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CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(06): 492-495
DOI: 10.1055/s-0044-1788896
Ideas and Innovations

Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?

Neha Chauhan 
1   Department of Plastic Surgery, Fortis Hospital, Richmond Road, Bangalore, Karnataka, India
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Abstract

Axillary breasts are a common entity with a reported incidence of 2 to 6% in women and 1 to 3% in men. They are more common amongst Asians than Caucasians, namely amongst South East Asians and Indians, with the highest incidence amongst Japanese. While modalities like CoolScupting™, Kybella™ injections, and BodyTite™ have been used by surgeons for management of axillary breasts, the most effective treatment for this condition remains surgical management involving a combination of liposuction of the axillary breast with excision of the gland and skin. In the author's experience, primary skin excision always leaves a long visible scar that widens over time, at times leading to contractures and restricted axillary movements even when closure looks tension free on the table. Any skin excess is best dealt with secondarily. The author uses a modified protocol without any primary skin excision in axillary breast management to achieve excellent results with minimal scars.

Keywords

axillary breast - accessory breast - axilla - breast - liposuction - excision

Note

This paper was presented at ISAPS World Congress 2024 at Cartagena, Colombia, on June 13, 2024.




Publication History

Article published online:
03 September 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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