Dear 301Linda, Thank you for your question regarding the possibility of having an arm lift surgery performed one arm at a time. While it's more common to perform bilateral arm lift surgery for the sake of symmetry and a single recovery period, it is certainly possible to have an arm lift done one arm at a time. In my practice, I have performed arm lifts in this manner for patients who, like you, preferred this approach. This is often a consideration for patients who may not have extensive support available for aftercare and would like to maintain a greater degree of independence during their recovery period. There are a few reasons why some plastic surgeons might prefer to do both arms at once. This approach allows for a single recovery period, which means less total downtime for the patient. Additionally, performing both surgeries at once ensures symmetry, as the surgeon can make adjustments on the spot. However, these factors should always be weighed against the unique needs and circumstances of the patient. If having one arm done at a time better suits your lifestyle and aftercare abilities, it's a viable option to discuss with your surgeon. I hope this helps clarify your options. Best of luck with your decision. Sincerely, Dr. Katzen