Should You Remove Accessory Breast Tissue?2026.06.22
The Benefits of Accessory Breast Liposuction for Patients Considering Arm Liposuction or Breast Augmentation
Many patients considering arm liposuction or breast augmentation focus primarily on their arms or breasts.
However, one area that is often overlooked is accessory breast tissue, commonly known as underarm breast tissue.
Accessory breast tissue refers to the excess fat and glandular tissue located between the armpit and the outer portion of the breast.
Although it may seem minor, it can significantly affect the overall appearance of the upper body.
Why Accessory Breast Tissue Can Make the Upper Body Look Larger
Many patients believe their upper arms are the main concern.
In reality, the fullness caused by accessory breast tissue often contributes to a heavier-looking upper body.
This is especially noticeable when:
● Wearing sleeveless clothing
● Wearing fitted tops or bras
● Viewing the body from the side
Why It Pairs Well with Arm Liposuction
When accessory breast tissue is treated together with arm liposuction, the transition from the shoulders to the upper arms and chest becomes much smoother.
Benefits may include:
● Slimmer-looking arms
● Improved upper-body proportions
● A more refined silhouette
● Better definition around the armpit area
Many patients report higher satisfaction with arm liposuction plus accessory breast liposuction than arm liposuction alone.
Why It Pairs Well with Breast Augmentation
Whether undergoing Hybrid Breast Augmentation or Fat Transfer Breast Augmentation, increasing breast volume can sometimes make accessory breast tissue appear more noticeable.
Treating the accessory breast area simultaneously can help create:
● A smoother décolletage
● Better outer breast contours
● More harmonious upper-body proportions
The difference is often especially visible from side-view photographs.
Case Study
This patient underwent:
● Circumferential Arm Liposuction
● Accessory Breast Liposuction
● Underarm Fat Removal
● Hybrid Breast Augmentation
At 6 months postoperatively, the fullness in the accessory breast area has been significantly reduced.
As a result, the contour from the upper arm to the shoulder and breast appears much smoother and more balanced.


Is Accessory Breast Liposuction Worth Considering?
Patients may benefit from accessory breast liposuction if they:
✔ Feel self-conscious about underarm fullness
✔ Want slimmer-looking arms
✔ Want to improve bra-line bulges
✔ Wear sleeveless clothing frequently
✔ Are considering breast augmentation
✔ Want a more delicate upper-body silhouette
The AVAN TOKYO Philosophy
At AVAN TOKYO, we do not evaluate the arms or breasts independently.
We view the:
● Neck
● Shoulders
● Upper arms
● Accessory breast area
● Armpits
● Breasts
as one continuous aesthetic unit.
This comprehensive approach helps create a more harmonious and natural result.
Case Information
Procedure:
Arm Liposuction, Accessory Breast Liposuction, Underarm Fat Removal, Hybrid Breast Augmentation
Follow-Up:
6 Months Postoperative
Risks and Complications
Swelling, bruising, fibrosis, contour irregularities, pigmentation changes, sensory changes, asymmetry, scarring, hematoma, and infection.
This post is intended for medical education purposes.