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What Should Be the 기준 for Axillary Breast Liposuction?

맘스외과성형외과 · *당신을 위한 맘스외과성형외과* · November 9, 2023

​ ​ ​ ​ There is probably no one who lives in this world without worries. Anyone can worry about even very small things or think over something carefully, and we regard that proces...

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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: November 9, 2023

Translated at: April 25, 2026 at 7:41 AM

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

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There is probably no one who lives in this world without worries. Anyone can worry about even very small things or think over something carefully, and we regard that process as very natural and understandable. When trying to understand the human mind and thoughts more deeply, we often say that people who worry about small things in daily life tend to use up energy continuously and can become tired and exhausted more easily. On the other hand, they may be more cautious in everything they do and able to see more things.

In any case, it seems that people live while repeatedly having worries and concerns. In some cases, people may have deep worries about their own bodies. The same goes for those who are hesitating about whether to undergo axillary breast liposuction. If the armpit area looks swollen as if there is excess fat, it can cause various inconveniences, so the goal is to remove it.

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We often vaguely think that this happens because of fat gain. So we may not really know what the problem is or why it occurs. But to improve a problem and make it better, identifying the cause is very important, so it cannot just be brushed aside.

During the fetal stage, when we were growing in our mother's womb, there would have been a time when the breast was not yet fully formed. At that time, several mammary glands develop in sequence along the line expected to become the chest area. And we are not born carrying all of them; we are born with only the mammary glands in the correct location remaining, while the rest disappear. However, as with all things in the world, nothing is 100%, and sometimes the mammary gland that formed near the armpit does not disappear and remains. If it develops together just like a normal breast does, it can look as though that area has become swollen with fat.

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This phenomenon can cause stress in terms of appearance, but it also needs to be examined closely because it can actually lead to pain and functional discomfort in that area. If mammary tissue is present inside, it responds to hormonal changes just like the mammary tissue in a normal breast, so when the menstrual cycle comes, it may swell and become sharp and painful each time. During pregnancy and childbirth, milk can also accumulate in the mammary tissue under the arm, causing discomfort under the arm and engorgement in the armpit.

In fact, depending on the person, some have mostly fat and not much mammary tissue, while others retain more mammary tissue. Regardless of this situation, pain can occur. Moreover, having extra mammary tissue compared with others also means that breast-related diseases can occur in this area. Therefore, depending on each person's characteristics, a process is needed to improve it by performing axillary breast liposuction or mammary tissue removal.

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Axillary breast liposuction may be the first solution that comes to mind for people who have these problems in the armpit and are worried about them repeatedly. This is probably because it can be done with only a tiny opening for a small tube, rather than making a definite incision and removing the contents from inside, which feels more reassuring and less burdensome.

Of course, improvement is possible with this method as well. However, it should not be overlooked that this cannot always be the only correct answer. As mentioned briefly earlier, people may have what could be called a second breast, but they are not all the same, so the tissue making up this area can differ from person to person. Some people mainly have fat, while others have denser mammary tissue, so it is necessary to clearly diagnose each person's characteristics and proceed in a way that matches them.

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The key point in this approach is that what matters is not simply how much volume is removed and processed outside after performing axillary breast liposuction, and so on. If you think about this area in the armpit three-dimensionally, you can see that the solution is essentially a process of reducing the space inside the armpit where the mammary tissue is located.

Therefore, it was explained that it is important to reduce the volume occupying the armpit and make the skin as thin as possible. That is why careful judgment is necessary. If you try to make the armpit tissue too thin without restraint, areas that need blood circulation can be severely damaged, leading to another problem in which the skin may necrose. As the saying goes, too much of a good thing is not good; a certain amount of thickness needs to be left. Determining this and adjusting it appropriately is the key, and it will be essential knowledge and expertise for achieving a satisfying and healthy result.

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The proportion of tissue in the armpit and what shape it takes vary from person to person. Because it is determined randomly, it is probabilistic. So in some cases mammary tissue makes up a larger share inside, in some cases fat makes up a larger share, and in others they may be present in a balanced way. Therefore, it is necessary to first identify this clearly and then establish a plan for improvement accordingly. The way to check is through X-ray examination. Since an X-ray can accurately show the internal tissue composition, this is a step that must be carried out. It was very important to carefully examine and understand in advance the composition, thickness, density, and degree of skin sagging, and then plan and carry out a customized solution suited to each situation.

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Then shall we take a brief look at each case? First, if the mammary tissue has largely regressed and is not very abundant, and the main cause of the bulging appearance is fat, then it is judged that improvement is possible with axillary breast liposuction. By making only about a 5 mm opening on the inner side of the armpit, it can be neatly resolved. Conversely, some people have a lot of mammary tissue. In such cases, it may not be very noticeable from the outside, but an X-ray often shows that mammary tissue is densely developed inside.

In this situation, it could be improved by making an incision of about 1.5 cm and removing the mammary tissue through that opening. If both mammary tissue has developed and the area is filled with fat, causing the skin to sag and making the condition clearly visible, then doing only mammary tissue removal or only liposuction on its own is difficult to improve it properly. Therefore, the two methods need to be combined so that the mammary tissue is removed and the fat-filled area and sagging skin are also smoothed out. Sometimes the skin is very severely sagging. In such cases, the sagging skin must also be excised, so the wound may be slightly larger. Usually, this kind of case occurs when a developed and relatively large amount of mammary tissue has been left untreated for a long time, so prompt improvement is recommended here as well.

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In the end, we can conclude that no single method is definitely the correct answer or necessarily the better method. Once again, I emphasize that these different forms and types must be examined carefully and handled accordingly. In addition, the armpit area is also a place where important structures such as blood vessels and lymph nodes are located, so it was also important to proceed in a way that prevents problems while keeping this in mind. I hope you will also pay close attention to this part and consider the appropriate approach.

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