This 32 year old patient presented with long term weight loss of over 100lbs. She expressed that she was bothered by the loose skin on her upper arms. The loose skin was creating irritation through her axilla area when she would run. The excess skin through her upper arm caused her to buy shirts that were 1-2 sizes too big to for her body. After her brachioplasty surgery she has no irritation through her axilla area and she can now buy shirts that fit her arms as well as the rest of her body.