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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.
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.
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.
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An accessory breast can present as a small mole, lump or a fully functional extra breast. It generally doesn’t cause any issues but it may become symptomatic.
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.
According to Kajava, there are EIGHT grades of the condition[4]. Grade IV is the most common.
Consists of a complete breast with a nipple, areola and glandular tissue.
Consists of glandular tissue and nipple without areola.
Consists of glandular tissue and areola without a nipple.
Consists of glandular tissue only.
Consists of only nipple and areola without glandular tissue.
Consists of only the nipple.
Consists of only the areola.
Consists of only hair.
Healthcare professionals have classified supernumerary nipples according to their size, shape and tissue components. The primary types include:
| Types | Glandular tissue | Nipple | Areola | Fat tissue | Hair patch |
|---|---|---|---|---|---|
| Polymastia (supernumerary breasts) | ✓ | ✓ | ✓ | ✓ | |
| Supernumerary nipple | ✓ | ✓ | |||
| Supernumerary nipple | ✓ | ✓ | |||
| Aberrant glandular tissue | ✓ | ||||
| Pseudomamma | ✓ | ✓ | ✓ | ||
| Polythelia | ✓ | ||||
| Polythelia areolaris | ✓ | ||||
| Polythelia pilosa | ✓ |
Several factors are considered when evaluating candidates for accessory breast removal surgery.
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.
Unlike generic methods, at Amaris B. Clinic, we leverage three diagnostic pillars to guide treatment:
Hidden 3 to 4 cm incision within the natural axillary crease (virtually undetectable post-recovery).
Infiltrate anaesthetic fluid to the targeted area to:
Specialised dissecting instruments remove tissue layer-by-layer.
Tension-adjusted suturing with 4-0 subcuticular stitch for scarless surface healing.
Dressings applied.
Excised tissue sent for pathological examination.
Axillary accessory breast tissue is a medical condition where excess breast tissue develops in the armpit area. For patients experiencing symptoms like pain, discomfort, restricted movement, or recurring irritation, surgical removal isn’t cosmetic — it’s a medically necessary treatment.
What affects the cost?
Your total surgical fees vary based on several factors such as:
Crucially, because this surgery addresses a diagnosed medical condition causing significant physical symptoms, it is often eligible for coverage under private medical insurance plans and Medisave, subject to standard approval criteria demonstrating medical necessity.
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 axillary accessory breast tissue surgery.
This allows 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 and accessory breast removal 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 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.
Cost for armpit fat liposuction
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.
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.
Reference
[1] Mazine K, Bouassria A, Elbouhaddouti H. Bilateral supernumerary axillary breasts: a case report. Pan Afr Med J. 2020 Aug 14;36:282. doi: 10.11604/pamj.2020.36.282.20445. PMID: 33117476; PMCID: PMC7572670.
[2] Bone, A. G., Ayana, D. I., Bedada, G. J., & Abebe, T. B. (2025). Unilateral giant axillary accessory breast in male: Case report. International Journal of Surgery Case Reports, 126, 110666.
[3] Arora, B. K., Arora, R., & Aora, A. (2016). Axillary accessory breast: presentation and treatment. International Surgery Journal, 3(4), 2050–2053. https://doi.org/10.18203/2349-2902.isj20163571
[4] DeFilippis EM, Arleo EK. The ABCs of accessory breast tissue: basic information every radiologist should know. AJR Am J Roentgenol. 2014 May;202(5):1157-62. doi: 10.2214/AJR.13.10930. PMID: 24758674.
[5] Thasanabanchong, P., Vongsaisuwon, M. Unexpected presentation of accessory breast cancer presenting as a subcutaneous mass at costal ridge: a case report. J Med Case Reports 14, 45 (2020). https://doi.org/10.1186/s13256-020-02366-0
[6] Rémi RT, Mahefa R, Nyony R, Elisa S, Cinzia A, et al. (2023) Breast Accessory Tissue: Essential Insights into Clinical Presentation and Radiological Features on Mammography and Ultrasound. Int J Radiol Imaging. DOI: 10.23937/2572-3235.151011710.18203/2349-2902.isj20163571
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.
