This 46 year old lost 110 lbs through diet and exercise over several years following a lifestyle change. She now works as a personal trainer and has maintained this weight loss for 3-4 years. The patient requested our provider to get rid of the hanging skin from her arms. We reviewed all options with the patient and she decided upon a full brachioplasty or full arm lift. At surgery, we removed the hanging skin and underlying subcutaneous tissue from both arms and carefully repaired the incisions with multiple layers of dissolvable sutures to optimize the scarring. The patient healed quickly. She loves the improved contour of her arms and is accepting of the scars as a reasonable trade-off.