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When most people think of breasts, they envision the tissue on the front of the chest. While that is the normal location, sometimes the breast tissue can develop outside of the normal breast area. Known as axillary breast tissue, it is often found near your armpits. Armpit fat can bulge over the top of a bra or strapless dress and is generally unappealing to most people. Dallas board-certified plastic surgeon Dr. Solomon Azouz can perform axillary breast tissue removal and restore the appearance of the underarm area.

Benefits of Axillary Breast Tissue Removal

armpit fat removal | armpit fat liposuctionThe lumpy appearance of axillary breast tissue can affect your self-confidence and change the type of clothing you wear. Covering up the area with loose-fitting clothing may disguise the area, but it also limits your self-expression and style. Removing the dense tissue offers multiple benefits, including:

  • Increased Comfort: Physical discomfort, such as chafing or irritation from garment friction, can be reduced by removing extra breast tissue from the armpit area. Some patients also report increased arm mobility.
  • Enhanced Aesthetics: By improving the contour of the armpit and removing the “bra bulge,” axillary breast tissue removal can boost self-confidence.
  • Clothing Fit: After axillary breast tissue, or armpit fat, is removed, people frequently find it easier to wear certain clothes, such as tight-fitting shirts or sleeveless tops.

Armpit Fat Removal Surgery in Dallas

Axillary breast tissue can be removed with liposuction and direct excision. Liposuction is the preferred choice for small to moderate amounts of tissue. Dallas plastic surgeon Dr. Azouz is an expert in liposuction and fat transfer, and his advanced techniques provide exceptional results. Dr. Azouz provides various options for axillary breast tissue removal, catering to individual needs and preferences


A popular, less-invasive surgical method for removing breast tissue from the axilla is liposuction. Small incisions are made under the arms during the surgery, and a cannula—a thin tube—is introduced to remove extra fat. Board-certified plastic surgeon Dr. Azouz has customized cannulas to allow for more precise fat removal with minimal postoperative discomfort, bruising, and swelling. People with modest skin laxity and primarily fatty axillary breast tissue are good candidates for liposuction.

Direct Excision

In most cases, Dr. Azouz may recommend a combination of liposuction with excision of the glandular axillary breast tissue and excess skin. After liposuction, Dr. Azouz will carefully remove glandular axillary breast tissue. A direct excision can improve the contour and help reshape the armpit. Dr. Azouz may also recommend skin excision to address any saggy or loose skin.

axillary breast tissue removal | bra bulge removal surgery

Anesthesia for Axillary Breast Tissue Removal

Dr. Azouz avoids general anesthesia, which can often cause nausea after surgery. Instead, local anesthesia combined with sedation is used for underarm liposuction. This ensures patient safety and comfort during the procedure and can help with pain for up to 24 hours after surgery.

What are the risks of axillary breast removal?

As with any surgical operation, some risks can include bleeding, infection, numbness, or hypersensitivity. Board-certified plastic surgeon Dr. Azouz uses meticulous techniques to minimize the risks of liposuction and axillary breast tissue removal.

Recovering from Underarm Fat Removal

Some patients might experience some soreness, bruising, and swelling after axillary breast tissue excision. To encourage recovery and reduce complications, Dallas plastic surgeon Dr. Azouz will provide detailed post-operative advice. Dr. Azouz will recommend compression garments to minimize bruising and swelling. This will also help with skin retraction after liposuction. After surgery, most people can return to their regular activities in a few days to a week, though intense exercise should be avoided for a few weeks.

underarm liposuction | underarm fat removal surgery

Surgeries That Can Be Combined with Armpit Liposuction

Axillary breast tissue excision can be paired with other cosmetic procedures such as breast reduction, breast augmentation, breast lift, or brachioplasty. During the initial appointment, Dr. Azouz will discuss possible combination surgeries based on each patient’s concerns and goals. Depending on the procedures combined, Dr. Azouz can create fewer incision lines to help decrease scarring after surgery.

Underarm Liposuction Cost

Axillary breast tissue removal costs can vary based on several factors, including the complexity of the operation, anesthesia costs, and surgical facility costs. During the consultation, Dr. Azouz will provide a personalized quote detailing each aspect of the procedure.

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Schedule Your Consultation with Dr. Azouz

If you are unhappy with excess tissue beneath your armpits and want to remove armpit fat, contact Azouz Plastic and Cosmetic Surgery online or call us at (972) 702-8888 to find out if axillary breast tissue removal is the solution to your concerns. During your consultation, board-certified plastic surgeon Dr. Azouz created a customized plan to meet your unique goals. Consultations are offered both in-person at our Dallas office and virtually.

Frequently Asked Questions

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