CAST Liposuction for Heavy Upper Arms Heavy upper arms can be a significant problem for some patients, making clothing selection difficult and even interfering with some activities. The standard treatment for heavy upper arms is an upper arm lift, also known as brachioplasty. This procedure is effective in improving contour but at the expense of a long scar on the inner aspect of the upper arm. Some patients may find that the scar is as limiting as the upper arm heaviness. CAST Liposcution refers to a new technique of liposuction that can slim out the upper arm and also induce shrinkage of the skin making an incision and resultant scar unnecessary in some patients. The liposuction is done circumferentially and, in some areas, close to the skin surface to induce shrinkage. Patients need to wear special compression sleeves for several weeks after this surgery to help the skin shrink. I have found CAST liposuction to be very useful for certain patients. If you have the problem of heavy upper arms, I will evaluate you and determine if you are a good candidate for this procedure.