48 year old with 5 grown children, she is also a successful weight-loss patient: She reports that she has lost 100 pounds over the past 10 years using diet and exercise. She was extremely unhappy with the excess, ‘floppy’ skin of her upper arms. Height is 5’9″. Weight is 205 pounds. 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.