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Thinking Through Accessory Breast Removal Surgery

맘스외과성형외과 · *당신을 위한 맘스외과성형외과* · July 20, 2023

How one’s body appears can feel different to each person. For that reason, I don’t think it is something others can easily comment on. In that sense, people take one step at a ti...

AI translation notice

This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 맘스외과성형외과

Original post date: July 20, 2023

Translated at: April 25, 2026 at 8:41 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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How one’s body appears can feel different to each person. For that reason, I don’t think it is something others can easily comment on.

In that sense, people take one step at a time toward the shape they want and gradually grow through the process. In those days, there are surely many people who seriously consider accessory breast removal surgery. If there is something in your armpit that keeps bothering you, there is likely no helping it. Some people may even blame themselves inwardly, thinking they have gained weight.

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However, if you can see an unfamiliar lump-like area in the armpit, I would say it is usually not something to simply overlook. It may not be as simple as just looking swollen because of weight gain.

The armpit contains important organs and tissues in our body. Structures such as lymph nodes are part of that. There are also major blood vessels and nerves. So it is natural to worry that there may be a more serious problem. But what matters is that there are many suspicious points if this is dismissed as mere fat. In fact, accessory breast tissue, as the name suggests, is reasonably understood as a second breast. Normally, when we develop in the womb, several mammary glands form along a line called the milk line. By the time we are born, all but one should disappear, but in some cases they remain hidden in the body and later appear. This phenomenon usually occurs in the armpit.

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For that reason, it would be unreasonable to view it simply as fat trapped in the armpit. It is not made only of fat. Its structure should be understood in a way similar to the breasts. The breasts may look like simple masses of flesh, but we know that they actually contain mammary glands. Likewise, this can be seen as unnecessary mammary tissue taking up space in the armpit. So if you want to remove it, rather than using a method such as an injection to target fat alone, it is more appropriate to eliminate the mass of glandular tissue inside through accessory breast removal surgery.

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Of course, it can feel burdensome. It does mean making an incision in the body and removing the tissue inside, and it is true that this process may suddenly feel frightening. You may feel hesitant. But it is also difficult to handle the mammary tissue inside by another method. Sometimes, in an effort to reduce scars and lessen the burden, people consider approaches like Mammotome, which insert a thin device into the body to cut up, grind, and extract tissue from the inside.

In such cases, caution is needed because if even a small piece of tissue remains inside, it can grow again from there. Although many people worry, in reality even a very small opening can be enough to remove and tidy up the unnecessary tissue.

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When performing accessory breast removal surgery, it is very important to identify what shape the mammary tissue has and where it is located inside. For this, examinations such as ultrasound and X-rays are used. A detailed ultrasound can reveal the location and shape of the mammary tissue, as well as the boundary with the fascia. By recognizing this area first and separating the glandular tissue in advance, it becomes possible to proceed more safely. No matter how you put it, the armpit contains major blood vessels, nerves, and lymph nodes, and it plays a fairly important role in the body. Therefore, it is necessary to take sufficient care so that tissues other than the glandular tissue are not injured.

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If the exact location and shape of the glandular tissue are identified through ultrasound and the boundary between it and the other structures in the armpit is found, the first step is to address that boundary.

By injecting a solution that helps stop bleeding into this boundary area, it becomes possible to separate it from the other structures in the armpit and remove only the unnecessary glandular tissue. Such know-how is best carried out by someone who understands the structure and characteristics of the related organs and tissues well.

And if this pre-separation process is done in advance, it can also make the actual procedure easier, since even a small, barely visible opening may be enough to neatly remove the tissue that needs to be cleared out as one piece.

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Even so, there may be cases where people hesitate for a long time about accessory breast removal surgery. It is true that this is not a matter that feels easy to decide casually. But if it is left alone and time passes, the glandular tissue can continue to be affected by hormonal changes, becoming larger each time and harder to treat. As time goes by, aging also gradually accelerates, and through those changes, the skin in the armpit may begin to sag and stretch more and more. Once the shape changes like this, it naturally looks even less appealing and becomes more uncomfortable as well. For that reason, it is generally recommended to undergo accessory breast removal surgery while the tissue has not yet lost its elasticity and become saggy.

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The more the skin has stretched, the larger the wound may become when accessory breast removal surgery is performed. That is because not only the glandular tissue inside must be addressed, but the sagging skin must also be corrected.

On the other hand, if the skin has not yet sagged and is not very noticeable on the outside, but the glandular tissue inside has been identified as the problem, it can be improved by making a small opening and removing the glandular tissue. In that case, the wound is not large and the process is simpler.

But once sagging skin is observed, any plan for improvement must also include that sagging. When it is not severe, it may be possible to improve the shape by using fat removal to help the skin lift back into place, but if time passes while the armpit continues to contain mammary tissue and becomes significantly saggy, one must keep in mind that it can ultimately lead to a larger wound.

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Someone who understands the female chest and the organs of the breast, as well as the tissues and structures that make them up, can be a more reliable help in organizing the mammary tissue formed in the armpit. If there is enough experience and know-how, it may be possible to recover directly in daily life without using a drainage tube, finish the process in a shorter time, and reduce the hassle of things like removing stitches. Please take a careful look while keeping these points in mind.

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