This 29 year old mother of 2 children lost over 100 pounds after a gastric sleeve. As a result of the weight loss, she was left with extensive loose skin that is unresponsive to diet or exercise. After a thorough consultation, Dr. Steele recommended a brachioplasty (arm lift) with liposuction to correct the excess skin and fat of her upper arms. She is shown four months postoperatively. The scars are more prominent at this stage but will continue to fade over the next 2 years.