This section includes a 50 year old lady from Phoenix, Arizona who was seen in our North Scottsdale plastic surgery center after gastric bypass surgery. She requested plastic surgery management of the excess skin she developed after losing 130 pounds. She discussed thigh lift, arm lift, and breast surgery with me during the consultation. She is 5 feet 2 inches and 155 pounds and decided on an arm tuck and breast lift as a combined procedure. She had her posterior arm lift surgery and axillaplasty at a local Arizona plastic surgery center, hiding the scar in the back of the arm (no scar in the front), and she is shown 5 months after cosmetic surgery in the photographs. She is enjoying her tight new arms and her full round and beautiful breasts.