What procedure is best for my breasts, arms and skin at the side of my chest? (Photo)

Congratulations on your weight loss. Do the extended breast lift and arm tuck first. Then you can consider getting implants if you want more fullness once everything has healed.

For your breasts, I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique will also lift up your upper abdominal skin. For your breasts, I recommend a brachioplasty.

Best Wishes,

Gary Horndeski, M.D.

Dear Emg25,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from breast lift and arm lift. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery