They said I have too much muscle, so bone-arm surgery was not possible. Still, my arm fat was so stressful that I decided to go ahead with surgery. My arms are not thin, but they are at a level that does not greatly upset my overall body proportions. The scar is somewhat noticeable, and the big advantage is that I do not have to wear compression garments.
I was most worried about shadow doctors, but at least from what I felt, there was nothing suspicious.
During the process, while taking pre-op photos, I felt offended by comments from a staff member such as asking what my highest weight had been, saying my skin had no elasticity, and telling me to get trapezius Botox. Being in a state of psychological shrinkage while exposed and then being body-shamed made me feel very bad. They were kind, like a familiar aunt, but please keep this kind of experience in mind.