An arm lift (brachioplasty) gives the upper arms a more toned and firm  appearance through the removal of sagging skin and  excess fat.  Aging,  weight loss, or heredity can all cause  skin of the upper arms to lose elasticity, creating the appearance of hanging skin.  Though exercise can help to tone the muscles,  it cannot reverse lost skin elasticity  or reduce excess skin.   Because of advances in technology, excellent contouring of the arms can often be achieved by  liposuction alone.  Through small incisions that are made in the armpit and elbow, Dr. Newall will  liposuction select areas of the arms to create the sculpted shape you desire.  Excess skin may require removal through an insicion made from the armpit to the elbow.