Why do I have this pouch of fat under breasts? (photo)

Question

I'm not a very big person but I have a lot of rolls on my back and this extra pouch of fat under my breasts, why is this around and what can I do about it?

Vincent N. Zubowicz, MD · Answer

From the photograph there certainly surplus of fat in the area mentioned. Part of the prominence may be due to the weight of the breasts pushing the abdominal skin and fat in an inferior direction. Physical examination would be able to determine this. In either event I think the area could be made better by liposuction.

Reza Rod, MD · Answer

Thank you for your question and photo. You have two issues with the area in the upper abdomen/lower chest. There is excess fat as well as excess skin. The minimally invasive way to get improvement is liposuction to remove the fat, and radiofrequency treatments to treat the loose skin that will result from liposuction. The other, more aggressive, option is to have the area surgically removed which will leave a scar across your ribcage under your breasts. I would recommend the less invasive method, especially since skin can always be removed if liposuction and skin tightening do not give you the desired results.

Kenneth Hughes, MD · Answer

Fat distribution varies greatly from individual to individual.  Liposuction may be appropriate.Kenneth Hughes, MDBeverly Hills, CA

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

People accumulate and store fat in different ways.  For areas of fat that do not go away with diet and exercise, and if your weight is a healthy and stable, Liposuction can be a tool to help greatly reduce the fat in these areas.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Nelson Castillo, MD · Answer

Thank you for your question and for sharing your photographs.  Each patient has their own areas of fat deposition based on their family genetics but there are treatment options for you.  If this appearance bother you, careful liposuction can help remove much of the bulk of the adipose tissue provide you with a more proportional silhouette.  See an ASPS board certified plastic surgeon in consultation for the best treatment option.

Steven Wallach, MD · Answer

Patients store fat in many different areas of the body and it is different from person to person. This probably can be treated with liposuction.

Jason Brett Lichten, MD · Answer

Every person accumulates and stores fat in different ways.  For areas of fat that do not go away despite diet and exercise, Liposuction can be a very valuable tool to treat those areas.

Darryl J. Blinski, MD · Answer

Genetic area of excess fat in you. Liposuction or weight loss or off label KyBella injections>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

John P. Stratis, MD · Answer

We all have certain aspects that make us yunique. You happen to accumulate fat in this area and have some adhesions at the lower fold that make the accumulation of fat there make a pouch.The obvious treatment is fat removal with either a non invasive technique(Coolsculpting or SculpSure) or liposuction. Beware that the skin may not smooth out and you could be left with a skin pouch. You may need the adhesions separated or the skin actually cut outr surgically.

Anh Lee, MD, FACS · Answer

Every person has fat stores and some people will have large deposits of it in certain places like love handles or thighs.  Your body has developed excess fat under your breasts.  You can look into having some liposuction or try Coolsculpting.

Why do I have this pouch of fat under breasts? (photo)

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