For many people, extra tissue in the underarm area known as axillary or accessory breast tissue can be more than just a cosmetic concern. It may cause discomfort, restrict arm movement, make certain clothes difficult to wear, or even lead to repeated skin irritation.
Surgical removal of axillary breast tissue is a safe and effective solution offered by board-certified plastic surgeons. If you are considering this procedure, here’s a detailed guide to what recovery looks like and what you can expect afterward.
The First Few Days: Rest and Initial Healing
Immediately after surgery, you may notice swelling, bruising, and tenderness in the underarm. These are normal post-operative effects and usually settle with time. Depending on the technique used—liposuction for fatty tissue or surgical excision for glandular tissue and excess skin your surgeon may place dressings or even a small drain to prevent fluid buildup.
During this phase:
- Keep movements gentle and avoid raising your arms overhead.
- Rest with your arms slightly elevated to help reduce swelling.
- Pain or discomfort is typically manageable with prescribed medication.
One to Two Weeks: Returning to Light Activity
By the end of the first week, drains (if placed) are usually removed, and you’ll start feeling more comfortable. Most patients can return to light, non-strenuous activities within 7–10 days.
It’s important to:
- Continue avoiding heavy lifting or stretching the arms too much.
- Keep the surgical site clean and follow wound-care instructions.
- Watch for any unusual swelling or discharge and report it to your surgeon.
Weeks Two to Four: Visible Improvements
Swelling and bruising begin to fade significantly after the second week. Patients often notice that their underarm area looks flatter and clothing feels more comfortable.
At this stage:
- Gentle arm movements are encouraged, but vigorous exercise should still be avoided.
- Your surgeon may recommend scar care using silicone sheets or gels.
- Tenderness around the incision may persist but gradually reduces.
Weeks Four to Six: Regaining Normalcy
By one month, most patients are ready to resume their regular routines. Swelling is minimal, scars start to settle, and arm mobility improves considerably.
You can generally:
- Return to exercise and full physical activity once your surgeon gives clearance.
- Notice long-term functional benefits such as greater comfort and ease of movement.
- Expect incisions to remain slightly firm or pink but softening with time.
Long-Term Recovery and Results
Full healing and scar maturation can take six months to a year. During this time, scars gradually fade and the skin adjusts to its new contour. In cases where excess skin was significant, natural retraction continues for several months. Rarely, a minor secondary procedure may be suggested to refine the outcome.
Some things to keep in mind:
- Mild numbness or tightness in the area is common and usually temporary.
- Scars are typically hidden within natural folds of the underarm.
- Maintaining a stable weight will help preserve results.
Final Thoughts
Axillary breast tissue removal is more than a cosmetic procedure it can enhance confidence, ease daily movements, and improve overall comfort.
Both the Indian Association of Aesthetic Plastic Surgeons (IAAPS) and the American Society of Plastic Surgeons (ASPS) emphasize that outcomes are best when the surgery is performed by a board-certified plastic surgeon who can tailor the procedure to your anatomy and lifestyle.
Recovery is a gradual process, but with proper care and guidance, most patients return to normal activities within a few weeks and enjoy lasting results.