AXR Axillary Reduction Surgery
Procedure Fullness in the axillae (=armpits) can be caused by excess breast tissue or fat ("bra fat", "boob fat"). This can be reduced with excision of breast tissue and / or liposuction ("armpit reduction" or "axillary reduction"). I do not use drains routinely. The wounds are repaired with sutures under the skin which do not require removal and dissolve within four months. Compressive padding for a few days is recommended.
Scars Excision: 5-10 cm, Liposuction: 5 mm. Mainly within the axilla
Operation time 1.5 hours
Anaesthesia Local > (General)
Hospital Stay Day Surgery
Benefits Aesthetic, Psychological, Functional, Symptomatic
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Skin cones, Wound separation, Slough, Necrosis, Fat cysts, Pain, Nerve injury (Numbness, weakness, Paralysis), Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Remaining stretch marks, Recurrent redundancy / prominence, Aesthetic imperfections (higher risk after subsequent pregnancies / weight changes), Seroma, Lymphocele, Lymphoedema, Reduced shoulder mobility, Pneumothorax, Contour irregularities, Need for further surgery, Liposuction: Friction / thermal burns, Allergic reaction. N.B. Most complications are unlikely. Serious risks or death are rare
Risk factors Smoking within 6 weeks of surgery, contraception and flights within 6 weeks of a general anaesthetic, overweight, high blood pressure, bleeding tendency (Stop herbal products or supplements for two weeks before surgery), diabetes
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, local compression
Discomfort 1 - 2 weeks
Bruising 2 - 3 weeks
Recovery Light activities 1 week, Driving 2 weeks, Physical work & sports 6 weeks, Unrestricted 3 months
Acceptable appearance 2 - 4 weeks for most patients (This is subjective)
Final result 6 -18 months
Alternatives No Surgery, Covering with clothes, Weight loss


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