One of the hardest places to tone is the upper arm, especially in women. The skin in this area becomes loose and fat deposits lead to a jellylike movement when waving. One solution is an upper arm lift, or brachioplasty, where a surgeon removes the excess fat (often using liposuction) and tightens the skin. Most people bounce back from the surgery in a week or less and can resume exercise in two weeks. Women received 96 percent of the 11,873 upper arm lifts done in 2005. Physician's fees average $3,260.