This patient suffered from extremely heavy, full, droopy arms. This caused difficulty with activities, let alone finding clothes to fit properly. She underwent a staged contouring procedure where Dr. Geiger first removed 3.6 liters of fat by liposuction and compression sleeves. She then underwent surgical removal of the excess as an arm lift approximately 8 months later. This allowed for safe resection of this amount of tissue while minimizing wound healing risks. Her scars remain well hidden along the lower aspect of the arm and will continue to fade over the next year. She can now fit into normal shirts, and go about her daily and professional activities without the bulk and heaviness she once had.