After surgery nightmare, unhappy arm surgery

Initially I was told by Dr. Rosenstocks office that having my arms done would make them slim and much smaller with immediate results. They said I would have a terrible scar but that is the exchange for having a small arm. I explained how a lot of the problems I faced was my arm not fitting into my garments because they were too large and the look of them was terrible so I was willing to take the scar in exchange for a small arm.
Needless to say after surgery my arm did not appear too much smaller to me. I was told my arm would get smaller over time. Three months after surgery I took pictures and sent it to them explaining my dissatisfaction and how I felt they did not remove enough of the fat to make my arms smaller. Their response was I have to wait at least 6 months for any type of adjustment.
When I reached out to them to show them how disgusting and fat my arm still look I was told I would need to repay and they would do a scar revision and liposuction. Im so upset.