Before and after breast reduction and liposuction of the axillary rolls in a 59 year old woman. Her breasts were heavy and pendulous, but a great proportion of her volume lay in the axillary roll – also known as upper back fat/bra roll region – which would not be addressed by a standard breast reduction.
We usually add liposuction as a surgical compliment to a breast reduction in order to debulk the lateral aspect (outside) of the breast. This enables the incision in the fold of the breast to remain as short as possible – without the need to chase the fat roll with a longer incision that extends all the way around to the back.
A breast reduction removed some heavy breast tissue from the bottom of her breasts and reshaped her breasts to a perkier form. The amount of breast weight removed was actually eclipsed by the amount of fat suctioned from the axillary rolls and breast roll region!
Removal of bra roll fat creates a nicer cosmetic result to a medically necessary breast reduction and enables the scars to be shorter and generally hidden in the breast fold. Follow up photos are shown nearly two years after surgery. Her scars are mature and her symptoms of macromastia are gone!
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
