Part of the body contouring area of cosmetic surgery, the arm lift and shape is performed on people with large amounts of loose or sagging skin on the upper arms. Brachioplasty is performed via an incision between the elbow and armpit. Segments of skin and fat are removed from the inner arm and the remaining skin and tissue is lifted for a tight, smooth look. Upper arm reduction and lift usually takes approximately two hours depending on the amount of reduction needed. It is sometimes combined with liposculpture, where subcutaneous fatty tissue is removed.