What type of liposuction is best for tail of spence? (Photo)

Hi, thank you for sharing your question. This area can be treated with Vaser liposuction and may contract but it seems you have some skin excess which may require skin removal also. An in person evaluation will be helpful.

I appreciate your concerns and frustrations, however Tail of Spence, also known as axillary breast tissue, is fairly common.
It is usually not amenable to liposuction because it is not fatty tissue, but actual breast gland tissue. This requires direct excision of this tissue, however the incision can be placed within the armpit and the scar hidden reasonably well. Come see me or another board-certified plastic surgeon in our area to explore the best options for you. Good luck.