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

Excising this excess breast tissue and skin directly with an incision line in the axilla is the best approach.

Dear iiaz2015,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The tissue is still part of the breast gland so the best way to remove is by excision. Often it is necessary to add liposuction to help contour the area