What is Axillary Breast Tissue Removal?

Axillary breast tissue removal is a surgical procedure designed to address excess breast tissue that extends into the armpit region (axilla). This condition, known as axillary breast tissue, can cause discomfort, aesthetic concerns, and difficulty with clothing fit. The procedure involves making a discreet incision in the armpit, removing the excess breast tissue, and closing the incision with sutures. It is performed to alleviate discomfort, improve body contour, and enhance the patient's overall appearance. The surgery is typically conducted under local anesthesia with sedation or general anesthesia, and the goal is to achieve a more balanced and aesthetically pleasing chest contour. Patients considering this procedure should consult with a qualified plastic surgeon to assess their specific needs and determine the most appropriate course of action.

What is the cost of Axillary Breast Tissue Removal?

The cost of axillary breast tissue removal in India can vary depending on several factors such as the location of the clinic/hospital, the experience and expertise of the surgeon, the facilities provided, and any extra administrations remembered for the bundle. On average, the cost of axillary breast tissue removal in India ranges from INR 30,000 to INR 100,000. However, this estimate is approximate and can vary significantly depending on individual circumstances, the complexity of the procedure, and the specific requirements of the patient. It's important for patients to consult with a qualified plastic surgeon in India to get an accurate assessment of the cost based on their specific needs and to discuss any additional fees associated with pre-operative consultations, post-operative care, and facility charges. Additionally, patients should inquire about financing options and whether their health insurance may cover any portion of the procedure if it is deemed medically necessary.

HOW LONG IS THE RECOVERY TIME?

The recovery time for axillary breast tissue removal can vary depending on the individual patient, the extent of the procedure, and how well they follow postoperative instructions. However, here's a general timeline:

Immediate Post-Op Period (1-2 Weeks): During the first week or two following surgery, patients may experience some discomfort, swelling, bruising, and mild to moderate pain in the treated area. Prescription or over-the-counter pain medications may be prescribed to manage discomfort.

Return to Normal Activities (2-4 Weeks): Most patients can resume light activities within a few days to a week after surgery, but strenuous activities should be avoided for at least two to four weeks. Patients are typically advised to refrain from lifting heavy objects or engaging in vigorous exercise during this time to allow for proper healing.

Complete Healing (4-6 Weeks): By four to six weeks post-surgery, most of the swelling and bruising should have subsided, and the incision site(s) should have healed well. Patients can gradually return to their normal activities, including exercise and lifting heavier objects, although it's essential to follow the surgeon's recommendations regarding activity restrictions.

Long-Term Recovery (Several Months): While most of the initial recovery occurs within the first few weeks to months after surgery, it can take several months for the final results to be fully apparent as swelling continues to dissipate and the tissues settle into their new position.

HOW IS Axillary BREAST TISSUE REMOVED?

Axillary breast tissue removal is typically performed as a surgical procedure by a qualified plastic surgeon. Here's an overview of how the procedure is commonly conducted:

Preparation: Before the surgery, the patient will typically undergo a pre-operative consultation with the surgeon to discuss their goals, medical history, and any concerns. Pre-operative instructions, such as avoiding certain medications that can increase bleeding risk, may be provided.

Anesthesia: On the day of the procedure, the patient will be administered either local anesthesia with sedation or general anesthesia, depending on the surgeon's recommendation and the patient's preference.

Incision: The surgeon will make an incision in the axillary region (armpit), typically within the natural folds of the skin to minimize visible scarring. The size and location of the incision will vary depending on the extent of tissue removal needed and the individual's anatomy.

Tissue Removal: Once the incision is made, the surgeon will carefully dissect and remove the excess breast tissue from the axillary area. The amount of tissue removed will be determined based on the patient's desired outcome and the surgeon's assessment.

Closure: After the excess tissue has been removed, the incision is closed with sutures. The surgeon may use techniques to minimize tension on the skin and optimize wound healing. In some cases, surgical drains may be placed to remove excess fluid and reduce the risk of complications such as seroma formation.

Post-operative Care: Following the procedure, the patient will be monitored in a recovery area to ensure stability and comfort. Instructions for post-operative care, including wound care, activity restrictions, and pain management, will be provided. Patients are typically advised to wear a compression garment to help reduce swelling and support the healing process.

Follow-up: Patients will attend follow-up appointments with their surgeon to monitor healing progress, remove sutures if necessary, and address any concerns or questions that may arise during the recovery period.

WHY DOES AXILLARY BREAST TISSUE FORM?

Axillary breast tissue, also known as accessory breast tissue or supernumerary breast tissue, can form due to various factors:

Embryological Development: During embryonic development, mammary tissue forms along two milk lines that extend from the armpits to the groin. In some individuals, remnants of this embryonic tissue persist in the axillary region, leading to the development of axillary breast tissue.

Hormonal Influences: Hormonal changes during puberty, pregnancy, or menstruation can stimulate the growth and development of breast tissue, including axillary breast tissue. Fluctuations in estrogen and progesterone levels can contribute to the enlargement of accessory breast tissue in some individuals.

