What is the best procedure for axillary breast removal/reduction?

Hi. It is hard to say what is best for you without at least seeing some photos. This can sometimes be treated with liposuction and or an elliptical incision in I order to remove skin as well.
In some cases, when there is plenty excess tissue and skin, there is a possibility of combining the axilar y breast tissue removal with an arm lift or a breast lift. This way we can extend the scars making sure we remove the axilar y breast tissue and excess axilar y skin if necessary.
With an extended arm lift, for example, the scars goes down the armpit in an S shape fashion making sure to get rid of the unwanted tissue. With a Breast Lift, the horizontal scar at the base of the breast is extended and then curved upwards towards the armpit.

Best of luck,
Dr. Miguel Mota

Hi iiaz2015,
Thank you for your question. While it is difficult to give a definitive answer without pictures or a physical exam, my approach to removing accessory breast tissue in the axilla generally involves liposuction, direct excision, or a combination of both. Oftentimes we can use liposuction to debulk the soft tissue followed by excision of any additional hard glandular tissue through the small liposuction incision. If you have significant excess skin, you may also need a skin excision. Hope this helps!

Hi iiaz2015,
For many women, the breast continues into the armpit region, without a distinct separation between the two. While this may be axillary breast tissue, it is equally likely to be extra subcutaneous tissue or fat.
A breast reduction is typically performed in the face up position, allowing your surgeon access to everything under the armpit that can be reached with you lying flat on your back. An alternate strategy is to start a reduction in the facedown position, allowing a more extensive removal of the axillary and upper back fat, with the back scar leading to the scar underneath the breast from the reduction.
The second paradigm, called the bra line lift, allows a 360 degree reshaping of the upper torso, as opposed to only operating on the breast.
For insurance purposes, some insurances will cover breast reduction when certain criteria are met. Insurance will not cover the bra line lift extension.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington