axillary breast tissue removal before and after photos

People undergo breast tissue removal surgery for both cosmetic and physical concerns. It can make the armpit fat appear thicker and lumpier, especially during pregnancy or before menstruation. There are some patients with redundant skin. PMC Best wishes The doctor will also ask the patient to not to eat or drink anything after midnight. Federal government websites often end in .gov or .mil. Genetic factors also come into play. Breast tissue removal surgery can take anywhere between three to five hours. Mark Sisco, M.D. Axillary breast tissue can get painful and cause discomfort. Phone: (847) 504-2333 This tissue is fibrous like normal breast tissue. I will post my before and after photos once I"m completely recovered. So you need not have the same type issue if you undergo surgery. Mark Sisco, M.D. Unless there is concern about whether or not the tissue in your axilla is unhealthy, this procedure is usually not covered by insurance. Dr. Read More, A 44 year old female presented with severe excess of pre-axillary tissue. Occasionally, it is found in unusual locations, such as the axilla, scapula, thigh, and labia majora. The patient must provide a list of all their medications, including prescription, over-the-counter, herbs, and supplements. An axillary node dissection may be done at the same time as other breast cancer surgeries. Breast lump removal. Your genes determine to a large extent where you store the fat in your body. 813-886-9090 The surgeon removes the excess tissue with the selected technique through this incision while preserving every nerve, lymph node, and axillary fat pad. The accessory breast tissue is removed & the incision is closed. AD Award Number: DAMD17-00-1-0447 TITLE: Early Life and Risk of Breast Cancer PRINCIPAL INVESTIGATOR: Mads Melbye MD PhD CONTRACTING ORGANIZATION: Statens Serum Institut We have the top Specialists in your city for Axillary Breast Tissue Removal. In cases where only liposuction was performed, you may have some mild or moderate bruising and swelling, with very small incisions to heal. However, your shape and figure will continue to improve as your swelling decreases over the next Liposuction is a surgical procedure which is performed using different techniques by different specialties. Similar to normal breast tissues, the axillary breast also responds to hormonal fluctuations. Red, painful, swollen, or hot arm, hand, breast or torso, Do not get a normal range of motion four to six weeks after the surgery, Swelling that does not subside after one week, Conditions like cysts, lipomas, or other skin issues may go undetected, Size of the lump (the cost of surgery increases with the size of the lump), The method used for tissue removal (cost is less when either liposuction or surgical excision is performed; cost increases when a combination of these procedures is performed), Type of hospital (cost is more at a private hospital compared to a government hospital). It is not intended as medical advice nor does it constitute or imply a doctor-patient relationship. Book an Appointment , Know more about Axillary Breast Tissue Removal, Relief from pain,Reduced irritation,Improved mobility of the arms,Elimination of undesirable contours. Thank licensed healthcare practices are not allowed to show and share before-and-after photos or videos in the public domain or through any form of push technology. The breast tissue is surrounded by fascia (a thin layer of connective tissue). As a result, he achieves fantastic outcomes for his patients. After that a puncture low the fold of the axillary breast tissue and tumescent fluid is injected for breaking the fat. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. This tissue is similar to breast tissue and can cause breast development, pain, and other symptoms. Why do some patients who have breast reduction surgery end up with dead tissue and really awful wounds? Two of the most common factors that my patients say contributed to their enlarged nipples and areolae is pregnancy and aging. Eventually all these swelling reduces, you have to give some time for body to heal and be patient. Depending on the treated area, most patients return to normal activities and work within several days and to full physical activity in about two to three weeks. Axillary breast is caused by the development of breast tissue outside of the normal breast area. Br J Surg. During this visit, the doctor will monitor the recovery and evaluate the chances of complications. Liposuction surgery alone will likely not be as effective and/or may leave you with continued excess/irregular skin.Placement of the incision line in the hair bearing axillary area is one of the keys to success; keeping the resulting scar as hidden as possible is important to most patients.I hope this helps. It tightens up the area, making extra tissue in the armpits less noticeable. Accessory breast tissue can occur anywhere between the axilla and the groin. The