
Loose or sagging skin on the upper arms can develop gradually over time. At our clinic, bingo wings are assessed medically, led by Medical Director Dr Joney De Souza and supported by our expert medical team.
Bingo wings refer to lax or sagging skin along the upper arms, particularly the area between the shoulder and elbow. The term describes the movement of loose skin rather than a medical condition. This concern is usually related to skin laxity rather than excess fat alone and can vary in severity between individuals.
UltraClear is a laser treatment used to improve the appearance of bingo wings by tightening skin and improving texture on the upper arms. Bingo wings develop as skin elasticity and collagen decline, leading to loose or crepey skin. By delivering controlled laser energy into the skin, UltraClear stimulates collagen renewal and skin remodelling, helping the arms appear firmer, smoother, and more toned over time without surgery.

Bingo wings develop due to a combination of skin and structural changes.
These may include:
Gradual loss of collagen and elastin
Skin thinning with age
Changes following weight loss
Genetic differences in skin resilience
Upper arm skin is particularly prone to laxity due to constant movement and thinner supporting tissue.
Profhilo is an injectable skin treatment used to improve the appearance of bingo wings by enhancing skin quality rather than adding volume. Bingo wings develop as skin loses elasticity and firmness with age and weight changes. By delivering stabilised hyaluronic acid into the skin, Profhilo improves hydration, supports collagen and elastin production, and helps the skin become firmer and smoother over time, leading to a more toned appearance of the upper arms.

Assessment focuses on skin quality, elasticity and tissue support in the upper arms. Our medical team considers whether laxity is mild, moderate or more advanced, and whether volume changes or fat distribution play a role.
This allows us to explain which approaches may be appropriate and where non-surgical treatments have limitations.


UltraClear laser resurfacing is often discussed where skin laxity is mild to moderate and related to reduced skin quality.
Improvement depends on skin quality and degree of laxity. Options discussed at our clinic may include UltraClear laser resurfacing, polynucleotide treatments, skin boosters, Profhilo and medical-grade skincare. The aim is gradual improvement in skin firmness.
Not usually. They are more commonly related to skin laxity rather than fat accumulation.
They cannot be fully prevented, but maintaining skin health and avoiding large weight fluctuations may help.
They often become more noticeable over time as collagen and elasticity reduce.
In some cases, skin quality may stabilise, but significant laxity is unlikely to reverse without intervention.
No. Many people choose not to treat upper arm skin laxity once they understand its cause and progression.

Our team would love to hear from you. Whether you have questions, need guidance, or simply want to explore your treatment options, we’re here to support you every step of the way. If you would like to place an online booking you can do this via our online booking system.
Dr Joney De Souza Skin and Laser Clinic is located in central Marylebone and is easily accessible by public transport or car, with Bond Street, Oxford Circus and Baker Street Underground stations all just a short walk away. For those driving, paid on-street parking and nearby public car parks are available, making the clinic convenient to reach from across London, including Mayfair and Soho.