Arenas are just heaps, and subject to all the same problems. It's true that in the LSM use case in question (and I need to point out that databases are not my area!) there is a clear "flush" operation that will put a limit on how much heap churn and fragmentation you need to tolerate. And maybe that's an answer that makes skiplists more desirable in this context. But things like long-lived app data and language runtimes don't have that, and skiplists turn into headaches.

A simpler consequence of the same problem: I mostly work in embedded stuff and skiplists are pretty much a non-starter as they can't easily be made intrusive without a bunch of waste.