Summary
Accessory axillary breast tissue can be fairly common occurring in 2–6% of women.
Treatment modalities thus far include direct excision as well as liposuction. While
direct excision allows for accessible and adequate tissue resection, it results in
long unsightly scars and the creation of significant amount of dead space. This may
be complicated by seroma and haematoma formation. Liposuction is not without its drawbacks
either. It is often very difficult to remove fibro-glandular breast tissue resulting
in inadequate excision, thus leaving behind a visible core of breast tissue. This
has led some surgeons to use a combination of direct excision and liposuction to manage
accessory axillary breast tissue. Hence, we present the use of the microdebrider for
sharp and precise excision of accessory axillary breast tissue. This day procedure
can be performed through a single 5-mm incision which is well hidden in the axillary
skin folds while allowing the operator the amount of control needed to accurately
remove fibro-glandular breast tissue and restore an aesthetically pleasing contour
to the axilla.
Keywords
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References
- Accessory breast tissue in the axilla: classification and treatment.Plast Reconstr Surg. 2011 Jul; 128 (35e-6e)
- Surgical treatment of axillary accessory breasts.Am Surg. 2010 Mar; 76: 270-272
- Management of accessory breast tissue in the axilla.Br J Surg. 2003; 90: 1213-1214
- Use of the microdebrider for treatment of fibrous gyaecomastia.J Plast Reconstr Aesthet Surg. 2010 Mar; 63 (Epub 2009 Jan 14): 506-510
Article info
Publication history
Published online: June 26, 2012
Accepted:
May 26,
2012
Received:
November 3,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
