Women with lipedema in the legs live with unbearable pain and invisible symptoms. We need to raise awareness in Singapore so patients can get proper care.
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Armpit fat is an excess accumulation of fatty tissue around the upper arms and beneath the armpits. It forms distinct fatty folds alongside the armpit, separate from the breast area, creating the appearance of bulges or folds, which can be particularly noticeable and uncomfortable when wearing specific clothing.
Causes of armpit fat
Armpit fat is a common concern. Here are some of the causes of armpit fat, which include:
Genetics
Genetic predisposition significantly influences fat storage patterns and distribution in our bodies. Genetics play a significant role in how and where your body stores fat. If your family tends to accumulate fat around the armpit, you're likely to develop it, too.
Weight Fluctuations
Unhealthy rapid weight changes can alter how fat is distributed.
Excess weight naturally leads to fat storage around the axillary area. Exercise is a great way to decrease weight and reduce overall body fat. However, it will not be able to "zoom" in on reducing armpit fat because spot reduction is not possible.
Hormonal changes
Hormonal fluctuations, especially during pregnancy, menstruation, or menopause, contribute to fat deposits in various areas, including under the arms. Hormones can affect fat distribution, leading to an increase in axillary fat. Pregnancy and breastfeeding can also result in fat buildup.
Poor clothing choices
Wearing bras or tops that are too tight can cause fat to "spill over" and make bra bulge more noticeable. However, this doesn't cause fat; it can exaggerate its appearance.

Lymphedema (Swollen lymph nodes)
Lymphedema occurs when the lymph nodes in your armpits are swollen. Caused by infection and arm or hand injuries, lymphedema may cause an armpit fat appearance.
Posture
Poor posture may not cause armpit fat but can make armpit fat more visible by causing the skin to fold, especially if you slouch or have a drooping posture. Stand up straight to reduce the appearance of fat in the armpit, but the fat will remain unless addressed through fat reducing measures.
Breast cancer
One of the symptoms of breast cancer is swelling or lumps found in the armpit area, which may resemble armpit fat. While armpit fat is not life-threatening, it's still recommended to go for a mammogram at least once a year if you are over 40.
Cysts or skin issues
It may look like you have armpit fat if you have a lump in the armpit caused by cysts, abscesses or skin issues. Although typically non-cancerous, it is better to seek professional advice and treatment as it may cause you to be feverish.
Is it normal to have more fat under one armpit?
Bilateral armpit fat and body asymmetry are more common than you think. An individual can have more fat under one armpit than the other, depending on their genetic disposition, and how their body fat is distributed.
Contrary to the adage that fat pockets are only found in bigger-sized individuals, stubborn fat pockets do not discriminate — causes of armpit fat transcends size, ethnicity, weight, and gender. Armpit fat affects both men and women but has a higher percentage of occurrence in women than men. It affects people of all sizes, including slim women with smaller breasts!
This aesthetic concern can make women feel uncomfortable and self-conscious, particularly when wearing sleeveless or form-fitting clothing.
Armpit fat is a commonly challenging area to address solely through diet, exercise, natural remedies or non-invasive treatment.
Armpit fat liposuction, the permanent and effective solution
Armpit fat liposuction, carried out by Dr Ivan Puah, uses his novelty MDC-Sculpt® Lipo technique to address stubborn fat pockets in small body areas effectively. Treating areas such as armpit fat demands a liposuction doctor with steady hands, a keen aesthetic sense, focused attention, and decades of experience with success rates and patient satisfaction.
Your initial consultation involves thoroughly evaluating your unique anatomy, discussing goals, and assessing your suitability for the procedure.
Our skilled anaesthetist administers twilight sedation (not General anaesthesia), ensuring your comfort during the procedure.
The MDC-Sculpt® Lipo technique allows efficient fat removal, fosters smooth, natural contouring and improves skin tightness. Notably, it boasts minimal downtime and disruption to your daily activities.
Most patients can return home on the same day as the surgery. While temporary swelling, bruising, and discomfort may arise, these are all part of the natural healing process.
Results? Flattened and well-contoured and tightened armpits. Beyond the aesthetic enhancements, armpit fat liposuction serves a functional purpose. It can effectively alleviate discomfort and chafing caused by excess tissue in the underarm region, enhancing overall comfort and elevating the quality of life.
How to prevent armpit fat from recurring
Sustaining the results of armpit fat liposuction requires a proactive approach:
Set realistic expectations
Setting realistic post-surgery expectations is crucial. Understanding that maintaining results involves effort is the first step.
Adopt a healthy lifestyle
Commit to a healthy lifestyle post-surgery, such as regular exercise, a balanced diet, and avoiding significant weight fluctuations.
Avoid nicotine
It's advisable to steer clear of smoking or nicotine products. Nicotine can impede the recovery process and your results.
By embracing these measures, you can enhance the longevity of your armpit fat removal results.
About Dr Ivan Puah, a liposuction doctor in Singapore

Dr Ivan Puah is an MOH-accredited liposuction doctor in Singapore with almost two decades of experience in body sculpting. He was trained in the United States in Vaser liposuction, gynecomastia surgery, and Italy for Laserlipolysis.
He is also the Chairman of the Lipo Peer Review Committee in Singapore and is experienced in 4D Liposuction, Gynecomastia Surgery, Corrective Liposuction and many more.
To schedule an appointment with Dr Ivan Puah, contact us +6565364211