The upper arms can be a difficult area to maintain with age and weight changes. These are the two primary factors that contribute to fat and flab in any area of the body. Often, even after massive weight loss, the upper arms hold onto small pockets of fat. The extra tissue volume may have stretched the skin and connective tissue to such a degree that they cannot completely bounce back naturally. The skin can only retract so much after weight loss because this process requires an abundance of collagen and elastin, which we simply don't have as we age. Furthermore, there are limitations to how much tissue can expand before it loses the ability to contract fully. The Brachioplasty procedure is an excellent option for addressing this hard-to-sculpt area.