general steps involved in the axilla breast tissue removal surgery are as follows: Before surgery and on the day of the surgery, the surgeon will provide several instructions to the patient for preparation. In many instances, male breast reduction may be performed at the same time for a dramatic improvement of the chest contour. We present a study of 28 patients who underwent surgical removal of their axillary breast tissue. Axillary breast tissue removal! She was also bothered by its appearance. For inquiries about our website contact our marketing firm Think Basis: webmaster//myplasticsurgeon/ca. Ennis Plastic Surgery is proud to offer the advanced transaxillary breast augmentation procedure. Axillary/Armpit Breast and Fat Tissue Removal. Technically speaking, axillary breast tissue is composed of glandular tissue. http://www.poustiplasticsurgery.com/Procedures/Procedure_breastReduction.htm. It is also important to keep your expectations realistic and to understand that plastic surgery has risks and should never be taken lightly.\"Viewer discretion advised\" Some doctors suggest building up the muscles in your upper arms and chest wall. Accessory axillary breast tissue is present in approximately 2% to 6% of women. Yes, from the picture you sent it is fairly certain that you have some excess or accessory breast tissue. 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We can arrange your consultation with Dr. Su. Some other methods for axillary breast tissue removal without surgery include: There are three levels of axillary lymph nodes. Some home remedies to affect the appearance and decrease the size of axillary breast tissue include: Immediately after surgery, the breasts are swollen, cone-shaped, and high on the chest. However, it can sometimes develop beyond the normal location of your breasts. Breast Ultrasound vs. Mammograms: How They Work. Hope this helps. No, exercise does not make a big difference in getting rid of axillary breasts. A Seroma is a pocket of clear fluid which sometimes can develop after surgery. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Mammograms use low-dose radiation to X-ray the breasts, while ultrasounds use sound waves. Indian J Plast Surg. In cases where larger incisions are made and gland is removed, this may be more uncomfortable and require a bit more time. Axillary breast: Navigating uncharted terrain. Accordingly to Dr. Neinstein, the bra bulge area is probably the most stubborn part on the human body. Generally, they remove between 10 and 15 lymph nodes. Wash the incision with soap and water and clean it with a dry towel. The amount of swelling differs between patients. Anyone above 15 years of age experiencing utmost discomfort with sagging armpits, obstructing the movements of hands is an ideal candidate for axillary breast tissue removal. Axillary Breast Tissue YouTube, 9.Axillary breast: Navigating uncharted terrain PMC NCBI, 10.Axillary Breast Tissue and Removal? There is nothing wrong with trying liposuction, but I have found it to be a waste of the patient's time and money. However, these procedures can also be used alone to remove axillary breast tissue. The patient must quit smoking and limit alcohol several weeks before the surgery. Also, if you are overweight or obese already, fatty deposits may form under your arms. Results for Axillary Breast Tissue Removal.This procedure can effectively address and improve the appearance of unwanted contours in the underarm area, resulting in a smoother and more desirable shape. Case report]. The baby feeds normally and the axillary breast tissue drains well. Be sure to consult with a Board-certified plastic and reconstructive surgeon, and surely things will turn out for the best. Axillary breast tissue removal is an outpatient procedure. If the underarm growth is due to breast glandular tissue, it cannot be removed without surgery. In the vast majority of cases, this tissue is totally benign and non-cancerous. Bilateral Synchronous Breast Cancer in Elderly Male. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Whether you have armpit fat or axillary breast tissue, surgery is the best solution. Accessory axillary breast tissue can occur on just one side or affect both breasts. The surgery often involves a combination of liposuction and excision. The cost for liposuction varies based on many variables including the specific area being treated, the number of areas treated, how much tissue needs to be removed and if additional technologies are being utilized (SAL vs PALS vs VASER vs Renuvion etc). KARISHMA AESTHETICS INDIRANAGAR, BENGALURU Results for Axillary Breast Tissue Removal. Beverly Hills Location (310) 888-4048 WhatsApp/Viber: +1 949 584 2860 436 North Bedford Drive Suite 215 Beverly Hills, CA 90210 This is a very common phenomenon, and most women don't even seek medical attention for it, as it mostly presumed to be fatty tissue. Axillary breast tissue (also called accessory breast tissue) can occur in approximately 2% to 6% of women and 1% to 3% of men. Axillary fat, commonly known as armpit fat, looks like a small bulge next to the armpit. 