This 49-year-old Fort Worth area female did not like the contour of her arms. She had stubborn fat deposits and some early skin laxity. After a thorough consultation with Dr. Steele, she elected to proceed with a mini-brachioplasty with the incision confined to the armpit to remove some loose skin. This was performed in combination with liposuction and radiofrequency skin tightening for optimal contour. A total of 1.5 pounds of skin and fat was removed. She is shown at 5 months with a much improved arm contour.