Often when the excess skin is removed from the traditional incision at the front of the arm, not only is the scar more visible but excess skin is “left on the table” so to speak.

So instead, I mark and excise skin excess by outlining the redundancy at its lowest – in the arm – or its most protruding projection – in the thigh – and in so doing, similar to my “comprehensive abdominoplasty”, ‌remove the maximum of excess through the least visible scar.