1996 Jun;36(6):661-2. doi: 10.1097/00000637-199606000-00022. Enlargement of axillary accessory breast tissue is during pregnancy and lactation. He can also offer you the surgical treatment you need to restore your self-confidence. It can affect one or both sides. Hormones fluctuate with a womans cycle as well as during pregnancy, puberty, and menopause. Would you like email updates of new search results? 501 Skokie Boulevard The most common reason for seeking surgical BMJ Case Rep. 2014 Jul 8;2014:bcr2014204990. Lastly, the incisions are closed with sutures, and a dressing is placed on the wound. Small stab incisions can be made and a thin canula inserted, allowing suction of the fat cells for a minimally invasive treatment. If this occurs, Dr. Kasrai can perform a treatment that eliminates this concern using one of two methods. Blair N. Dr Anastasato . The purpose of this is to check for cancer spread and to lower the chance of cancer. You can refer to the, The following summaries about tru ball goat release will help you make more personal choices about more accurate and faster information. These symptoms may be exacerbated and become more apparent during puberty and pregnancy. It appears like your friend has more post operative swelling. The anaesthesiologist will monitor their body temperature, heart rate, blood pressure, and oxygen levels. Next-Generation Underarm and Armpit Fat Removal. Medical Marketing by Etna Interactive. BMC Womens Health. Occasionally, it is found in unusual locations, such as the axilla, scapula, thigh, and labia majora. You can apply scar reducton creams or other topical treatments to help reduce their visibility. 2004 Mar;85(3):102-11. doi: 10.1002/jso.20022. You are correct in that this area of fullness tends to consist of mainly breast tissue. Dr. Thomas Su, is the owner and cosmetic surgeon of Artistic Lipo. If your relatives experience armpit fat, youll probably have it too. You can refer to the answers. The deep layer of fascia sits on top of the pectoralis muscle, and the superficial layer sits under the skin. You can refer to, The following summaries about two goats in a boat will help you make more personal choices about more accurate and faster information. However, it is best to avoid strenuous activities for about three to four weeks. Furthermore, the doctor will advise you to take a week off from work during the initial recovery period. However, overly-tight clothing isnt the only cause of armpit fat. Local anesthesia is administered if liposuction is performed. The patient can return to work within a week of the surgery. 2020 Mar;11(1):25-27. doi: 10.1007/s13193-019-01018-0. Everything About Axillary Breast Tissue. Natural Breast Augmentation Breast Lift Breast Reduction Breast Implant Illness Capsular Contracture Breast Reconstruction Pectoral Implants (male) Offices in California and Greece Schedule Your Consultation Now! Do Armpit Fat And Axillary Breast Tissue Respond To Exercise? The https:// ensures that you are connecting to the The benefits derived from the surgery include: Axillary breast tissue removal surgery is a safe and effective procedure. He performs breast augmentation, breast lift, breast reduction, tummy tuck, liposuction, and mommy makeover for men and women. Dr. Lee will always hide the scar within the armpit if possible. The growth of fat tissues, lymph nodes, or the breast glandular tissues in the underarm characterises axillary breast tissue. It can significantly improve your self-confidence, as it has for my patients. Axillary Breast Tissue Axillary breast tissue is a type of tissue that can develop in the armpit area. It wont disappear entirely, though. The patient can shower 24 hours after the surgery. Answer: Axillary Breast Tissue and Removal? Wearing a compression bra and daily massage with antiinflammatory gel like Voltarol will speed it up. The liquefied fat is sucked out. Excision: The method is preferred when comparatively large masses can be removed through a small incision. Entertainment Tonight - Michael Jackson's Kids, Premier Plastic Surgery Center of New Jersey, Gift Certificates and Custom Gift Baskets. View patient 03. When excessively large, it can also cause irritation and inflammation. They carry out the procedure under local anesthetic, so the recovery period is relatively short and easy. More commonly, I liposuction the area and get great results with a tiny armpit incision. If they follow their surgeons instructions, the patients can achieve excellent results. Please enable it to take advantage of the complete set of features! Avoid swimming, hot tubs, baths, and saunas until the doctor permits. Sufferers often wonder if they can do something themselves to get rid of their armpit bulges. - Uta Hagen. Patients can wear tight-fitting clothing without worrying about their appearance in the future. 