This is a 50 year old female with a history of bariatric surgery who lost a significant amount of weight. Instead of opting for a brachioplasty, she underwent liposuction with radiofrequency skin tightening by another provider. She was left with an abnormal contour and numerous scar nodules. She underwent a brachioplasty which removed her scar tissue and excess skin to create a natural contour of her arms.