46 year old women who came to us to discuss her options after massive weight loss. She a lap band placed about 5 years ago; she has lost over 100 pounds so far; her current weight is stable. She wanted to address the “bat-wings” of her upper arms. She had extremely redundant excess skin at her upper arms: this was addressed by removing the excess skin. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.