This operation is commonly performed on patients with ams with hanging or sagging skin. This surgery is performed under nerolept or general anesthetic and takes approximately 1 hour. The surgery involves making an incision in the upper inner portion of the arm and excising the excess skin and fat surrounding the entire arm. The patient generally must wear a supportive compression garment for 6 weeks surrounding the upper arm. The results are usually noticeable immediately after surgery but continue to imrove for 1 year post surgery. For certain selected individuals who have minimal skin and mostly fat this procedure can also be performed with liposuction.