For numerous patients who want to improve their appearance, the upper arm region is a particularly problematic part of the body. Despite diets and exercises, some patients feel that they will never get rid of large or drooping skin. Tightening of the inner side of the upper arm (also known as brachioplasty) is a surgical procedure that removes the drooping skin and excess fat deposits of the upper arm. The incision is placed along the inner part of the upper arm, most often from the armpits to the elbow, which removes the excess skin, while excess fat is removed by liposuction. After removing the fat deposits and tightening of the skin, the cut is closed with sutures that will be removed or resorbed two to three weeks after the procedure. The operation is performed under general anesthesia and usually lasts for two to three hours, depending on the size of the area to be tightened. Compressive bands or specially designed bandages help to correct and quickly heal and it is necessary to wear them 24 hours a day for the first month after surgery.