Remove Fat and Loose Skin Under Arms

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.

Thank you for your question and photo.  Your expectations will dictate the best procedure(s) for you.  I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals.  Best of luck!
Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Chicago
Hoffman Estates 
Oakbrook 
Orland Park

I expect you have breast tissue in the area.  The best way to remove that and reduce the chance of it recurring again is with surgical excision of the tissue.  This will leave you with a scar, however the benefit of removing the tissue may be worth a scar to you - something to think about that before  you make a decision. All the best to you,Dr. Nancy de Kleer

This excess tissue may be associated with the tail of the breast. However it also may just be loose excess adipose tissue that has accumulated in the pre-axillary region. In either case while liposuction may improve the volumetric discrepancy it will not address the loose skin and therefore a very potentially unfavorable postoperative scenario of loose and redundant skin may have undesirable results. With any area of excess tissue and fat a skin excision to remove both will help with the contours. Certainly having another scar in this area is less desirable however with good scar massage and silicone treatment and postoperative care in addition to fastidious surgical technique the scar patterns can be very minimal. Look for a surgeon who has an expertise in doing brachioplasty's as well as breast reduction surgery to help you with this very complex area

It would be best to meet with a board certified plastic surgeon to allow them to examine exactly what kind of tissue is under your arm there. As other surgeons have mentioned here, it could be breast tissue, it could be fat, there will likely be skin that also needs to be addressed depending on your desired result.

Thank you for your question.  The armpit aka axilla is a common location for accessory breast tissue.  This is known as the tail of spence.  Liposuction is a very common treatment modality for removing the excess tissue, however, just as in other areas of the body that are liposuctioned, it does not treat the overlying skin.  What I mean by this is if the tissue is removed by liposuction but the overlying skin has lost its elasticity, it will not contract back to a flat/normal contour.  After a full examination, if it is determined that all the tissue has been previously removed and what is left is excess skin, then this will need to be surgically removed.  This is usually performed through an ellipse that is placed within the natural hair-bearing portion of the axilla to hide the scar.  Hope this helps!