Following intense weight changes, over time, either due to genetically predisposition or after unsuccessful liposuction surgery where more fat was removed, and while other non-invasive treatments have failed, the only direct way to improve the area is through surgery. The incisions are “hidden” in the armpit and in some cases, they may need to be extended slightly in the internal underside of the arms. The recovery is relatively fast and scars, as in all cases, depend on the skin of the patient so that they start to get old. In any case you will need one year. Healing can speed up by the therapeutic and healing lasers. The surgery can be performed mainly under general anesthesia, but in some cases under local anesthesia or sedation.