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It is a common misconception that the armpit is a small area that is easy to address and slim down. Although the region is smaller than other body parts, it is not as simple as that.
Commonly called a bra bulge, armpit fat is soft, stable, and unresponsive to diet or exercise due to its dense fibrous composition. Sometimes, armpit fat can look worse with the wrong type of bra or a tight sleeveless top.
Armpit fat is addressed through liposuction using Dr Ivan Puah's proprietary MDC-Sculpt® Lipo technique, which removes fat across multiple layers while preserving the surrounding lymph nodes and nerves.
Performed under twilight sedation in an MOH-accredited day surgery centre, most patients return to daily activities within one to two days.
Book a consultation with Dr Ivan Puah at Amaris B. Clinic in Singapore today.
Commonly called "bra bulge," armpit fat appears as stubborn pockets between your upper arm and breast. This localised fat deposition is often genetically influenced but can be exacerbated by weight fluctuations, hormonal shifts (like menopause or PCOS), or breast tissue distribution.
Unlike general body fat, armpit fat is notoriously resistant to diet and exercise due to its dense fibrous composition.
Not sure if you’re dealing with stubborn armpit fat or a medical condition like accessory breast tissue? You’re not alone; many patients find it hard to tell.
Signs it may be accessory breast tissue (not just fat), here’s what to look for:
Swelling, tenderness, or pain that fluctuates with your menstrual cycle.
Symptoms worsen during puberty, pregnancy, or breastfeeding.
Feels firm or lumpy (like breast tissue), not soft like typical fat[5].
May have a visible bump or "tail" extending toward the breast.
Pain when wearing bras/activewear, restricted arm movement, or skin irritation.
Spot reduction is a myth. While fitness improves overall health, your body burns fat systemically—not from targeted areas.
Armpit fat’s unique fibrous structure makes it particularly stubborn.
Non-surgical treatments such as Fat freezing, Radiofrequency (RF), High-Intensity Focused Ultrasound (HIFU) or Microwave Technology claim to freeze, laser off, or burn fat without incisions or anaesthesia. They eliminate fat accumulation with no downtime.
However, they require multiple sessions with little or no results. Some of them also have side effects which you need to take heed of, such as:
Armpit fat lipo removes fat permanently, effectively and safely.
Dr Ivan Puah regards liposuction as a fusion of 70% art and 30% science. This deep understanding and decades of experience have led him to develop his proprietary MDC-Sculpt®️ Lipo technique.
This technique not only stimulates collagen for natural tautness but also preserves lymph nodes and nerves - critical in this delicate zone.
Dr Ivan Puah’s proprietary surgical approach is a multi-plane fat-removal method and it effectively addresses:
At Amaris B. Clinic, we prioritise personalised care and customised surgical approach, recognising that each patient is unique and deserves a tailored strategy to achieve optimal results.
Send WhatsApp EnquirySeveral factors are considered when evaluating candidates for armpit fat lipo, including:
You should not be pregnant, breastfeeding or have any underlying medical condition
Smoking and alcohol will hinder post-op recovery and results
It is important to have realistic expectations and achievable results based on your clinical condition
Stop all nicotine products (smoking, vaping) completely.
Begin tapering off/stopping prohibited supplements and medications as directed.
Significantly reduce or eliminate alcohol.
Focus on a healthy, balanced, anti-inflammatory diet and hydration.
Absolutely NO alcohol or nicotine.
Stop prohibited supplements and medications.
Reduce caffeine intake and aim to eliminate it 48 hours before surgery.
Continue healthy eating and hydration.
Confirm logistics: Surgery time, arrival instructions and caregiver's schedule.
Avoid sunburn or skin irritation on the areas to be treated.
Get plenty of rest and manage stress.
Follow fasting instructions.
This is critical for anaesthesia safety.
Remove all nail polish for pulse oximeter monitoring.
Prep loose, comfortable clothing, such as a front-opening top, easy elastic-waist pants and slip-on shoes, for the next day.
Double-check arrival time and documents.
Get a good night's sleep.
Wear loose-fitting and dark-coloured clothing.
Bring a trusted companion for support and a safe return home.
Fast for 8 hours on the day of surgery or as directed.
You may feel tired and groggy post-op, hence you should plan to take a day off to recover.
Be gentle when you shower and use hypoallergenic products.
Wear surgical compression garments 24/7 for the next few weeks.
Avoid putting pressure on the treated area.
Get plenty of rest so your body can recover.
Eat right.
Light activities for now.
No smoking and alcohol.
Soreness can last for one to two weeks.
The treated area may be bruised and tender but the discomfort and pain are manageable.
Stitch removal in 10 days by the doctor.
Incisions may itch as they heal so be mindful.
Go for regular Manual Lymphatic Drainage massage.
Most bruising and swelling will be resolved.
Expect temporary scar discolouration but will fade over time.
Results will continue to improve over 3 to 6 months.
Patients with mild to moderate skin laxity will notice an improvement in skin tightening in the treated area.
Maintain a disciplined lifestyle and following a balanced diet and frequent exercise routine.
Complement your results with other aesthetics treatments after 6 months.
Armpit Fat Liposuction is an elective surgery, therefore it is not covered under insurance or Medisave.
What affects the cost?
Your total surgical fees vary based on several factors such as:
We provide before-and-after photos privately during your one-on-one consultation with Dr Ivan Puah. You will be able to view anonymised images of actual patients who had undergone Armpit Fat Liposuction surgery.
They allow you to:
Disclaimer: While these clinical visuals are shared in-clinic for your education, MOH strictly prohibits displaying before/after images in ANY public advertising (website, social media, brochures etc.). We fully comply to ensure ethical patient communication, no unrealistic outcome promises and protection of patient privacy. Visual examples are for educational reference only - individual results vary based on your unique condition.
Performing liposuction requires far more than basic training. Dr Puah believes true expertise demands:
This commitment ensures your safety and natural-looking results.
Dr Ivan Puah is an accredited liposuction doctor and Chairman of the Lipo Peer Review Committee in Singapore with over two decades of clinical experience.
He has completed fundamental and advanced Vaser Liposuction body sculpting surgical training under Dr John Milard and Dr Alfredo Hoyos in Argentina and Colorado. He has also received dedicated gynecomastia surgery training in San Francisco.
Dr Puah marries the principles of science and art in his body contouring surgeries, delivering natural and optimal results for his patients.
Can armpit fat return after surgery?
Recurrence of armpit fat after removal is uncommon. Factors like weight gain can expand the fat cells in the axillary area, causing fat accumulation in the armpit area.
Can armpit fat mimic other medical conditions?
It can mimic severe medical condition as it can clinically resemble:
This often leads to a misdiagnosis.
Does Amaris B. provide aftercare treatments?
At Amaris B. Clinic, aftercare significantly assists you with faster recovery and ensures optimum results. We have curated a bespoke aftercare program designed to help you with the healing process, such as manual lymphatic drainage massages, skin firming and many others.
Can loose skin cause armpit fat?
Not exactly, but it can mimic the appearance of armpit fat.
Loose skin (often from ageing, weight loss, or genetics) may sag or fold in the underarm area, creating bulges that look like stubborn fat.
Non-surgical skin tightening like Ultherapy can lift and firm the area.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
