Body
- 4D Liposuction (Hi-Definition Lipo)
- ADR-C Breast Enhancement (Breast Fat Grafting)
- ADR-C Buttock Enhancement (Buttock Fat Grafting)
- Armpit Fat Lipo & Accessory Breast Removal
- Corrective Liposuction (Lipo Revision)
- Gynecomastia Surgery
- Laserlipolysis (Laser Liposuction)
- Lipoma Removal
- Male Nipple Reduction Surgery
- Modern Liposuction with MDC-Sculpt®️ Lipo technique
- Pseudogynecomastia Surgery
- Scar & Body Disfigurement Treatment
- Scar Revision Surgery
- Ultrasonic-Assisted Liposuction (UAL)
Armpit Fat Lipo & Accessory Breast Removal
Armpit fat is an irritant and inconvenience, to say the least. Many who have them (and most of them tend to be women), have to plan and arrange their wardrobe around the issue. Even when it’s covered up, knowing that you have it is a constant frustration both physically and mentally. That bulge, however, may not be just an excess fat issue. It could also be a combination of fat and excess glandular tissues known as accessory breasts.
Axillary breast tissue can be mistaken to be armpit fat (axillary fat) if not properly detected. While this seems to just add on to frustration, stay calm. Amaris B. Clinic is here to help.

Armpit fat is common and may be caused by excess weight, genes or hormonal changes. Appearance-wise, it’s that bulge in between your breast and arm, particularly when you wear a bra or a well-fitted top.
Wearing tight fitting tops that includes strapless dresses or sleeveless ones, tube tops and even bikinis are the common causes for its appearance. The reason is simply because the fat is being squeezed out resulting in a bulge. These are typically easy to fix as it requires at the most, an overhaul of one’s wardrobe.
Exercise and diet alone cannot help to spot reduce fat. There is no way of determining the areas where the body will lose fat hence, an overall fat reduction programme is always recommended for balanced results. This however, is frustrating when the only issue you’re facing is armpit fat.
Loose skin or loss of elasticity in skin is generally caused by several factors that include ageing, rapid weight loss and excessive dieting. This issue can be addressed with treatment such as Ultherapy or surgical skin excision.
Cryolipolysis or fat freezing, is a less invasive fat reduction treatment that, as the name suggests, eliminates fat cells by freezing them. The fat cells die when they’re frozen, which reduces the appearance of a bulge. Purportedly, Cryolipolysis is able to reduce approximately 20 percent of a bulge but one may need multiple sessions for visible results.
The treatment may cost about $500 per bodily area in Singapore. Common side effects include pain and swelling. A lesser unknown side effect is that, for some patients who had gone through fat freezing, fat cells on the treated area expand instead of shrinking and this is known as paradoxical adipose hyperplasia (PAH). There is also no guarantee that in the case of armpit fat that cryolipolysis will be effective.
Seek thorough consultation with a qualified doctor to have a better understanding of its benefits, risks and achievable results before deciding if this treatment is suitable for you or not.

Image above: Armpit fat liposuction in Singapore by Dr Ivan Puah, Medical Director of Amaris B. Clinic
Armpit fat, given its area size, often gives a false impression that it is easy to treat. It is more straightforward, only IF the issue involves ONLY fat. It becomes challenging when it involves excess glands or more commonly known as accessory breasts.
Additionally, armpit fat is notoriously hard to eliminate with non-surgical treatments such as Cryolipolysis, and it doesn’t go away with diet and exercise alone.
According to Dr Ivan Puah, liposuction is “70% art, 30% science.” The approach taken at Amaris B. Clinic tailors to a patient’s clinical condition and goal. Dr Puah does not believe in a cookie-cutter approach because each patient is unique. This uniqueness requires a personalised method to achieve optimal and favourable results.
This understanding and experience led Dr Puah to develop the MDC-Sculpt®️ Lipo technique. This technique not only removes stubborn armpit fat but also encourages skin retraction.

Liposuction is strictly regulated in Singapore by the Ministry of Health (MOH). It is therefore a must-do or necessity to find a competent MOH liposuction accredited doctor. A doctor who has a keen eye for the aesthetic is able to combine science and art, and is able to communicate to the patient on what is achievable without over-promising.
With more than 15 years of liposuction experience, Dr. Ivan Puah was also part of the team that introduced laserlipolysis in Singapore. He is also known for his aesthetic sense and meticulousness. Communication between doctor and patient is important. His experience is, among others, a reflection of his professionalism, friendly and trustworthy disposition and bedside manners.
He has helped alleviate many patients’ concerns and worries as he truly understands their different needs. Dr Puah tailors his treatments based on these needs.
Cost for armpit fat liposuction is dependent on several factors. These include a patient’s clinical condition, degree of skin laxity and also, the anticipated complexity of the procedure.
Accessory breast is, in essence, breast tissue found outside the breast area. Also known as Polymastia, it is defined as ‘residual (breast) tissue that persists from normal embryologic development.’ Breast tissues, in normal development, develop along the milk line. This is a line that arches from the armpit to the groin on both sides.
Additional tissues commonly disintegrate and are absorbed into the body. This in turn causes polymastia.

Accessory breasts may appear like a lump or swelling under the skin. For accessory nipples, it may resemble a mole or dimple but it can also appear like a typical nipple albeit smaller in size usually.
It is found in the axillary or armpit. Swelling and tenderness in the armpit are common experiences during puberty, menstruation and after delivery in most women who suffer from this issue.
After delivery, a woman’s armpit can become engorged and painful. An affected person may not even realise the issue and in most cases, there is no visible nipple or areola. Still, working ducts leaking milk can be observed and expected in others.
Hormonal changes is a common cause. The axillary breast tissue may also increase in size during pregnancy and lactation.
Axillary breast tissue can also cause a bulging and meaty appearance. Large ones can cause inflammation and irritation, which makes wearing bras and certain clothing an uncomfortable experience.
There have been reports of pain and swelling, as well as irritation. As axillary breast tissue is susceptible to hormonal changes, these may be further aggravated particularly during pregnancy and lactation.
Up to 6 percent of the population experience this with Japan being where it is commonly found.
There are EIGHT grades of the condition. These are:
- Grade I - Consists of a complete breast with a nipple, areola and glandular tissue.
- Grade II - Consists of glandular tissue and nipple without areola.
- Grade III - Consists of glandular tissue and areola without a nipple.
- Grade IV - Consists of glandular tissue.
- Grade V - Consists of only nipple and areola without glandular tissue.
- Grade VI - Consists of only the nipple.
- Grade VII - Consists of only the areola.
- Grade VIII - Consists of only hair.
Grade IV is the most common.
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.
Wanting to proceed with a cosmetic procedure such as Armpit Fat Lipo & Accessory Breast Removal is personal. It is a practical, permanent, and clinically proven solution to remove fat and excess gland.
If you have tried various methods but are not achieving the result you yearn for, we recommend you come for a consultation and assessment to understand whether or not you are suited to the procedure.
We welcome you to call us and schedule a consultation with Dr Ivan Puah to understand how we can help you address your issue.