This is a 33 year-old female who is 5’3” tall and weighs 130 lbs. She presented to discuss options of body contouring. Approximately 13 years prior she underwent a gastric bypass and lost 150 lbs. She disliked the significant amount of skin that remained to her upper arms after the weight loss. Therefore, she underwent an upper arm brachioplasty to remove the excess residual skin.