There is actually a plastic surgery procedure for tightening the skin on the elbows, but that seems a bit excessive to me, not to mention costly.

实际上有一种收紧皮肤的外科整形手术，但是我觉得那有些难以接受，何况又是那么贵。

youdao

There is actually a plastic surgery procedure for tightening the skin on the elbows but that seems a bit excessive to me not to mention costly.

确实有一种肘部皮肤整形手术，但对于我虽不能说昂贵，似乎也过分了一点。

youdao

However, a few days later it emerged that Owen had indeed had a second minor operation, tightening the screw they inserted during the original procedure.

BBC: WHEN THE INJURIES HAPPENED

Leading antiabortion groups typically have given lukewarm support to restricting the procedure early in pregnancy, saying they think they have stronger legal grounds for tightening access to abortion through controls on clinics and regulating abortions carried out using a pill rather than a surgical procedure.

WSJ: States Harden Views Over Laws Governing Abortion