The most effective treatment for loose skin of the upper arms following major weight loss is a brachioplasty. Brachioplasty or arm lift surgery is one of the most frequently requested body contouring procedures performed today. The demand for this procedure has increased more than 800% since 1997. This is the greatest percent change of any of the commonly performed cosmetic surgical procedures. Much of the increase in popularity is due to the growing number of patients who undergo massive weight loss. In performing this procedure an incision is made on the inside of the arm extending from the elbow into the armpit. Sometimes it is necessary to extend the incision further into the armpit and sometimes past it. Utilizing this incision excess skin is removed and the wound is closed. It is very important to position the scar properly so that it is concealed as much as possible. A well-placed incision should result in a scar that is only visible when the arms are raised. This operation is normally performed as an outpatient. It is very important for the surgeon to discuss the resultant scar thoroughly with the patient preoperatively. Very commonly this scar takes longer to undergo full healing and maturation than incisions on other parts of the body. Maturation refers to the process whereby the scar becomes less apparent. Brachioplasty scars commonly take up to 2 years to fully mature. Immediately after the operation compressive Ace wraps are placed from the fingers up to the armpit. These can normally be removed within 24-48 hours postoperatively and replaced by elastic compression sleeves commonly worn by athletes. These can be purchased relatively inexpensively at any sporting goods store. Most patients wear these for up for up to 4 weeks postoperatively. No vigorous activity or strenuous activity is recommended for 3 weeks postoperatively. Complications following a well-planned and well executed brachioplasty are uncommon. They may include however wound infection or wound breakdown. Is very important to follow the directions of your surgeon postoperatively to ensure the best result. Good luck