This lady was concerned about the excess fat around her arms. She did not wish to have an arm lift and patients must always be aware that liposuction in the arms can create excess skin that at a separate date may need to be excised. Liposuction does help with troublesome fat and in patients with good quality skin liposuction can be a good option. The results are seen after 3 months and show an improvement in the contour of the arms. It is important for patients to consult with a plastic surgeon who can offer both liposuction and arm lifting so that patients can be empowered to make a decision to proceed.