This 39-year-old female lost nearly 200 pounds after a gastric bypass. As a result, she was left with extensive loose skin all over her body. After addressing numerous areas of concern with a body lift, thigh lift, and breast lift, she elected to address her arms as her final surgery. She underwent a traditional brachioplasty, removing about 1.5 pounds of skin and fat from her arms. She is shown 4 years after surgery with an excellent result.