The axillary fold is an often uncomfortable and unsightly excess of fat between the outer side of the breast and the inner arm, which can become more prominent when wearing tight fitting clothes and push-up brassieres. The fold can also fluctuate with body weight, and if it consists of breast tissue (the axillary tail), it can alter in size in conjunction with the menstrual cycle and other hormonal imbalances. From a functional point of view, it can be uncomfortable and not only restrict comfortable arm movement, but can also harbor intertrigo and eczematous rashes, especially in warm climates. Aesthetically, it disturbs the natural superolateral contour of the breast, as it blends into the anterior axillary fold and, at worst, can appear as an unsightly irregularity both within and out of the brassiere. Before the Axillary Fold Treatment, patients must be fully examined, which includes a thorough assessment of the fat and breast tissue components, together with tone, texture and turgor of the overlying skin. In the majority of cases, especially if the skin excess is mild to moderate, bespoke liposuction under local anaesthetic and orthopedist is carried out, both at a deep level, to remove the soft tissue ‘fill', and at a superficial level, to encourage the skin to adhere to the underlying chest muscles and wall. Patients also need to be seen again at three to four months post procedure before the final outcome is apparent. Overall, this is an effective technique, tolerated well by most patients under local anesthesia. With downtime of four to six weeks, this treatment can comfortably treat a problem that can be functionally and aesthetically debilitating.
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