The postoperative photo really does not do justice to the incredible improvement of this patient of Dr. Hughes. Older patients with loose skin frequently worry that the skin is too weak, flimsy, or brittle to allow for a good result from any surgery. This is simply not true. This patient has an unbelievable reduction in arm size and also skin tightness and shape. Bodytite with or without liposuction when executed at maximal temperatures and skillful and even distribution of energy can produce fantastic results.