What procedure will get rid of extra armpit fat/skin? (Photos)

Question

I've had extra fat/creases in my armpit area since birth. No matter my weight I have a "fat" armpit area. How do I get rid of it? What's the procedure called and price range? Could I combine the surgery with arm liposuction all in one session?

Ashley B. Robey, MD · Answer

I hear concerns about the armpit area frequently. For patients who have excess fat only, liposuction does a great job. For patients with excess fat and a moderate amount of excess skin, employing a modality to tighten the skin is beneficial. I use the BodyTite technology in these cases. For a more significant amount of skin and fat, direct excision may be the best choice.

Your photos suggest that the intermediate option may be optimal for you. Whereas I tend to treat this area in addition to multiple other areas at the same time, you could consider treating this area alone in the office setting. Multiple area of treatment are better suited for the operating room venue.

Kenneth Hughes, MD · Answer

Option 1: An axillary (or armpit) incision can be used to remove a small ellipse of tissue. This arm lift is best utilized for patients who have loose skin confined to the arm pit area or uppermost aspect of the arm. The procedure can be combined with upper arm liposuction in the right patient to produce a dramatic improvement in upper arm contour. The scar remains hidden within the armpit.Options 2: You might be a good candidate for BodyTite with liposuction of the arms. BodyTite does not remove any fat, but it is capable of producing a 45% contraction in tissues.
Consult with a board certified PS via email or Skype to discuss which option would be best for you.

David Hansen, MD · Answer

Getting liposuction of the arms and axillae(arm pits-front and back) under local would be so easy and dramatic results.  Add Bodytite RF at the same time. Cost is roughly $8000 for quality work and so worth it..

Jason Emer, MD · Answer

this needs skin removal for the best results but if you want "improvement" you can do in office kybella (many treatments) or in procedure/surgery liposuction with internal heating like body tite or renuvion.  Best, Dr. Emer.

Zoran Potparic, MD · Answer

This is very frequent condition seen in young females. Combination of fat tissue deposits and axillary breast tissue is most frequently the underlying condition. Aggressive liposuction and, in some cases, direct skin excision, are methods of treatment. Good luck.

Robert M. Tornambe, MD · Answer

I appreciate your concerns and frustrations and your condition is actually fairly common. 
The armpit area fullness is usually a combination of fatty tissue and breast tissue extending into the axilla or armpit. If fat is the primary issue, liposuction alone can be utilized. Unfortunately it is usually a combination of fat, breast tissue and sometimes redundant skin and this is treated by direct excision with micro liposuction contouring. Consult with a board-certified plastic surgeon in your area to explore the best options for you. Good luck.

Daniel Barrett, MD · Answer

Dear kiadc,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from liposuction. 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

Arian Mowlavi, MD, FACS (license on probation) · Answer

This can be resolved using high definition VASER liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

The best results will come from removing both skin and fat. This can be done as a single procedure.  Fat alone can be removed with liposuction but I will not address the skin laxity which is a significant component to the way your front bra roll and armpit look.

Some patients opt for doing liposuction first to see what it delivers then come back for skin removal later if needed and some I have both done at the same time.

If both are done at the same time direct excision of the fat may be equally as good as lipisuction and potentially better.

The scar may show at the beginning on the front of your armpit. This is something to discuss with a plastic surgeon during an in person consultation.

Best,

Mats Hagstrom MD

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