Thank you for your question regarding treatment for sagging underarms. It is a common problem in older patients and patients who have lost a lot of weight. In my opinion, the best non-surgical treatment for sagging arms would be radio frequency modulation treatment. There is a significant amount of data and studies that show modest improvement of sagging arms. However, radio frequency treatment is in its preliminary phases, and usually, arm lift surgery always yields a better result. If you must treat your arms without surgery, I believe radio frequency modulation is the best way to go. Please seek an experienced board certified, plastic surgeon. If you have any other questions regarding sagging arms or any questions, feel free to contact my office. Sincerely, Dr. J. Timothy Katzen
Unfortunately there is no effective non-surgical treatment for sagging arms. Because it is a dynamic area that changes with movement of the shoulder joint, it is difficult to resolve the condition completely. It is common for me to treat this condition with skin excision, especially in the group of patients that have lost substantial weight. Below I attached an example of a dramatic improvement in one of my patients with surgical skin excision in that area. Good luck.