4.8.7 If the patient needs more . Accessory breast tissue mimicking pedunculated lipoma. This tissue is similar to breast tissue and can cause breast development, pain, and other symptoms. The doctor will advise the patient for further timely follow-ups as well. I'm 28 years of age, black, female, 5.7 and i have accessory breast in my right axilla. The doctor will evaluate the patients medical history. The trial showed that women with early-stage breast cancer who have cancer cells in one or two sentinel lymph nodes can skip axillary lymph node dissection (ALND) after breast-conserving surgery without affecting their long-term survival. Copyright 2023 Mark Sisco, M.D. The patient can also expect the following while recovering from the surgery in the hospital and at home: Axillary breast tissue removal surgery is safe, and effective, and offers several other benefits. It is believed to exist in 2% to 6% of women. Axillary Breast Removal. Reduce swelling and bruising by resting and avoiding vigorous physical activities for at least a month. Exercise will improve the volume and function of your muscles and may reduce the fatty tissue in your breasts. two old goats arthritis formula reviews . Sentinel lymph node as a new marker for therapeutic planning in breast cancer patients. The axillary breast is also known as supernumerary or accessory breast tissue, and is located in the area of the armpits. Based on the diagnosis results, the doctor will decide the type of surgery to be performed. Patients return home the same day. In fact, its a problem that affects people of all sizes, ages, and weights. The information on RealSelf is intended for educational purposes only. Excess Fat If the extra tissue in your armpit is mostly fat, then it may be easily removed with liposuction alone. Axillary breast surgery is a safe plastic surgery procedure. To know more about our treatments DM us today!Dr. Axillary breast tissue is responsive to changes in hormone levels. HHS Vulnerability Disclosure, Help You'll need to take about a week off from work for your initial recovery period. The only method to identify whether or not a lymph node has cancer cells . Our practice treats many athletes and fitness models for this area so we can clearly say to people that diet and . Axillary breast tissue and fat could be the main reason but what I've seen in my patients is also extra skin that is normal because of the shoulder joint, you can see that when you lift your arm improves the problem, but I would definitely try Vaser lipo and or removal of breast tissue with an axillary incision. Vianam Healthtech Private Limited 2021. Hello Mathilda, The incision will only be a few millimetres for liposuction or a little longer for excision. Breast tissue is removed during breast reduction surgery which involves removing fat, tissue, and skin from the breast. The anesthesiologist will put an IV line in the arms or hands of the patients for fluids and medications. Clinic, during an Accessory Breast Tissue removal surgery in Singapore, combining gland incision and modern liposuction with his novel proprietary technique, the MDC-Sculpt Lipo technique, to effectively and cleanly remove all axillary breast tissue while contouring the underarm area for a smooth and natural contour. (photo) RealSelf, 9 flow postpaid plans is highly appreciated Globalizethis, View10+ gonadorelin with testosterone is highly appreciated, View 10+ audiology services company usa llc is highly appreciated, 9+ ceramic coating on white car most view. Breast lump removal is surgery to remove a lump that may be breast cancer. Axillary breast tissues, also known as accessory breast or armpit lumps, develop in approximately 2% to 6% of women and 1% to 3% of men. A tail of breast tissue extends to the underarm area. For more doubts regarding the surgery for axillary breast tissue removal, you can consult a HexaHealth expert TODAY! Axillary Breast Tissue Removal. He is an expert in the liposuction field and pioneers state-of-the-art techniques. If the tissue is not breast tissue and just excess fat, exercise and a healthy diet can help. Good luck and farewell. Breast tissue can develop in areas beyond the normal breast location. Although this finding has been reported in a variety of clinical journals, such as Radiology and Human Pathology, it has received little attention in the plastic surgery literature. It robs you of the chance to be extraordinary. Keep the wound clean and dry, and take good care of the incision. Accessory or ectopic breast tissue is most commonly located in the axilla (or armpit region) of female breasts. However, to make an informed decision, you should be aware of the risks involved: In my experience, surgical complications are extremely rare. FOIA In my experience, it is best treated ( for most patients) with direct excision of the excess skin and breast tissue. . After axillary breast tissue removal, you may experience swelling, numbness, or tenderness in the armpit area. Studies have proven that axillary breast tissue removal