your question regarding arm lift options with a minimally invasive scar. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. I hope that I have answered your questions regarding the arm reduction. If you have any further questions regarding arm lifts, arm reductions, brachioplasty, or arm crease fat grafting, please consult with an experienced plastic surgeon. Since a brachioplasty, or arm lift surgery, is a complex 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, MD, MBA. (Plastic Surgeon, President of the American Society of Bariatric 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, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)