a senior elderly woman holding, pulling the skin on her arm with bad turgor, exces loose skin

after ageing aging arm attractive beauty before biceps black body brachioplasty bypass checking closeup contouring cosmetic diet dieting elderly excess extreme fat female flab flabbiness flabby gastric hand hanging health liposuction loose loss muscle muscular old older pharmacy plastic retiree senior shoulder skin slack sleeveless surgery tissue tuck turgor weight woman