Is my rear armpit fat worth spending $2500 to lipo during breast reduction? (Photo)

Question

I am scheduled for a breast reduction with front armpit lipo in a few months. The front armpit lipo is covered under the procedure bit I will still be paying about $5500. I am 5'3" and about 145lbs, going from 36G to hopefully a large B/Small C. I am considering additional lipo (out of pocket) for $2500, for the fat just behind my armpit. It's always been there. My weight does not fluctuate drastically, is that area worth spending that much money on aesthetically? Is it likely to grow back?

Ronald J. Edelson, MD · Answer

The armpit is not so big that you could even divide it into front and back fat. I wouldn’t pay extra for it

Kenneth Hughes, MD · Answer

If your wardrobe contains a number of sleeveless clothes, the excess tissue, fat, or skin may be bothersome to you. Fat will not return (and ideal results will remain intact) if you maintain your "post-lipo weight." And I would not anticipate it doing so, as you stated that your weight does not fluctuate drastically.

Casey Anderson, MD, FACS · Answer

The answer to this question is how much that area bothers you. If you hate it every single day and don't wear certain clothes because of it, do the lipo. If it doesn't bother you, don't do it. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.

Gary M. Horndeski, MD · Answer

At size 36 G decreased to a B or C would require 800 grams removed per breast. This would make you too small. I do not recommend such as severe reduction. Also, at the time of surgery, it is sometimes easier to surgical remove the excess fat instead of liposuction. However, as others have stated, if it is going to be liposucted it should not cost $2500, it should be less expensive than that.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear MsNimbles,
it is hard to tell for sure without an examination. Based on your photos, it doesn't look like you have a lot of extra fat in that area. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jane M. Rowley, MD · Answer

Liposuction results vary depending on your skin and the area to be suctioned.  The area you describe on your back will be better but that fat tends to be a little more fibrous, or thicker.  Personally, I think charging 2500$ more to do that area is exorbitant.  It adds less than 10 minutes to the procedure.  I would tell you that it is worth suctioning but not to expect a huge change.  But for that price, don't do it.  Sorry, good luck, Jane.

Chad Robbins, MD · Answer

Hello and thank you for your question and photo.    Liposuction is a great adjunct to a reduction, however, depending on your age and skin elasticity , it may cause more hanging skin.   The older you are, the less elasticity and "snap back" .   If this is the case, no , I wouldn't have it liposuctioned.  You can have that skin excised but will have a scar , just depends on what you would rather have a trade off for.

Scott C. Lindsay, DO · Answer

Thanks for your question! If that is an area that bothers you now, it will likely bother you even more after the breasts are reduced because they won't be there to camouflage that area. Good luck!

Csaba L. Magassy, MD (in memoriam) · Answer

While you are having your breast reduced, it is usually a good procedure to also contour the axillary are as well...In my practice, like most Surgeons, I   usually include this process as an integral part of the procedure.

Is my rear armpit fat worth spending $2500 to lipo during breast reduction? (Photo)

Answers (9)

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