Treatment of the prominent axillary fold

Ptotic and/or prominent axillary folds are frequently encountered in aesthetic surgical practice and are associated with breast ptosis and involution. The object of the study was to provide a framework for assessment, treatment, and outcomes after treatment of primary axillary fold prominence using suction-assisted lipectomy.The results found that 38 patients were treated for primary axillary fold excess. An anatomically-based assessment method was useful in treatment planning. Thirty-seven underwent suction-assisted lipectomy (SAL) alone, and one patient had additional skin excision. There were no untoward events after treatment, and all patients were satisfied with the results during minimum of 12-month follow-up. We conclude that utilizing an anatomically-based assessment in combination with appropriate patient evaluation and counseling, primary axillary fold excess can be successfully treated by SAL in the majority of circumstances with satisfactory outcomes.