any patients are very happy with a dramatic reduction and improvement in shape and accept a bit of skin laxity instead of the long scar. Others, however, request a dramatic reduction and the firmest possible result and are willing to accept the scar in the arm lift / brachioplasty procedure.
One should be wary of procedures that promise to correct the prominent fat and sagging skin of the upper arm by excising skin through the armpit only. Although it sounds nice to have a scar placed only in the armpit, it will not properly reduce the problem of the skin laxity and sagging and will very often result in an unacceptably wide and unsightly scar.