Background : While there is significant discussion of brachioplasty and other arm contouring procedures after massive weight loss, there is a paucity of literature on upper extremity aesthetic surgeries of the average-weight patient. The limited distribution of excess tissue in this patient population presents a risk for over excision directly impacting elbow flexion. This case of skin excision for excess elbow soft tissue demonstrates improvement of aesthetic perception while minimizing tension and protecting function. Objectives : The authors report a case of arm contouring to address excess skin laxity at the elbow. Methods : With the patient upright, markings for elliptical incisions were made just superior to each olecranon in horizontal orientation. The excess elbow skin was incised to the subcutaneous fascia, the edges were undermined slightly, and the skin was then closed in two layers. Results: Improved arm contour while balancing the threat of hindering elbow flexion with the need to minimize excess skin of the elbow. Conclusions : The authors believe elbowplasty to have potential in future discussion of treatment options for slim patients with complaints of skin laxity.