Hi, Thanks for your question. According to your pictures, you are a good candidate for Vaser Liposuction as you have moderate fat and moderate skin laxity. In your case I would suggest to have a combination of Vaser liposuction and J plasma ( Reunion). Vaser liposuction involves in your case 2 small incisions (axillary fold and close to the elbow), removes the fat in excess and gives slimmer arms. However before the surgery , it is important to assess the localisation on the fat, your skin quality ( e.g. elasticity), muscle tone. The risk of saggy skin could be a possibility however this depends of your age, quality of skin, smoking status, weight fluctuations in the past, how much quantity of fat is removed during the procedure and so the degree of skin retraction you will have after the surgery. I would strongly recommend to make a consultation with an expert Vaser/ body contouring surgeon for a medical/surgical assessment in order to consider the best suitable treatment. Hope this help, Best Wishes, Dr Giuseppe Fiore, MD