Braechioplasty or arm lift is performed on patients with excess sagging skin of the upper arms. Usually the skin excess is so dramatic that no amount of skin toning via exercising would help. The incisions are made along the length of the upper arm on the inner side. The length of the scar is dependent on the amount of sagging skin. The procedure is performed under twilight or general anesthesia and is approximately tw0 to three hours in length. The stitches dissolve by themselves. The patient usually wears arm garment for three to four weeks, but may return to routine daily activity within a week. Post-operative pain is between four to five.