The use of arm lifts is rapidly increasing. Tremendous variability in presentation has led to different types of arms recontouring. From suction-assisted lipectomy, for appropriate candidates, to minimal incision arm lift and a more extensive arm lift procedure, the objective is to reproduce a proportional and functional proportional and functional arm contour. Patient selection, preoperative assessment, and a clear understanding of the arm’s anatomical features are paramount. Preoperatively designed markings of four significant arm groups lift-minimal incision, standard, extensive, and chest-arm lift are based on the position and proximal and distal involvement of excess skin and fat and preferred scar position. Selective ancillary procedures, such as breast recontouring and upper body lifts, can be valuable adjuncts to arm lifts.