Brachioplasty is aesthetic reshaping of the upper arm after removalof excess medial skin and fat.Patients seeking brachioplasty complained of generalized obesitywith marked obesity in the arms or the majority of them complained ofskin redundancy of the arms post massive weight lossBrachial ptosis was clinically classified based on the amount ofadipose tissue deposit and the degree of ptosis.Different techniques used for brachioplasty as liposuction or skinexcision by different types of skin incision according to the degree of fatdeposit, redundancy and skin ptosis, or both were used in this study.