Thank you for your question regarding arm lift eligibility and concerns about excess skin. I appreciate your provided history and images. After a thorough examination, here are my insights: Excessive arm skin seems not a prominent issue in your case. There might be a slight presence of arm fat, but not substantial. Considering this, I believe your arms would respond well to arm liposuction. Specifically, I recommend Vaser high-definition arm liposuction. Vaser high-definition arm liposuction offers tailored sculpting opportunities, including: Refinement of the anterior and posterior deltoid muscle borders. Sculpting of the triceps and biceps intersection on the posterior and medial arm areas. Targeted treatment for any isolated fat pockets. In light of this assessment, I propose Vaser high-definition arm liposuction as a more suitable option over an arm lift (brachioplasty). Your case doesn't appear to necessitate extensive skin removal. Your question is greatly appreciated. Should you decide to proceed, I wish you the best on your journey. Warm regards, Dr. Katzen