Introduction

Axillary breast tissue, also known as accessory breast tissue, is a condition where breast tissue forms in atypical areas, usually near the armpit. This can lead to discomfort, aesthetic concerns, and self - consciousness for many individuals in New York City. Plastic surgery for axillary breast removal has emerged as a popular solution. In this comprehensive guide, we will delve into various aspects of this procedure, including its causes, available treatment options, associated risks, recovery processes, and more.

Understanding Axillary Breast Tissue

What is Axillary Breast Tissue?

Axillary breast tissue refers to the presence of breast tissue outside the normal breast area, most commonly around the armpit region. It can appear as small lumps or more significant masses. This condition is more common than one might think, and it affects both men and women. For women, it can cause specific problems such as pain or irritation during menstruation or pregnancy, as the tissue is subject to hormonal changes just like normal breast tissue.

Causes of Axillary Breast Tissue Formation

The reasons for the development of axillary breast tissue can vary from person to person. The most common causes include:

• Weight Gain: An increase in body weight can lead to the deposition of fat in various parts of the body, including the axillary area. This can sometimes make pre - existing axillary breast tissue more prominent.
• Hormonal Changes: Hormonal fluctuations, such as those that occur during puberty, pregnancy, or menopause, can stimulate the growth of breast tissue. Pregnancy, in particular, is a time when hormonal levels change significantly, and this can cause axillary breast tissue to become more noticeable.
• Congenital Factors: Some individuals may have a genetic predisposition to developing axillary breast tissue. Liposuction studies have indicated that there might be a congenital link that makes certain people more likely to have this condition.

Problems Associated with Axillary Breast Tissue

Physical Discomfort

Axillary breast tissue can cause a variety of physical discomforts. It can rub against clothing, leading to skin irritation, redness, and even chafing. The tissue can also become swollen and tender, especially during a woman's menstrual cycle or pregnancy. This discomfort can be exacerbated by physical activities or when wearing tight - fitting clothes.

Aesthetic Concerns

Many people with axillary breast tissue feel self - conscious about their appearance. It can make wearing sleeveless shirts or certain types of clothing uncomfortable and less appealing. This self - consciousness can have a negative impact on an individual's self - esteem and confidence, affecting their social and professional lives.

Plastic Surgeons in New York City Specializing in Axillary Breast Removal

Dr. B. Aviva Preminger

Dr. B. Aviva Preminger at Preminger Plastic Surgery in Manhattan is a well - known plastic surgeon who offers axillary breast tissue removal services. She is dedicated to educating her patients on this procedure. She believes in providing personalized care and uses minimally invasive techniques to achieve the best results. Before any procedure, she conducts a thorough consultation, where she reviews the patient's medical history and discusses their reasons for wanting the surgery. Her office provides world - class services to patients on the upper east side of Manhattan and New York City.

Dr. Casian Monaco

Located in the prestigious upper east side of New York City, Dr. Casian Monaco offers advanced and compassionate care for axillary breast tissue removal. He brings experience and a personalized approach to each procedure. His expertise in aesthetic and reconstructive surgery ensures that patients receive high - quality care and results that are tailored to their unique body shape and aesthetic goals. The procedure is typically performed under general anesthesia, and he uses a blend of precision and care to remove the unwanted tissue while preserving the surrounding areas.

Dr. Joshua D. Zuckerman

Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery is a distinguished UES mammoplasty specialist. His clinic offers a comprehensive range of breast surgery procedures, including the removal of axillary breast tissue. He utilizes the latest surgical techniques combined with a personalized approach to meet the unique needs and aesthetic goals of each patient. His state - of - the - art facility provides a comfortable and private setting for patients undergoing surgery.

Available Treatment Options for Axillary Breast Removal

Liposuction

Liposuction is a common method used to remove axillary breast tissue. Just like it is used to remove troublesome areas of fat from various locations on the body, a cannula is inserted through a very small incision to remove the tissue. This procedure is relatively less invasive compared to traditional open surgery. The advantage of liposuction is that it leaves minimal scarring, and the recovery time is usually shorter. However, it may not be suitable for all cases, especially if the axillary breast tissue is dense or if there is a significant amount of excess skin.

CoolSculpting

CoolSculpting is the least invasive of the treatment options. It involves freezing the tissue, which kills the cells. The body then naturally flushes out these dead cells over time. This procedure is non - surgical, so there is no need for incisions or anesthesia. It is a good option for patients who are looking for a less invasive alternative and have relatively small amounts of axillary breast tissue. However, multiple sessions may be required to achieve the desired results, and the effects may take several weeks to become fully visible.

Surgery

In cases where the axillary breast tissue is large or accompanied by excess skin, surgical removal may be the best option. The tissue and extra skin are removed through plastic surgery. If the removal of the tissue involves the nipple or areola, these are excised following any liposuction. Modern surgical techniques have made this procedure more convenient and less invasive than ever before. Surgeons can often make small incisions and conceal them in the natural crease of the axilla (armpit) area, resulting in minimal scarring.

Sometimes, a combination of these treatments may be recommended based on the patient's diagnosis and specific situation. For example, liposuction may be used first to remove the bulk of the fat, followed by surgical excision of any remaining tissue and excess skin.

