Excess skin & fat btw breast and armpit after brachioplasty, crepe-like skin, can this be removed or corrected at all? (photos)

Question

I've had a weight loss of almost 200 pounds, 9 months post TT and BA, 3 months post brachioplasty. I am pleased with the results, mostly. I still have what I call the "quadriboob". Those two pockets of fat and skin between the breast and armpit. Surgeon says skin is crepe-like and he couldn't do anything. I trust him but I'm looking for a second opinion since the excess still bulges out of clothes. I'd love to wear a bikini top, now that I have the body, but this stops me. Help?

J. Timothy Katzen, MD, FACS · Answer

Hi Beth, Congratulations on your massive weight loss!! Congratulations also on your brachioplasty or arm lift. Thank you for your pictures. What you have is not uncommon. Frequently, I see your conditionin my plastic surgery practice.  This is due to weight loss and loss of upper pole breast fat. This leads to crêpe paper skin in the upper portion of the breast.The best way to get rid of the skin in the upper pole of the breast is to remove or excise it. This can be done within elliptical incision from the armpit to the upper bra strap line. Since the procedure removes excess skin and fat of the torso, this procedure is called a vertical torsoplasty.  The torsoplasty incision can be placed where your prior brachioplasty or arm lift scar ends. When your arm is held by your side, this torsoplasty scar should be well . This is a relatively straightforward procedure.Good luck. If you have any questions regarding brachioplasty, arm lift, torsopasty, or torsoplasty, please contact my office. Sincerely, Dr. Katzen.

Michelle J. Place, MD · Answer

Thank you for including pictures.  You are healing very well after your surgery and your results look great.  The loose skin above the bra is a problem many women face.  This can be corrected with removing more skin in the axilla or sometimes it can be corrected with a breast lift when it tightens the skin around the breast.  I would wait until your are completely healed at a year and then re evaluate to see which resection provides the best result.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. Your brachioplasty incision looks marvelous. I'm glad you please with all your results. This area can be somewhat improved by extending the incision on the chest wall in the bra area. You must except the longer scar. Careful examination and planning the to go into this decision.  Good luck.

Jeffrey Zwiren, MD · Answer

It is not unusual to have excess skin of the axillary area and the upper back after massive weight loss.  This can be corrected by a thoracoplasty.

Samir Shureih, MD · Answer

The excess skin and fat lateral chest, arm pit area can be improved. I think you also have excess skin in the upper back. All this can be corrected, you have to accept scars which are with good planning can be hidden in a bikini top

Excess skin & fat btw breast and armpit after brachioplasty, crepe-like skin, can this be removed or corrected at all? (photos)

Answers (6)

Answer: Excess skin of the upper back and axillary area after weight loss

Answer: Excess skin of the upper back and axillary area after weight loss

Answer: Brachioplasty

Answer: Brachioplasty

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Excess skin & fat btw breast and armpit after brachioplasty, crepe-like skin, can this be removed or corrected at all? (photos)

Answers (6)

Answer: Excess skin of the upper back and axillary area after weight loss

Answer: Excess skin of the upper back and axillary area after weight loss

Answer: Brachioplasty

Answer: Brachioplasty

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Recommended reading

Everything you need to know about Arm Lift

Our mission is to create a world where every investment in modern beauty is Worth It.