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What Can I Do About my Armpit Fat? (photo)

I've struggled to get rid of it through diet and exercise without any luck. I figured it was badly distributed fat all these years, but now I'm hearing it could actually be migrated breast tissue from wearing the wrong bra size. Well, either way it's an eyesore. Whether it's fat or tissue, what can I do about it? Maybe lipo? Or excision? Thanks in advance for your help.

Doctor Answers 15

Armpit fat is really breast tissue and needs excision.

You appear to have what is known as an axillary breast.  As an embryo, everyone has a " breast line" which runs from the armpit, through where the normal breast is and down as low as the groin.  Breast tissue can develop anywhere along this line.  It is relatively common to have it develop in  the armpit area.  As it is partially breast tissue and fiberous, it is hard to remove it with liposuction alone and resection is usually needed.  The trade off is a small scar which should be well hidden.

What Can I Do About my Armpit Fat?

Thank you for the question and pictures.
It would behoove you to be examined in person by a well experienced board-certified plastic surgeon. This examination will be critical in determining the best course of action.
For example, if the area  consists of “fat” then liposuction may be an option depending on the skin elasticity overlying the area).  If the skin elasticity is not sufficient then direct excision of skin and underlying adipose tissue may be necessary.
If the area of concern, on the other hand, consists of breast ( axillary tail of Spence)  that liposuction  will likely not be effective and direct excision of the breast tissue and overlying skin will likely be necessary to achieve the desired results.
Again, examination by well experienced board-certified plastic surgeon may be very helpful.
I hope this helps.

Treatment for armpit fat and/or axillary breast tissue

This is a very common question.  If the area consists primarily of fat and skin elasticity is not an issue, liposuction may be an option.  If the area instead consists of axillary breast tissue, liposuction may not be as successful and may require excision instead.  In some cases, a combination of liposuction and excision is required.  It is difficult to best advise without conducting a physical examination.

I would highly recommend consulting with aboard-certified plastic surgeon who has experience dealing with this "problem area."  It is at the time of this examination that the best course of action can be determined.  All the best.

What Can I Do About my Armpit Fat?

Thank you for your question.   An examination would be necessary to evaluate if liposuction alone or liposuction in combination with a skin excision is needed.  Consult with a board certified Plastic Surgeon. Best Wishes

Armpit (Axiilla) Fat Liposculpting

The fat that is in a patient's armpit is very common and it's appearance and amount increase with both age and also with weight gain.  It can usually be easily addressed with liposuction and/or liposculpting.  For women it can aid in the appearance of the breast and even make the breast appear larger after its removal.  I liposuction/liposculpt this area on almost every abdomen that I operate on, as it makes the appearance of the whole abdominal result look better and more thorough.  There is also sometime a little fat in the upper outer breast area as well.  This area also can often be improved during the same time as the armpit (axilla) procedure.

Liposuction can improve armpit fat

I recommend you visit with a board certified plastic surgeon to examine the area and go over your options. If the bulge is indeed fat and not breast tissue, it can be improved greatly with liposuction. Since this is such a small area, the procedure could likely be done under local anesthesia. 

David P. Rapaport, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 31 reviews

Liposuction can help

Exercise and a healthy diet probably won't be effective in improving this area as much as you'd like. Liposuction can help smooth down this area. 

Liposuction or Surgical Resection to Treat Arm Pit Fat

The treatment of pre axillary folds is dependent upon the cause of the problem. In some cases it may be secondary to excess fat. Under these circumstances, the fat bulges outward from the edge of the patient’s bra and is very noticeable. In other cases, the bulge may actually be secondary to accessory breast tissue. When this situation occurs, the size of the mass may fluctuate with the menstrual cycle.

The treatment of pre-axillary folds is dependent upon the cause of the condition. Although your pictures illustrate the problem, they aren’t helpful in determining the actual cause of the condition. This usually requires a physical exam. During physical examination, breast tissue will be noted to be firmer and more fibrous than fatty tissue.

When fatty tissue is encountered in the pre axillary region, liposuction will often provide correction of the problem. When breast tissue is encountered in this area, more aggressive procedures are usually necessary. In most cases, surgical resection of the tissue will prove to be necessary.

If you’re concerned about pre axillary folds, consultation with a board-certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that’s appropriate for your problem.

Removal of armpit fat with liposuction - Los Angeles

Armpit or pre-axillary fat can respond well to conservative liposuction to remove the excess fat. Raffy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 70 reviews

Armpit Fat Removal

Contouring this area with liposuction may help. Some of this fat could be from excess breast tissue which has more limitations. Consult your plastic surgeon who can assess your anatomy and give you recommendations.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.