Thanks for asking Zannie, When I went in for a check at the weight center, I talked to a doctor about my arms. He said It might give me a boost if I went ahead with this and gave me the name of a plastic surgeon. My arms did not change much with weight loss. To buy a top I would have to look at 2-3X Now it's XL -1X, I have even bought in the regular size department. She (Dr. Lalikos at UMASSMemorial, Hahnemann Campus. Worcester MA) said they took off almost 2lbs off each arm, her words were "dramatic". When I first saw her she started to talk about the scars it would leave. I held up my arm and waved the fat at her and said "with this you think I care about a scar". I have had people ask if I'm okay because it looks like I have drop alot of weight. Wouldn't think 4 lbs could do so much for me. I think of it as like a second hand car payment. They had financing, so for $6300 I went for it. My surgery was Feb 11, So far I couldn't be happier. It was day surgery, went home on drugs :frown:. I went back to work Feb.22nd, I drive school bus. Any other questions, feel free to ask. Bonnie