Thank you for the question. Your concerns are not uncommon; many women have concerns about the same areas "axillary tail of Spence). Sometimes, liposuction surgery alone will suffice; in most cases, the "excess" skin, adipose tissue, and breast tissue need to be directly excised in order to achieve the desired improvement in contour. In those cases, liposuction surgery alone may leave patients dissatisfied with the residual (possibly irregular) skin in the infra-axillary areas.In terms of selection of your plastic surgeon, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to SEE lots of examples of their work AND preferably speak/see patients who have had similar procedures done.Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.Best wishes.
Axillary breast tissue can be removed. This is often performed as a direct excision by the armpit. Best to be evaluated in person.
