Arm tissue relaxes with age, gravity, and weight loss. The drooping of the skin is due to the stretching of the anchoring system of the arm and the loss of supporting fat volume. Brachioplasty (arm reduction surgery) can remove excess tissue and reduce the circumference of the upper arm. Surgical correction depends on the amount of extra skin and how loose the supporting tissues have become. Extra skin is removed from incisions along the inner arm. The incision must be placed where the tissue can be best tightened, but the incision must be well hidden as well. There could be some swelling immediately after the operation, but it usually subsides after several weeks to months. Elevation of the arm regions with pillows increases comfort. This is done under general anesthesia, with hospital admission for a few days. Sutures are removed on the fifth or tenth day after the procedure.