Thank you for your questions regarding the arm lift or brachioplasty. In your case, from your picture, the arm lift will remove some of your stretch marks. However, I do not think an arm lift will remove all your stretch marks. You should reassess your arms once your weight is lost. I imagine once you lose five more stone that you will have a significant amount of excess arm skin and fat. If this is the case, I would probably suggest an arm lift. During the arm lift procedure, arm liposuction is performed and an incision is made from the armpit to the elbow. The procedure takes about three hours. The arm lift is done under general anesthesia. If you have a desk job, you should plan to take off to work two weeks from work. If your job entails more significant physical activity, you should plan to take off three to four weeks from work. I hope that I have answered your questions regarding arm stretch marks and the arm lift or brachioplasty procedure. If you have any more questions, please contact my office Sincerely, Dr. Katzen