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I commonly perform Ultherapy to the arms. There was a publication showing moderate improvement by both the treating physician and the patient's treated when Ultherapy was used to treat the upper arms. There is also another study that will soon be published where significant improvement was seen when lax skin over the elbows was treated.
It depends. If the upper arms are a little loose, with loose skin and not fat, then Ultherapy is worth a shot for skin tightening. But, if there is looseness and some fat, you need to tighten and lose the fat. Ultherapy won’t do that. Here you have some choices, you could choose laser lipo or a newer tightening procedure that uses RF energy called ThermiTight™.
Ultherapy would not help the skin laxity in the arms - you may need a brachioplasty procedure done by a plastic surgeon.