[2] The least-invasive manner to contour the upper arms is to simply remove extra fat via liposuction.
An alternative to this is Circumferential para-Axillary Superficial Tumescent (CAST) liposuction, which maximizes the skin retraction.
[4] The typical brachioplasty involves removing excessive loose skin via surgical excision, leaving a significant scar along the bottom of the upper arms.
If there is also a significant amount of loose skin that goes from the upper arms and continues along the chest wall, an extended brachioplasty may be called for.
In this procedure anchoring of the arm flap to the axillary fascia is secured along with strong superficial fascial system repair of incisions.