Kybella vs lipo vs coolsculpt - cost effectiveness? (photos)

Question

I’m 5’4 and 120 but have armpit tissue that extends further than my breasts even do. I’m apprehensive about lipo (unless I can do it without anesthesia), are kybella or coolsculpting viable options? W the most cost effective option? Are they all around 3k? any other options kshould consider? thank you!

Mats Hagstrom, MD (license on probation) · Answer

The fullness in your armpit is mostly accessory breast tissue. The medical term is the “axillary tail of Spence”.
While there is most likely breast tissue in that area intense to be mostly flat and does respond well to Liposuction.I think you’ll find Kybella to be ineffective and with an unnecessary amount of swelling and inflammation.
It is also not FDA approved for that anatomic area.
Liposuction can easily be done using local anesthesia though some patients may prefer a little sedation to go with it.
That area almost always has a skin laxity component because of the range of motion of the shoulder.
The shoulder has the greatest mobility of any joints in the body. with the arm in a down position the skin is completely laxed intends to bunch up.
Skin laxity can be very deceptive and often looks like excess fat.
You can certainly start with Liposuction and see how you feel about the outcome. For some people doing a skin excision in the armpit gets a much better result.
More than anything else do you need to find someone who’s done this a number of times before with a proven track record.
It’s not an uncommon procedure and a substantial number of women have an axillary breast tissue. i’ve seen it in men who have a gynecomastia.
I recommend having multiple in person consultations with local board-certified plastic surgeons in your community. Look for plastic surgeons who seem to have a significant amount of liposuction results on their websites both in regards to quantity and quality.
You probably won’t find too many pictures on the websites of specifically axillary Liposuction results.
The goal initially is to identify providers would do a lot of liposuction and seem to be good at it.
During each consultation as providers to show their entire collection of before and after pictures.
Hopefully they will have enough previous cases to be able to show you at least 10 sets of before and after pictures.
Differentiating skin versus fat should be one of the components of the consultation and discussion. Providers who don’t recognize the skin laxity is a significan component of the contour issue you are dealing with may not recognize the potential inherit limitation of fat removal.
From fat removal alone you will get a partial improvement.
It may be sufficient for you to be content with it but like I mentioned earlier to get the best outcome would most likely require some skin excision as well.
Discard can usually be well hidden in the axilla and each provider will have a different take on how to do that.
If the discussion of doing a skin excision comes up then you should have a clear understanding of exactly where each surgeon would put the scar so that you can use that in your decision making when it comes to choosing the right provider.
You’re having a relatively straightforward single small area treated so this shouldn’t be rocket science.
Still, liposuction results very dramatically between providers including board-certified plastic surgeons with overall good reviews and years of experience but sometimes don’t do Liposuction well.
I don’t think Equipment will have any significant impact and it would be a little reluctant at someone who wants to be overly aggressive using the VASER. There’s nothing wrong with that equipment but it can potentially be aggressive.
The name of the equipment is probably not particularly important. Fuc is instead on finding a provider who seems to have done this multiple times before with a good understanding of the problem and treatment options.
Liposuction is the only realistic option. If there is an alternative it would be whether skin excision should be included or not.
Liposuction is the gold standard for removing excess subcutaneous fat.
Kybella is inferior by every measurable variable.
Most plastic surgeons don’t use it for a good reason.
Best,
Mats Hagstrom MD

Kybella vs lipo vs coolsculpt - cost effectiveness? (photos)

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