An arm lift, also known as a "brachioplasty," is a surgical procedure to remove loose and excess fat deposits in the upper arm. With the combined effects of aging, fluctuations in weight and a loss of skin elasticity, both men and women can lose skin tone. Brachioplasty surgery can markedly improve the appearance of your upper arms. The arm lift begins by marking the area of excess skin. The pattern of skin is usually an ellipse or triangle at the base of the axilla. Because the skin is very mobile in the upper arm it is usually not necessary to undermine extensively. Some fat is left over the nerves and arteries for their protection, and in some cases your surgeon may suggest that liposuction be performed either alone or in conjunction with the arm lift to remove excess fat in the upper arms to provide a smooth result. After the fat and skin are removed, the wound is stitched together and occasionally a drain is used. Dr. Taylor ensures that your incision will be placed in the most inconspicuous place, usually on the inner arm towards the back. The surgery itself usually takes two to three hours, but may take longer in some cases. The procedure is usually done on an outpatient basis under a general anesthesia or a local with sedation. Along with an improved cosmetic appearance, many patients experience increased self-esteem and confidence.