This lady wished to wear clothes that allowed her to show her arms and felt uncomfortable with the excess bulk in her upper arms. This restricted her clothing and affected her confidence. An arm lift does replace the excess skin and fat with a scar that runs from the elbow around the armpit and down the chest wall. If correctly placed this is not easily visualized. It does take some time for this scar to settle and patients need to massage the scars and return to a full range of movement as a soon as possible in order to prevent any contracture of the scars. The results seen at 3 months show a dramatic improvement in the arm contour and the patient’s quality of life has been improved and she is now able to wear the clothes she wants.