Breast Lumpectomy Axillary Tail Removal with Breast Augmentation?
Doctor Answers 10
Treatment of lateral breast fat pad ("chicken nuggets")
In most instances, that in fact is not breast tissue but a discreet fatty pocket (aka "chicken nuggets" by many women). This has been described a number of times in the anatomy literature, and calling that tissue "accessory breast" tissue is just incorrect most of the time.
That cosmetic procedure to remove or liposuction that tissue can certainly be done simultaneous to implants, but I do not use that same incision as it is an unfavorable approach for a precise disection for a breast augmentation
Breast augmentation at the time of removal of axillary breast tissue
Is your weight optimized
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Axillary breast tissue can be removed directly, or with liposuction
Average sized breasts may have axillary breast tissue as well and do quite well with ultrasonic liposuction. As a caution however, the fullness and skin excess can vary. Some individuals may have so much skin excess associated with the axillary breast that skin removal may be necessary as well. This should be found out during a good office examination.
Concerning breast augmentation, I think it reasonable to consider transaxillary augmentation at the same time, though others may disagree. It is worth exploring this option with your surgeon.
Best of luck,
I would suggest separating the surgery
Procedures Should Be Staged-- Safety Should Be Top Priority
The axilla is a unique anatomic area with a large number of lymphatic channels.For this reason it’s not unusual for patients to develop seromas and prolonged drainage. This fluid can ocassionally become secondarily infected.
For this reason, we generally recommend that axillary tissue removal and breast augmentation be staged. Infection in the presence of breast implants could have significant consequences.Although it’s possible to perform these operations together, safety should be everyone’s first priority.
If you’re considering removal of axillary breast tissue and breast augmentation, it’s important to consult a board certified plastic surgeon.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and aesthetic goals.
Axillary breast tissue
Thank you for your question and your photo...hope that these answers will assist in your decision. It does appear that you do have some excess tissue on the axillary area/axillary tail breast tissue. First off, I would get a clinical exam and mammogram prior to considering any breast/tissue excision. Removal of this tissue usually requires excision of the tissue along with excess skin. I am not sure if straight liposuction would give the results that you are looking for in your case. Drains are usually required as drainage from the area is typical for a lengthy period. That being said, I would advise not to consider breast augmentation at the same time, but would separate the two procedures as the chance for complications, most worrisome of which is infection, would certainly be much higher with a procedure such as the above in combination. Good luck with your decision!
Breast tissue under arm
I would not have an augmentation at the time of removal of this breast tissue. It sounds termpting to do together but, in my opinion not advisable. After the tissue resection, I usually need to remove skin and there is a need for a drain to be placed. The drain may seed bacteria which could affect your implants.
Breast lumpectomy axillary tail removal with breast augmentation
You do appear to have an enlarged axillary tail.
Several considerations are in order. Your bra appears to be digging in so I am not sure if this MAY be related to your being slightly over weight or wearing an ill fitting bra. (Before you protest, please, be aware that a HUGE number of women were never fitted properly for a bra and go around wearing bras that do not fit them.)
While liposuction of this area may be done, it usually deflates the area but leaves an empty sock looking skin fold so a true excision is preferable despite the scar.
While both an augmentation and axillary breast removal COULD be done together, you MAY be taking on a higher risk of complications. Primarily, prolonged swelling of the breasts due to interference with lymphatic flow from the breast through the area of the axillary tails. Another consideration may be the idea that as the lymphatic flow may be interfered with, it is done at a time foreign bodies, the implants, are placed, which require the body to be able to fight infection of the implants from the moment the implants are placed in you.
Therefore, if you "want to play it safe" you may want to do the procedures one after the other.
I hope this was helpful.
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.