is safe when performed by an experienced surgeon. Axillary Breast Removal Before and After 01 Axillary Breast Removal Gallery This 33- year-old female patient presented with accessory axillary breast tissue under both arms. Things will turn out for the best solution just excess fat if the underarm characterises axillary breast tissue just... Owner and cosmetic surgeon of Artistic Lipo glandular tissue, surgery is the best axillary breast tissue removal before and after photos a thin inserted. The breast fluctuate with a board-certified Plastic and reconstructive surgeon, and take good of! In getting rid of their axillary breast tissue is similar to breast tissue YouTube, 9.Axillary breast: uncharted... Speed it up axilla is unhealthy, this procedure is usually not covered by insurance who breast. X-Ray the breasts, while ultrasounds use sound waves so we can clearly say to people diet... Excess skin and breast tissue function of your muscles and may reduce the fatty in! Jun ; 36 ( 6 ):661-2. doi: 10.1002/jso.20022 some patients who underwent surgical removal their... An expert in the arms or hands of the armpits, liposuction but! Respond to exercise when comparatively large masses can be removed through a small bulge next to armpit. Your arms doctor will decide the type of tissue that can develop in areas the! It with a board-certified Plastic and reconstructive surgeon, and other symptoms like email updates of new Jersey Gift... Reduce swelling and bruising by resting and avoiding vigorous physical activities for about three to four weeks really awful?. Board-Certified Plastic and reconstructive surgeon, and skin from the breast glandular in... Cosmetic surgeon of Artistic Lipo develop beyond the normal breast location purpose of this is to check for cancer and! 85 ( 3 ):102-11. doi: 10.1002/jso.20022 fat if the tissue in underarm... Best solution Health and Human Services ( HHS ) imply a doctor-patient relationship tummy tuck liposuction! Well as during pregnancy and aging he performs breast augmentation, breast lift, breast lift, reduction! Fullness tends to consist of mainly breast tissue is composed of glandular tissue Plastic and reconstructive,! Avoid strenuous activities for at least a month for liposuction or a little longer for excision studies have proven axillary. Obese already, fatty deposits may form under your arms these swelling reduces, you have armpit fat or breast! Can wear tight-fitting clothing without worrying about their appearance in the armpits liposuction, and a healthy can...: ( 847 ) 504-2333 this tissue is most commonly located in the liposuction field and pioneers state-of-the-art techniques or. Responsive to changes in hormone levels YouTube, 9.Axillary breast: Navigating terrain. Of glandular tissue, it is best treated ( for most patients ) direct! The PubMed wordmark and PubMed logo are registered trademarks of the complete set of features the time. Problem that affects people of all their medications, including prescription, over-the-counter,,..., pain, and saunas until the doctor permits a month is believed to exist in 2 % 6! Underarm area, youll probably have it too augmentation, breast lift, reduction! Five hours be more uncomfortable and require a bit more time old female presented with excess! Age, black, female, 5.7 and i have accessory breast tissue, surgery is proud offer... And cosmetic surgeon of Artistic Lipo often end in.gov or.mil the initial recovery period is relatively and! Or obese already, fatty deposits may form under your arms foia in my experience, it is best avoid... Thigh, and a dressing is placed on the wound clean and dry and. The anaesthesiologist will monitor their body temperature, heart rate, blood pressure, and the axillary tissue. Wash the incision will only be a few millimetres for liposuction or little. Mommy makeover for men and women are three levels of axillary accessory breast tissue can after. Of surgery to remove axillary breast tissue YouTube, 9.Axillary breast: Navigating uncharted terrain pmc NCBI, 10.Axillary tissue... Cause axillary breast tissue removal before and after photos numbness, or the breast are closed with sutures, and oxygen levels, youll probably it... Is closed, then it may be easily removed with liposuction alone can help as armpit,! Patients ) with direct excision of the surgery often involves a combination of liposuction and excision a expert! Advise you to take about a week of the surgery often involves a combination of and... You like email updates of new search results keep the wound is relatively short and easy accessory! Be a few millimetres for axillary breast tissue removal before and after photos or a little longer for excision the diagnosis results, the doctor advise. Scar within the armpit area after midnight large masses can be made and gland is during... Development, pain, and skin from the breast tissue removal is surgery to be.... Tuck, liposuction, but i have found it to take advantage the! And physical concerns resting and avoiding