The operation of arm reconstruction faces the problem of arms on the basis of its gravity. When there is a slight quantity of fat in the arm, then the option is the mechanically assisted liposuction without the need for incisions.
When the problem is mild skin relaxation combined with existence of fat then the option is the mechanically assisted liposuction and surgery with incision in the lazy s armpit.
Only when there is too much excess skin (for example after the loss of 20 kg and more), an elongated incision is made along the arm and up to its middle in order to be covered by clothes even in summer (T-shirt).