I got to see the aftermath of skin removal surgery today. Sorry no pics. So this enormously obese lady (About 300 lbs) got her saggy upper arm hangers removed. The arms are still enormous fat things without a hint of muscle or shape. The really weird part was that the arms themselves, since there was no shape to fit the skin against, became "rippled". Like if you wrapped a potato chip with the ripples horizontal around the arm, but not as deep or obvious. Only if you really pay attention you would notice. Also she says they are so tight she can't move her arms unless she rubs them for like 20 minutes with cocoa butter first. Sounds totally worth it, right?!