What the best treatment is for Axillary Breast Tissue removal? (photo)

Hello and thank-you for your question and photo.

Axillary breasts can generally be corrected with liposuction. Based on your photo, liposuction should provide the needed correction. Coolsculpting is an non-invasive alternative to liposuction.  We have had significant improvement in correcting the fullness of the upper outer (axillary) part of the breast using the Cool Mini applicator.  Generally two sessions are required.  An in person consultation with a plastic surgeon board certified  by the American Board of Plastic Surgery would be needed to determine if you are a candidate for this procedure.

Best of Luck.

Andre Lyos, MD, FAC

Hello,If it is fat, liposuction.  If it is breast tissue, direct excision. Go visit a few ABPS certified/ASAPS member surgeons for an examination. Best of luck!

Thank you for your question and photo. Axillary fullness is often treated with other breast surgeries or by its own. Usually, liposuction will treat it adequately, but sometimes breast tissue excision is done at the same time via a small hidden incision in the armpit. Based on this single, restricted view photo, it is impossible to tell what would be the best and least invasive approach to improve this for you. This can be done under local anesthesia only. See a board certified plastic surgeon for an in person consultation. Good luck.

The roll of what appears to be fat above the breast at the front of the armpit is not usually breast tissue. Sometimes it is mostly fat, sometimes just a fold in the skin that appears to be fat but isn't. For those reasons it is not possible to offer a recommendation without an in-person evaluation. One option to consider is Kybella, which is a nonsurgical procedure.

Thanks for your question.Sometimes this area is fatty and liposuction alone will do the job. Sometimes it is fibrous and will require excision and even skin removal. Your PS will need to feel the area to help you decide. Cost will depend on which route is chosen.Best wishes.

Dear Jacksonxo,The best and most definitive treatment for axillary breast tissue is surgical removal.  Typically the incisions can be placed/hidden in the armpit depending on how much axillary tissue removal is needed. Price will vary with geographic region and surgeon experience.Best Wishes

can be accomplished by several methods as already detailed by your other responses.  You can contract your muscle and pinch the tissue above it and if thick, it can be flattened with liposuction and if this fails, then a direct excision.  If there is minimal fat, you could consider tightening the skin with skin contracting devices such as ThermiLift but have some kind of protection in case it doesn't work... like will you get a partial credit to something else or a free repeat if no effect?  Best of luck at achieving your goals.

Thank you for your question.  Axillary breast tissue can be removed with direct excision or liposuction depending on how much excess skin is present.  This procedure is usually covered by insurance.  Be sure to consult with an experienced board certified plastic surgeon.  Good luck! 

Thank you for the question.

Yes, it is possible to excise axillary breast tissue ("axillary tail of Spence"). In my opinion, this is best done by direct excision ( as opposed to liposuction surgery). Often, it is necessary to remove overlying skin also to improve contour of the area.

I would suggest in-person consultation with a well experienced board-certified plastic surgeon who can show you examples of similar patients he/she has taken care of.

Best wishes.

From your photo I think that it's likely this area can be permanently contoured with a small liposuction procedure alone.  The latter can be performed either under local anesthesia or asleep in about 30 minutes.  If the "swelling" increases with your period it may be breast tissue so have a face to face evaluation with a bd certified plastic surgeon for the ultimate answer.  If it's only fat as I think it probably is, the improvement will be very satisfying for you.



Jon A Perlman MD FACS 



Certified, American Board of Plastic Surgery 



Extreme Makeover Surgeon ABC TV



Best of Los Angeles Award 2015, 2016 



Beverly Hills, Ca