The Procedure: Step - by - Step

Consultation

The first step in any axillary breast removal procedure is to schedule a consultation with a plastic surgeon. During this meeting, the surgeon will review the patient's medical history, including any pre - existing medical conditions, allergies, or previous surgeries. The patient will also have the opportunity to discuss their reasons for wanting the surgery, their aesthetic goals, and any concerns they may have. The surgeon will then perform a physical examination of the axillary area to assess the amount and nature of the breast tissue.

Pre - operative Preparations

Once the decision to proceed with the surgery is made, the patient will be given instructions on how to prepare for the procedure. This may include:

• Undergoing certain medical tests, such as blood tests or imaging studies, to ensure that the patient is in good health for surgery.
• Stopping the use of certain medications, such as blood thinners, aspirin, or herbal supplements, which can increase the risk of bleeding during surgery.
• Arranging for someone to drive the patient home after the surgery and stay with them for the first 24 hours.

The Surgery Itself

The type of anesthesia used will depend on the specific procedure and the patient's overall health. For liposuction or CoolSculpting, local anesthesia may be sufficient, while surgical removal may require general anesthesia.

If liposuction is performed, a small incision is made in the axillary area, and a cannula is inserted to suction out the fat and breast tissue. The surgeon will carefully maneuver the cannula to ensure that the tissue is removed evenly.

In the case of CoolSculpting, a special device is used to apply controlled cooling to the targeted area. The patient may experience some initial discomfort, such as pulling or pinching, but this usually subsides after a few minutes.

For surgical removal, the surgeon will make an incision, usually in the natural crease of the armpit. The excess tissue and skin are then removed, and the incisions are closed with sutures. If there are nipples or areolas involved, they will be excised at the appropriate stage.

Post - operative Care

After the surgery, the patient will be monitored in a recovery area until they are fully awake and stable. The surgeon will provide specific instructions on how to care for the incisions, which may include keeping the area clean and dry, changing the dressings regularly, and avoiding strenuous activities.

Pain medication may be prescribed to manage any discomfort during the recovery period. The surgeon may also recommend wearing a compression garment to help reduce swelling and support the healing process.

Recovery Process

Immediate Post - operative Period

Axillary breast recovery typically starts with a period of rest. Patients are advised to take it easy for about a week before resuming errands and light exercise. They may experience some swelling, bruising, and mild pain in the treated area, which is normal. The surgeon will provide tips and recommend pain - relieving medication to ease any discomfort.

Return to Work and Normal Activities

Most patients can return to work about three weeks after the procedure. However, this may vary depending on the type of work and the individual's recovery progress. Strenuous activity can usually be resumed after four to six weeks, as directed by the surgeon. It is important to follow the surgeon's instructions carefully to ensure proper healing and to achieve the best results.

Long - term Results

Once the recovery period is over, patients often report a significant improvement in both comfort and self - confidence. The excess tissue is removed, alleviating physical discomfort and enhancing the contour of the underarm area. The results of axillary breast removal are usually long - lasting, but it is important to maintain a healthy lifestyle to prevent the recurrence of axillary breast tissue.

Risks and Complications

General Risks of Surgery

As with any surgical procedure, axillary breast removal carries some risks. These may include bleeding, infection, adverse reactions to anesthesia, and scarring. However, if the patient is in good overall health and has no allergies, the risk should be minimal. A report by the Journal of Aesthetic Plastic Surgery found that, of 51 patients polled, all were satisfied with the results of the procedure, and only two of the 51 experienced infections that required treatment with antibiotics.

Specific Risks of Axillary Breast Removal

Some specific risks associated with axillary breast removal include persistent arm tightness, lymphedema (swelling of the arm due to damage to the lymphatic system), and numbness in the treated area. These risks can be minimized by choosing a well - qualified plastic surgeon who is board - certified.

Cost Considerations

The cost of axillary breast removal in New York City can vary depending on several factors, such as the type of procedure, the complexity of the case, the reputation and experience of the surgeon, and the facility where the surgery is performed.

Liposuction and CoolSculpting may be less expensive compared to surgical removal, as they are less invasive and require less time and resources. However, the cost can still range from a few thousand dollars to over ten thousand dollars.

It is important to note that most insurance companies do not cover axillary breast removal unless it is deemed medically necessary. Therefore, patients should be prepared to pay for the procedure out - of - pocket. Some plastic surgeons offer financing options to help patients manage the cost of the surgery.

Making an Informed Decision

Research and Consultation

If you are considering axillary breast removal, it is crucial to do thorough research and schedule consultations with multiple plastic surgeons. This will allow you to compare different approaches, understand the risks and benefits, and choose the surgeon who is the best fit for you.

Asking the Right Questions

During the consultation, make sure to ask the surgeon the following questions:

• What is your experience with axillary breast removal?
• What type of procedure do you recommend for me?
• What are the potential risks and complications?
• How long is the recovery period?
• What is the cost of the procedure, and are there any financing options available?

Conclusion

Plastic surgery for axillary breast removal in New York City offers a solution for individuals who are suffering from the physical discomfort and aesthetic concerns associated with axillary breast tissue. With the availability of various treatment options, experienced plastic surgeons, and modern surgical techniques, the procedure has become more convenient and less invasive than ever before. However, it is important to make an informed decision by thoroughly researching the procedure, consulting with qualified surgeons, and understanding the risks and benefits involved.

If you are considering axillary breast removal, we encourage you to take the next step and schedule a consultation with a plastic surgeon in New York City. By doing so, you can get personalized advice and start your journey towards a more comfortable and confident life. Don't let axillary breast tissue hold you back any longer – explore your options today!