Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?

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™ injecti...

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Main Author: Neha Chauhan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2024-12-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1788896
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author Neha Chauhan
author_facet Neha Chauhan
author_sort Neha Chauhan
collection DOAJ
description 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.
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language English
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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series Indian Journal of Plastic Surgery
spelling doaj-art-4ab6cdeea64d43a98c3ac3b014c5de142025-08-20T03:36:34ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2024-12-01570649249510.1055/s-0044-1788896Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?Neha Chauhan0https://orcid.org/0000-0003-4705-1959Department of Plastic Surgery, Fortis Hospital, Richmond Road, Bangalore, Karnataka, IndiaAxillary 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1788896axillary breastaccessory breastaxillabreastliposuctionexcision
spellingShingle Neha Chauhan
Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?
Indian Journal of Plastic Surgery
axillary breast
accessory breast
axilla
breast
liposuction
excision
title Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?
title_full Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?
title_fullStr Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?
title_full_unstemmed Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?
title_short Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?
title_sort accessory axillary breast management is primary skin excision necessary
topic axillary breast
accessory breast
axilla
breast
liposuction
excision
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1788896
work_keys_str_mv AT nehachauhan accessoryaxillarybreastmanagementisprimaryskinexcisionnecessary