Inclusion Criteria:  Must be able to give informed written consent BMI < 25 Age of at least 18 and not greater than 75 years old Male or Female Ability to undergo procedure Stable weight for 6 months 2 cm to 6 cm of upper arm ptosis Less than or equal to 1 cm of skin pinch thickness in area to be treated.  Exclusion Criteria:  Prior liposuction to the proposed treatment areas Connective tissue disease History of Keloidal scarring Nursing/pregnant Using systemic steroids or immunosuppressants Current smoking Body dysmorphic disorder Allergy or intolerance to tumescent anesthesia Prior significant trauma or scarring to the upper arms Lymphedema of the upper extremities Significant asymmetry in diameter or laxity of upper arms