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*A common area of concern after significant weight loss is the excess skin on the under side of the upper arms. In addition to presenting an anesthetic concern, it is often hard to find clothing that is comfortable. The decision to have the skin surgically removed is one not to be taken lightly. The only way to remove the skin is to excise it and that by design means having a scar from the axilla (armpit) to the elbow. The incision is placed on the inside of the arm and sewn very carefully to give one the best scar possible but the rest is up to how each individual scars. For many clients it is worth it for the comfort and ease that this out patient procedure provides.