Is Lipo A Good Option for Under Arm Area Auxillary Fat?

Axillary fat can be removed via tiny liposculpture incisions (usually 1 per side), and very nice improvements can  usually be achieved. I prefer the tiny ultrasonic cannulas and tumescent technique, which can be done under local, local plus sedation, or if you really want it, TIVA general anesthesia. Small localized areas such as this can be done quite comfortably and thoroughly under local anesthesia alone, but larger areas or multiple areas are usually done under TIVA (plus tumescent technique to reduce bleeding and bruising, as well as enhance post-op comfort) to achieve the smoothest and overall best outcome.

I'm sure you have much more awareness of this than I, but you should understand that with full breasts, a snug and full-coverage bra like you are wearing in your photograph pushes breast volume into a higher position. Any form of liposuction can reduce the volume of the fat in the axilla, but if you push tissues up with your bra choices, there will always be some degree of residual skin laxity that will "accept" the pushed-up volume. Best wishes!

Thank you for your question. Based on your photo you appear to be a good candidate for this procedure. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Your plastic surgeon will confirm that it is indeed FAT as you say, and then it is a straightforward office procedure under local anesthesia to remove it. If it is bunching of the skin from the edge of the bra, then liposuction is not indicated and will make the skin looser if tried.
Removing this fat without overdoing it results in a nice improvement for patients, and is a commonly requested procedure in my practice.
The case below shows fat reduction of the bra area and underarm, albeit in a larger volume.