This is an older female patient who was unhappy with the loose skin on her upper arms. She was past the point of being able to improve the appearance with exercise; her skin had just lost too much collagen and elastin. She was tired of feeling self-conscious about this area of her body, so she decided to explore her non surgical options. Thermage was the recommended treatment to tighten up the skin and give her arms an increase in collagen. Her treatment was a success and she saw a great improvement after just three months. The extreme looseness was gone and instead her skin looked much tighter than before. The patient no longer felt the worry about exposing her arms the way she previously had; she was very happy with the outcome.