Excess flab on sides after Breast Reduction

This is a common problem with women who have breast reduction surgery, as there is an extension of breast tissue in the axilla called the tail of spence. The breast is largely replaced by fat as one gets older, so does the fat in the tail of spence.  Insurance will not pay for the liposuction of this tail... more

It is uncommon today that I perform breast reduction surgery without the use of liposuction. When using a vertical or a short scar technique the liposuction is very helpful to shape the periphery of the breast, contour the fold under the breast, and to reduce the fullness that extends off the breast and onto... more

Women that have large natural breast unfortunately usually have excess fat under their armpit, or that hangs out in a roll over their bra strap on the side. Most surgeons also make a horizontal scar under the breast, which makes the fat just past the scar bulge out even worse, called a "dog ear" for... more

To pwincess79, Hi! You may need either liposuction, or some skin removal, or both.This can usually be done under local anesthesia as an out-patient procedure. However, your insurance will probably not cover it.

Many women (particularly those who are overweight) have excess tissue that extends past the  outside of the breasts under the arms as a fold of skin and fat.  This typically lies under the bra strap. Breast reduction is typically limited to the breast tissue itself and therefore does not involve... more

You will need a revision to remove the excess skin and fat from the side area. Insurance companies will not cover this, as it is not a functional problem from their stand point.

It sounds like you are complaining about the fatty tissue that is lateral to your native breast.  This tissue can be treated by direct excision or liposuction or sometimes both.  This is something that would have to be evaluated in person. 

Hi there, Contouring the area of excess skin in the armpit area after breast reduction is often necessary, and very possible and safe to do. This most often involves some combination of liposuction and skin removal, and satisfaction is usually very high. The insurance issue is more sticky. Most often it is not... more

Oftentimes with breast reduction surgery we combine liposuction at the time of surgery to help with the lateral (sides) which are full. It is also possible to the liposuction as a secondary procedure at a later time. Unfortunately, I doubt the insurance company will pay for the procedure now as a secondary... more

You can probably reduce this lateral tissue by extending the inframammary incision into the bra line or possibly just do some liposuction if your skin elasticity is close to normal or if you had a vertical reduction without the inframammary scar.