Accessory Breast Removal: Expert Insights on Relief and Confidence

“My underarm lump was painful during workouts and made me hate sleeveless tops. After surgery with Dr. Lee at Incheon Women’s Clinic, I finally feel free.” — Patient testimonial

Accessory (or extra) breast tissue—known medically as polymastia—can arise anywhere along the “milk line” stretching from the armpits to the groin. While small lumps may go unnoticed during childhood, puberty, pregnancy, or hormonal shifts can trigger growth, sometimes causing discomfort or self-consciousness.

What Is Accessory Breast Tissue?

Accessory breast tissue is extra breast tissue and sometimes even an extra nipple that didn’t regress properly before birth. It can vary from a tiny lump to a more defined breast-like appendage, and in rare cases, it can produce milk. Though benign, the tissue may become tender, chafing under bras, or visually bothersome.

From a clinical perspective, accessory breast tissue often includes glandular components similar to normal breast tissue, making it susceptible to hormonal influences. In some cases, this tissue may even develop benign tumors such as fibroadenomas or cysts, requiring diagnostic imaging like ultrasound or MRI to rule out malignancy.

Why People Opt for Removal

In a quote from Dr. Kim Jae-ho, board-certified plastic surgeon in Seoul:

“Removing accessory tissue not only improves appearance, but also often eliminates chronic discomfort that patients have endured for years.”

Additional motivating factors include chronic rash or skin breakdown (intertrigo) in the folds created by excess tissue, and emotional distress linked to body image concerns. Adolescents, in particular, may struggle with bullying or teasing, prompting early consultation with a plastic surgeon.

What to Expect: The Surgical Experience

1. Personalized Consultation

Your surgeon begins by mapping the tissue’s location and size, discussing ideal incision sites (e.g., along the chest wall, in the armpit, or near the areola), and sharing their own outcomes to build trust. A detailed health history, physical exam, and possibly imaging tests help tailor a surgical plan to your specific anatomy and goals.

2. Surgery Day

• Anesthesia: Typically general anesthesia is used to ensure patient comfort.

• Incision & Removal: Precision excision preserves nerves and vessels while removing all glandular and fatty components.

• Closure: Fine sutures, concealed scarring techniques, and sterile dressing are standard.

Some cases may require liposuction alongside excision to improve contour, especially if the tissue is primarily fatty rather than glandular. This hybrid approach is minimally invasive and can reduce recovery time.

3. Home Recovery

• Wear a snug compression band or garment to minimize swelling

• Light painkillers as prescribed

• Keep your incision clean—avoid soaking for about a week

• Walk gently from day two, but skip strenuous workouts for 3–4 weeks

• Attend follow-up in 7–10 days to check healing

One patient recalled, “I was back to my desk job the next day. The soreness felt like an over-tight bra—but faded fast.”

Safety Profile & Possible Side Effects

Accessory breast removal is regarded as low-risk, especially under the hands of a board-certified professional. Potential—but uncommon—complications include:

• Infection: Preventable with proper aftercare and often treated with antibiotics.

• Visible Scarring: Surgeons often use hidden incisions and recommend scar care protocols like silicone sheets.

• Seroma or Hematoma: Fluid buildup can be drained in-office.

• Temporary Numbness: Most sensory changes are mild and resolve within weeks to months.

Postoperative care is crucial in minimizing these risks. Patients should follow all surgeon instructions closely, including limitations on lifting, garment use, and wound care hygiene. Surgeons may prescribe topical ointments or laser treatments to further enhance scar fading.

Results: Beyond the Mirror

Accessory breast tissue removal leads to:

• A clearer chest silhouette: eliminating bulges and asymmetry

• Improved comfort: ease in bras, workouts, even hugging

• Boosted confidence: feel carefree in tank tops, sportswear, swimwear

In a follow-up survey conducted at a private cosmetic clinic in Busan, over 85% of patients said the surgery positively impacted their daily life and self-esteem. In some cases, patients who previously avoided physical activities like yoga or swimming reengaged with confidence after recovery.

Planning Your Journey

Step-by-step considerations for patients:

1. Surgeon Credentials: Choose a board-certified plastic surgeon with experience in accessory tissue removal. Ask about case volume and outcomes.

2. Clinic Standards: Ensure the facility is accredited, and staff is trained in plastic surgery protocols.

3. Before-and-After Photos: These can offer realistic expectations and help you choose the right surgical approach.

4. Recovery Logistics: Clarify when you can return to work, drive, or exercise.

5. Cost and Coverage: While cosmetic in most cases, removal may be covered if it causes pain or hygiene issues—check with your insurance.

Some clinics offer 3D imaging or simulations to help patients visualize post-surgical results. This can reduce anxiety and improve satisfaction by setting clear expectations.

Conclusion

If extra breast tissue is impacting your comfort or confidence, accessory breast removal is a safe, effective option with lasting results. With a skilled, board-certified surgeon, thoughtful pre-op planning, and proper recovery strategies, most patients find it’s a small investment that leads to significant positive change.

Whether your goals are cosmetic, functional, or both, this procedure offers real relief and renewed confidence—from the locker room to the beach.