What would need to be done to fix fat in armpits still? (Photos)

This is a relatively common area where an extension of the breast tissue can exist. If it is mostly soft fatty breast tissue it will respond well to liposuction. If there is a firmer glandular component it would need to be 'excised'  which would mean an access incision and scar. It looks like you have a scar in the armpit. Is this where the previous removal of tissue was via? If so it may be possible to use the same incisions. In severe case it is possible to make incision directly over the area and this would ultimately give best results because skin can also be removed. The trade-off of course though is the scar. This will fade and improve with time but you'd be best to chat about your options again with your surgeon.

Some patients will have extra tissue in the armpit (axilla) which is not just fat.  I would have to examine you to make a recommendation about the best procedure.  Liposuction or excision may be reasonable.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Hello thank you for the question and I am sorry to hear that you are not happy.
Breasts are formed out of breast tissue and fat. As you are young, you probably have a lot of breast tissue, not too much fat. I understand you had surgery, it looks like you had a small inconspicuous scar in the axilla.
Talking to your surgeon who knows you and your particular circumstances it's your best attitude, and decide whether you want more extensive scarring or would you settle for a less than "perfect" result.
It really depends what is "perfect " for you. I have not seen any photos from before but it does not look too bad now.
Good luck and take care!