This 45-year-old had lost over 100 lbs through a combination of diet, exercise, and weight-loss program and had excess skin as a result. She was bothered by the hanging skin of her upper arm and lateral chest. Dr. Fisher recommended an extended brachioplasty to re-contour her upper arm, armpit, and chest wall. She is thrilled with the results. This patient also underwent an extended breast lift during her arm surgery.