Genetic Predisposition: Genetic factors may play a role in the development of axillary breast tissue. Individuals with a family history of accessory breast tissue or certain genetic conditions may be more prone to developing this condition.

Obesity: Excess body weight and adipose tissue can contribute to the development of axillary breast tissue. Higher levels of adipose tissue in the axillary region can lead to the appearance of enlarged or prominent breasts in some individuals.

Hormonal Imbalances: Imbalances in hormone levels, such as elevated estrogen relative to testosterone, can influence the growth and development of breast tissue, including axillary breast tissue. Certain medical conditions or medications that affect hormone levels may contribute to the formation of accessory breast tissue.

What happens if axillary breast tissue is left untreated?

Axillary breast tissue, when left untreated, is generally benign and does not pose a significant health risk. However, there are potential consequences and considerations associated with leaving axillary breast tissue untreated:

Discomfort and Pain: Some individuals with axillary breast tissue may experience discomfort, tenderness, or pain, particularly during hormonal changes associated with menstruation or pregnancy.

Aesthetic Concerns: Enlarged or prominent axillary breast tissue can cause aesthetic concerns for individuals, affecting their body image and confidence. This may lead to emotional and psychological distress over time.

Difficulty with Clothing Fit: The presence of excess breast tissue in the axillary region can make it challenging to find well-fitting clothing, especially bras and swimwear. This can lead to frustration and discomfort in everyday life.

Risk of Inflammation or Infection: In some cases, the friction and rubbing of axillary breast tissue against clothing may lead to irritation, inflammation, or even infection. This is more likely to occur in individuals with larger or more pendulous axillary breast tissue.

Changes During Hormonal Fluctuations: Hormonal changes, such as those occurring during puberty, menstruation, or pregnancy, can lead to changes in axillary breast tissue size and sensitivity.

What’s the best age to get breast reduction done?

The optimal age for breast reduction surgery, also known as reduction mammoplasty, can vary depending on individual factors such as physical development, emotional maturity, and personal preferences. While there isn't a specific age that universally applies to everyone, here are some considerations:

Physical Development: Breast reduction surgery is typically recommended after breast development is complete, which usually occurs by the late teens or early twenties. Undergoing the procedure before the breasts have fully developed may result in the need for additional surgeries in the future if further growth occurs.

Emotional Maturity: It's important for individuals considering breast reduction surgery to be emotionally mature enough to understand the implications of the procedure and have realistic expectations about the outcomes. Emotional readiness is crucial for coping with the physical and emotional changes associated with surgery.

Impact on Quality of Life: Breast reduction surgery is often sought by individuals who experience physical discomfort, such as neck, back, or shoulder pain, due to the weight and size of their breasts. If these symptoms significantly impact the quality of life and conservative measures have been ineffective, then breast reduction may be considered at any age when the individual is deemed physically and emotionally ready.

Stable Weight: It's advisable for individuals considering breast reduction surgery to be at a stable weight and to maintain it for some time before undergoing the procedure. Significant weight fluctuations can affect the size and shape of the breasts, potentially impacting the outcomes of surgery.

Am I the right candidate for breast reduction?

Determining whether you are a suitable candidate for breast reduction involves considering several factors. While a certified plastic surgeon is the best individual to provide a personalized assessment, here are some general indicators that may suggest you could be a candidate for breast reduction:

Physical Discomfort: If you experience persistent physical discomfort, such as neck, back, or shoulder pain due to the weight and size of your breasts, and conservative measures like supportive bras and physical therapy have not provided sufficient relief, breast reduction may be a suitable option.

Limitation of Physical Activity: Large breasts can sometimes restrict physical activities and lead to discomfort during exercise. If you find that your breast size hinders your ability to engage in certain activities or negatively impacts your overall lifestyle, breast reduction may be considered.

Psychological and Emotional Impact: If the size of your breasts has a significant impact on your self-esteem, and body image, or causes emotional distress, breast reduction may help improve your overall well-being.

Proportionality: Breast reduction is often considered when the size of the breasts is out of proportion with the rest of the body. Achieving a more balanced and proportionate figure may be a goal for those seeking breast reduction.

Health Considerations: Certain health considerations, such as chronic skin irritation or infections beneath the breasts, may make breast reduction a reasonable option.

Age and Emotional Maturity: While there isn't a specific age requirement, individuals considering breast reduction should be emotionally mature enough to understand the implications of the procedure and have realistic expectations about the outcomes. Stable Weight: It is generally recommended that individuals considering breast reduction have a stable weight and maintain it for some time before undergoing the rocedure.

What are the causes of large breasts?

Large breasts, also known as macromastia or breast hypertrophy, can be caused by various factors:

Genetics: Genetic predisposition plays a significant role in determining breast size. Individuals with a family history of large breasts are more likely to develop them themselves.

