Commonest cause of disturbed axillary aesthetics is aberrant breast tissue. Our study presents 24 consecutive patients with axillary breast or lipomas, treated with liposuction alone or excision with limited liposuction of axillary folds and dog ears; between 2005 and 2015. Optimum aesthetic outcome was due to i) Pre-op marking in maximum abduction ii) Elliptical excision of apical, hairy skin in the direction of maximum laxity irrespective of location of axillary breast iii) Raising thick flaps to avoid tethering of the scar iv) Meticulous dissection to preserve nerves, axillary pad of fat and lymph nodes, v) Limited liposuction under vision to sculpt axillary folds and dog ears, vi) Suturing in position of maximum abduction, vi) Stretchable tape for dressing instead of pressure garment suitable for unique shape of axilla.
Part of the book: Body Contouring and Sculpting