Remove Fat and Loose Skin Under Arms

I've had a Liposuction on my both armpit 6 years ago due to fatty/loose skin. I'm not sure if it's a breast tissue. My problem is it's back and left me a scar. I am so desperate on what kind of procedure I have to undergo. How much would the procedure cost?

Doctor Answers 42

Getting rid of loose or fatty skin on armpit

Hello fellow Tennesean,

Depending on your weight, it could well be breast tissue extending to the armpit (axilla in medical speak). You may want to look up THE AXILLARY TAIL OF SPENCE. The breast may actually have a comet like tail extending to the base of the arm pit.

The solution in the vast majority of people is liposuction. It MAY however leave you with loose skin in that area. This reduandancy is seen in people who lost 100 plus pounds. In those cases, a semi circular "C" shaped skin looseness extends from the shoulder blade to the base of the (often hanging) breast. In those cases, the redundancy is surgicall excised. Although the area is now flat, the scar is a long scar from the breast to the side of the back.

I would suggest liposuction first with a judicious use of a pressure garment to promote skin adherence.

I hope this answered your question.

Memphis Plastic Surgeon
4.9 out of 5 stars 102 reviews

Need direct removal

This is most likely breast tissue. Although you state that it was removed 6 years ago but has since returned I suspect that surrounding fat tissue was removed that improved the condition but did not resolve the issue.

You would need a direct excision of this tissue. The incision could be performed in the armpit which would camouflage pretty well.

Procedure to remove fatty and loose skin on under arms?

Hello Fellow Tennessean,

This may well be breast tissue. Even if this was fat, removing of the fat with liposuction would result in a droopy, empty sock deformity which would be visible.

The most cosmetic approach with such cases in my opinion is direct surgical removal of fat (or breast tissue) with the overlying skin resulting in a much flatter appearance. Being along the side, the scar will be visible only when you raise your arm, standing sideways. A small compromise in my opinion.

Hope this helped.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 102 reviews

Axillary tissue/breasr tissue

Based on your pictures I think you have excess breast tissue and overlying skin that should be treated with direct excision of the excess tissues. I think the liposuction only will leave you with loose skin that will likely require further surgery. The resulting scar can be hidden as much as possible in the axillary area. I would also suggest the use of a drain to avoid a accumulation of fluid postoperatively. Best wishes.

Arm pit fat and liposuction or arm lift

You have laxity of a particular fascial layer that holds up your axillary tissue.  This can be corrected with surgery, but not an arm lift.  Schedule a consultation with a knowledgeable plastic surgeon.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Excess fat and tissue in the armpit, sides of breasts

After examining the picture, it seems that you have both excess skin, breast tissue and fatty tissue in that area and would be best served by direct excision (removal of skin and fatty tissue). It will give you a very reasonable scar and corrects the problem permanently.

Hope this was helpful

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 188 reviews

Thoracobrachioplasty for armpit and upper thorax laxity

The region you had liposuction on is known for its poor skin elasticity- based on the single photo you present, I would recommend a thoraco-brachioplasty - this places a long scar along the inside of your arm, which restored the position of your posterior axillary fold and treats the severe axillary and upper thoracic skin laxity that you have. The scar would extend through your armpit and onto your upper chest wall. Its well concealed and would make a huge difference for you.

Figure out if it is breast or fat

This may actually be real breast tissue and can be called an axillary breast. You should monitor if it changes with your mestrual cycle. If it is breast tissue you, will need to have it excised. IF it is fat, you may be able to aspriate the fat.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 72 reviews

Remove Fat and Loose Skin Under Arms

This may be excess breast tissue near the armpit. In my patients I have directly excised the skin and tissue with a hidden scar in the armpit. This may cost around 2200-4500 depending on your location.

Under arm puffs

In my practice we refer to your condition as "axillary puffs."  For optimal results I remove an ellipse of skin in addition to the deeper tissue, which typically contains fat and breast tissue.  I hide the incision where the armpit hair is located and it heals very well. It is a great option for you.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 46 reviews

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.