Jay M. Pensler, M.D.
I seldom, if ever, see any information about arm surgery. I know the most common surgery that reduces the overall size of the upper arm leaves some undesirable scarring. However, what can be done to tighten just the inside skin of the upper arm?
In cosmetic surgery, there are often multiple approaches to specific problems. The key issue here is whether the size of the upper arm is due to excess skin, fat or muscle. If the fullness is due to excess fat (the most common problem) my preferred approach is via a 3 millimeter incision in the armpit and a 2 millimeter incision at the elbow. I would utilize UAL (ultrasound assisted lipoplasty) to remove the excess fat in the region.