iposuction or brachioplasty can be performed for arm aesthetic. The first choice is always liposuction, however, excessive weight gain and loss and the loss of elasticity because of aging are restrictive factors for liposuction. In our day, when the loss of elasticity gets up to some point; tightening can be provided by performing th eliposuction with laser. If there is advanced prolapse, brachioplasty can be preferred. In this process, sometimes a cut is made on the armpit, and sometimes a vertical cut is made on the inner side of the arm according to the level of the prolapse.