Thank you for your inquiry regarding arm skin laxity. Without visual assessment, a personalized recommendation is challenging. Nonetheless, an arm lift and reduction, medically termed brachioplasty, could be suitable for your case. Please note that further liposuction may exacerbate skin excess. In cases where the forearm region requires treatment, the incision can extend from the armpit to the wrist. I specialize in arm lift surgeries, including arm reduction, brachioplasty, and arm fat grafting. Should you have any additional inquiries or concerns regarding arm lift procedures, do not hesitate to contact my office. However, please be advised that arm lift surgery is intricate, and as such, I recommend that you seek an experienced, board-certified plastic surgeon with significant experience in performing such surgeries. It would be best if you conducted research and ensure that your chosen plastic surgeon has conducted at least a hundred successful arm lifts and possesses before-and-after photographs to validate their proficiency. It would also be prudent to scrutinize their before-and-after gallery and verify their reviews on RealSelf. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic 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, American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame.)