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26 year old female who presented for consultation. She has currently lost 60 pounds using diet and exercise. She is not married and has no children. She states that she is very unhappy with her body at this time. She wants to know what my recommendations are in regards to her arms, thighs, and even her abdomen. With regards to the arms, she has redundant, excess ‘hanging’ skin which makes it impossible for her to wear sleeveless shirts or dresses. Height is 5’11. Weight is 234 pounds. This was addressed by removing the excess skin (brachioplasty). The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.