Thank you for your question regarding whether anything can be done to your upper arms and thighs. Thank you for your pictures. What you are depicting is excess wrinkly skin. This can be due to weight fluctuation, genetics, natural aging, and sun damage. Everyone ages differently, and skin presents in different ways. Fortunately, there are surgical solutions for you. I would suggest a longitudinal brachioplasty, arm lift, or arm reduction for your arms. During the surgery, an incision is made from your armpit to your elbow. The arm lift takes approximately 3 to 4 hours to perform under general anesthesia. In regards to your thighs, you need a vertical medial thigh lift. During the surgery, an incision is made from the groin to the knee. The surgery is also performed under general anesthesia and takes about 3 to 4 hours to complete. Plan on a 3 to 4-week recovery. I do not suggest combining procedures, as a recovery from the combined arm and thigh lift is difficult. Your arm reduction surgery will not need drains. However, your thigh lift surgery will need drains for approximately 1 to 2 weeks. Please seek an experienced board-certified plastic surgeon. I hope this answers your question regarding whether anything can be done about your upper arms and thighs. I specialize in arm and thigh lifts. I hope that I have answered your questions regarding arms and thigh lifts and reductions. Please contact my office if you have more questions regarding the arm lift, arm reduction, brachioplasty, thigh lifts, or thigh reductions. Since a brachioplasty or arm lift surgery is difficult, please seek an experienced, board-certified plastic surgeon with significant experience performing these types of arm lifts. Do your research. Make sure your chosen plastic surgeon has completed at least 100 arm lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after photos. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)