She lost over 200 pounds from a weight-loss surgery over 20 years ago, but was left with excess skin that sagged all over her body. She lived with the "bat-wing arms" and took "extra effort to lift and clean beneath folds of skin."
As a second-grade school teacher, she would even joke about her arms with her kids saying, "I could write on and erase the board at the same time."
Pamela became one of the 15,000 patients in 2012, as reported by the American Society of Plastic Surgeons, who had arm surgery, also called upper arm lift, or by its medical term: brachioplasty. This surgery involves an incision on the inside of the upper arm that varies in length based on the amount of excess skin and tissue. The scar is hidden on the underside/inside of the arm, so most people never even notice it.
Here for an example of one of Dr. Paul Mills's patients who had an upper arm lift (brachioplasty):
Most patients who have lost a significant amount of weight, like Pamela, need plastic surgery. This is mainly caused by the skin being stretched from the excess fat and unable to retract from such major weight loss. Massive weight-loss patients also choose to have excess skin removed from their abdomens (tummy tuck or abdominoplasty), thighs (thigh lift), or from the abdomen, back, sides, outer thighs and buttocks all at once with a lower body lift (belt lipectomy).
Dr. Paul Mills said in a post he wrote titled, Weight Loss, Bariatric Group Talk At SSM Weight Loss Institute At DePaul,
"On a daily basis, I see similar patients who also have improved their health through weight loss, but haven't been able to truly appreciate the differences because of the excess skin left behind. As we discussed at the seminar, only through the removal of that excess tissue can one reveal the enormous changes that have actually taken place. Going from severe obesity to a satisfying body shape is a journey and plastic surgery is the final step toward a positive self image and good health."
Click here for additional photos of patients who have undergone plastic surgery of the body and breasts.