Hormonal Factors: Hormonal fluctuations, particularly during puberty, pregnancy, and menopause, can contribute to breast development and enlargement. Estrogen, progesterone, and other hormones influence breast tissue growth and development.

Weight Gain: Excess body weight and adipose tissue accumulation can lead to increased breast size. Fat deposition in the breasts can contribute to their enlargement, especially in individuals with a higher body mass index (BMI).

Glandular Tissue: Some individuals may have a higher proportion of glandular tissue in their breasts, leading to larger breast size. Glandular tissue is responsible for milk production and can contribute to breast volume.

Breast Density: Breast density refers to the ratio of glandular and connective tissue to fatty tissue in the breasts. Higher breast density, which includes more glandular tissue, can result in larger breasts.

Medications: Certain medications, such as hormonal contraceptives, hormone replacement therapy, and some antidepressants, can affect hormone levels and potentially lead to breast enlargement as a side effect.

Pregnancy and Breastfeeding: Pregnancy and breastfeeding cause hormonal changes in the body that can lead to temporary breast enlargement. In some cases, breast size may remain larger after pregnancy and breastfeeding.

Gynecomastia: While more commonly associated with males, gynecomastia, or the development of enlarged breast tissue in males, can occur in some individuals due to hormonal imbalances or other medical conditions.

What are common problems after breast reduction surgery?

After breast reduction surgery, some common problems or issues that patients may experience during the recovery process include:

Pain and Discomfort: It is normal to experience some pain, discomfort, swelling, and bruising in the treated area immediately following breast reduction surgery. Pain medications prescribed by the surgeon can assist with dealing with these side effects.

Changes in Sensation: Temporary changes in nipple sensation, including numbness, tingling, or hypersensitivity, are common after breast reduction surgery. In most cases, sensation gradually returns over time, but some individuals may experience permanent alterations in nipple sensation.

Scarring: Breast reduction surgery involves incisions, which will result in scars. While surgeons strive to minimize scarring and place incisions in discreet locations, scarring is a natural part of the healing process. Scars typically fade and become less noticeable over time.

Asymmetry: Despite the surgeon's best efforts to achieve symmetry, some degree of breast asymmetry may persist after surgery. This is normal and may be addressed through additional procedures if desired.

Changes in Breast Shape: While breast reduction surgery aims to improve breast shape and contour, changes in breast shape may occur as swelling subsides and the tissues settle into their new position. It may take several months for the final results to become apparent.

Difficulty Breastfeeding: Breast reduction surgery can affect milk ducts and glandular tissue, potentially impacting breastfeeding ability in some individuals. It's essential to discuss any concerns about breastfeeding with the surgeon before undergoing breast reduction surgery.

Infection or Complications: Although rare, complications such as infection, hematoma (collection of blood under the skin), seroma (collection of fluid), or changes in nipple or breast tissue viability can occur after breast reduction surgery. These complications may require medical attention and treatment.

Emotional Adjustment: Some individuals may experience emotional challenges or adjustments following breast reduction surgery, including changes in body image, self-esteem, or feelings of vulnerability. It's essential to have realistic expectations and to seek support from healthcare professionals, family, and friends during the recovery process.

How long does it take for breasts to look normal after breast reduction?

The timeframe for breasts to look "normal" or to achieve their final appearance after breast reduction surgery can vary from person to person. However, here's a general overview of what to expect:

Immediate Post-Op Period: Immediately after breast reduction surgery, the breasts will be swollen, bruised, and may appear larger than desired due to tissue manipulation and swelling. The initial appearance may not reflect the final results.

Initial Healing (1-2 Weeks): During the first one to two weeks after surgery, swelling and bruising gradually subside, and the initial results become more apparent. However, the breasts may still appear somewhat swollen and may not yet have achieved their final shape.

Intermediate Healing (2-6 Weeks): Over the next several weeks, the breasts continue to heal, and swelling decreases further. The tissue begins to settle into its new position, and the breasts start to take on a more natural contour. Scars may still be noticeable but typically continue to fade over time.

Final Results (Several Months): It can take several months for the breasts to fully settle into their new shape and for swelling to completely resolve. By around three to six months post-surgery, the majority of swelling should have subsided, and the breasts should have achieved their final appearance. However, subtle changes may continue to occur over the following months.

Long-Term Healing (Up to a Year): While most of the healing and changes occur within the first few months after surgery, it can take up to a year or more for the breasts to fully mature and for scars to fade to their final appearance. Continued follow-up with the surgeon during this time can help monitor progress and address any concerns that may arise. It's important to have realistic expectations and to understand that individual healing times can vary. Factors such as skin elasticity, surgical technique, and postoperative care can influence the outcome and the speed of recovery. Following the surgeon's post-operative instructions, attending follow-up appointments, and practicing patience are key to achieving optimal results after breast reduction surgery.

Dr.Jagadish Kiran, M.B.B.S, M.S(General Surgery), M.Ch(Plastic Surgery)

14 years of experience.

PH / WhatsApp +91 963 963 54 54