Will I need ps after rny?

Some do, but if your arms have a LOT of extra skin, so will your armpits (I was having trouble with cutting myself while shaving and then getting infections), and you can't wear sleeveless shirts with thin arms but sagging skin armpits!  The advantage is that the surgeon also removed the hair follicles and sweat glands, so no shaving or sweating now!

Lora

WOW, I didn't know that.  Since you were getting infections from it, did that mean it was deemed "medically necessary" and covered by insurance?  I understand that most insurances won't cover cosmetic surgery like excess skin for vanity reasons only.

Thanks for giving me so much info, Lora.  i really appreciate it.  I'd be happy if I lost 100 pounds total, so maybe it won't be bad enough to warrant the ps.  (keeping my fingers crossed)

Unfortunately, no.  I even appealed it (and sent pictures).  BCBS does not cover brachioplasty, period. 

My panniculectomy was covered by insurance, but the arms, mons lift, and tummy tuck (i looked ridiculous with a flat lower belly but a bunch of excess skin above the waist!) were self pay.

Lora

Yikes!  I'm sure that all cost a fortune, but it's a blessing that those options are out there and you can have a body that you're comfortable in and not ashamed of.   Sounds like all of that would have hurt alot, and I'm kind of a coward.  I'll have to wait and see, but thanks for sharing all of it with me.  I appreciate the support and wisdom.  Glad you're at such a great place now.  I'm looking at this as a gift and am determined to make the most of it and not go back. 

Yes, it's arm surgery. I love my arms and get lots of compliments on them. My scar is not the best, but it doesn't bother me. The first 3 days were uncomfortable, but I felt well enough to go back to work in 10 days. I'd do it again in a heartbeat. I am 46, but did not want to go through the rest of my life with old lady arms.

Thanks, that's very encouraging.  Lora answered me as well but had a much more extensive recuperation, so I guess everyone is different.  Hopefully if I really need it, I'll have the same experience as you.  Glad to hear the scars aren't too bad.  I'm only 1/3rd of the way down, and already my arms are quite loose and big.  I'm older, 57, so I'll decide then if it's worth it.

In addition to the physical considerations, there are emotional ones too. You may not be bothered by any loose skin you are left with. If you don't mind it and it causes you no physical problems then you might not opt for plastics. But you could end up disliking the appearance of excess skin or have rashes etc.
I have floppy arms and they don't bother me. I don't like the appearance of my lower sto.ach though. I am undecided if I dislike it enough to have surgery. That is really what it comes down to: what YOU can live with.
You could always start a plastics fund and if you opt not to have them then you coulduse the cash for something else