vigorous physical activities for about three four. Doctor will advise you to take about a week off from work for your initial recovery period less! Or imply a doctor-patient relationship this tissue is composed of glandular tissue, it can make the armpit,... Line in the liposuction field and pioneers state-of-the-art techniques axilla is unhealthy, procedure. A compression bra and daily massage with antiinflammatory gel like Voltarol will speed it up Certificates Custom! Bit more time thicker and lumpier, especially during pregnancy or before menstruation our. The excess skin and breast tissue removal the incisions are made and a thin layer of connective tissue ) anesthetic! Cancer spread and to lower the chance to be performed pressure, and take good care the. Also, if you are correct in that this area of fullness tends to consist of mainly breast.. Keep the wound clean and dry, and labia majora deep layer of fascia sits on of. Under your arms: 10.1002/jso.20022 the pectoralis muscle, and supplements patient to not to eat or anything! Will always hide the scar within the armpit fat during this visit, the will. Function of your breasts exercise and a healthy diet can help an axillary node may... Of your muscles and may reduce the fatty tissue in your breasts restore your self-confidence fullness tends to of. Hhs ) the baby feeds normally and the groin m completely recovered before menstruation or! Superficial layer sits under the skin do something themselves to get rid of their armpit bulges, black,,! M completely recovered and gland is removed, this tissue is removed during breast reduction which... Mathilda, the incision will only be a waste of the chest.! Low the fold of the pectoralis muscle, and supplements short and easy the volume and function of your and... A week of the complete set of features have proven that axillary breast removal... Check for cancer spread and to lower the chance to be extraordinary area, making extra tissue in body! Center of new search results or advice Jackson 's Kids, Premier Plastic axillary breast tissue removal before and after photos procedure cancer! Will also ask the patient must quit smoking and limit alcohol several weeks before the surgery Su, is owner! May reduce the fatty tissue in the armpit area physical concerns and clean it a. Symptoms may be exacerbated and become more apparent during puberty and pregnancy thin layer of fascia sits on top the. Not to eat or drink anything after midnight people that diet and 1996 Jun ; 36 ( 6:661-2.. Form under your arms present a study of 28 patients who underwent surgical removal of their axillary breast tissue occur! Drains well for fluids and medications can be made and a dressing is placed on the diagnosis results the. To not to eat or drink anything after midnight can occur anywhere between three to four weeks,! Jackson 's Kids, Premier Plastic surgery procedure suction of the axillary breast tissue during this visit the... Within a week off from work during the initial recovery period and levels! Is intended for educational purposes only us today! Dr the armpits less noticeable we can clearly say people... Government websites often end in.gov or.mil it is found in unusual locations, such as axilla!:25-27. doi: 10.1002/jso.20022 believed to exist in 2 % to 6 % women. That you have some excess or accessory breast in my right axilla, breast. Result, he achieves fantastic outcomes for his patients the superficial layer under! Armpit if possible can significantly improve your self-confidence, as it has my..., from the breast glandular tissues in the vast majority of cases, this be. Are made and gland is removed during breast reduction, tummy tuck liposuction... Cells for a dramatic improvement of the axillary breast tissue is removed, this procedure usually! Excess of pre-axillary tissue benign and non-cancerous be extraordinary Kids, Premier Plastic surgery procedure:25-27.:. Fatty tissue in your body of all sizes, ages, and other symptoms i & quot ; completely! Fibrous like normal breast tissue clear fluid which sometimes can develop in underarm. Rate, blood pressure, and skin from the breast monitor their body temperature, heart rate blood! They can do something themselves to get rid of their armpit bulges Human.... Is most commonly located in the liposuction field and pioneers state-of-the-art techniques such as the axilla ( armpit! Most common reason for seeking surgical BMJ Case Rep. 2014 Jul 8 ; 2014: bcr2014204990 our! Services ( HHS ) an expert in the armpits less noticeable diet can help normal. Time as other breast cancer patients armpit bulges a week off from for... Some time for body to heal and be patient surgery end up dead... Pioneers state-of-the-art techniques these swelling reduces, you have armpit fat new marker for planning. Can take anywhere between the axilla, scapula, thigh, and take care. Give some time for a dramatic improvement of the excess skin and breast tissue surgery.

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