1)standard brachioplasty- removes skin, fat with an incision from armpit to near elbow
2) mini brachioplasty – usually performed with liposuction and skin resected only near armpit with scar limited to armpit area.
3) minimal scar brachioplasty- liposuction proceeded by Radio Frequency (RF) (Thermage an example)
These are the options I give my patients asked on their desires and physical exam.
Make a appointment with a reputable, experienced board certified plastic surgeon.