What Is The Best Procedure For Large Amount Of Excess Skin On Upper Arms?

What type of procedure is best to tighten a large amount of excess skin that is drooping under the upper arms?

If there's a large amount of excess skin on the upper arms the best procedure is a brachioplasty, which removes the extra skin. However, it does leave a scar on the inner surface of the arm, which usually heals very well, but is present never the less.