I feel really embarassed about my armpit fat. I am skinny and tall and it is the only area where I have this fat (Photo)

Excision of tissue and skin in this area may be the best alternative, but an exam is always helpful to make a determination.  I
would search for the board certified plastic surgeon who you feel is
most likely to give you the best results and who performs hundreds of
these procedures each year. I would look at patient reviews as well as
before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA

 The area in question is the axillary tail of the breast. If it is substantially glandular liposuction won't help much. Excision can be done through and axillary approach. It is primarily fatty and liposuction may be all it is necessary.

Thank you for your question and posting appropriate pictures. Typically in this area there is an element of loose skin, fat and potentially breast tissue. Excision by removal of skin and tissue through a small incision in the armpit region is typically aesthetically pleasing. You may also be a candidate for laser liposuction to remove the fat and tighten the skin. Breast Augmentation may have a positive impact by stretching the skin forward. You would need to have an examination for precise recommendations.