After losing about 70 pounds with a gastric sleeve procedure, this 34 year old mother of 2 was unhappy with her arm contour. On exam, she had some early skin laxity and fat deposits. She did not want a traditional brachioplasty due to the necessary scar. After assessing her anatomy, Dr. Steele recommended liposuction with RF energy skin tightening with a mini-brachioplasty to remove some loose skin near her armpit. After 3 months she is thrilled with her new arm contour.