If your favorite dress or swimsuit fits perfectly everywhere except for that small bulge near the armpit, you may be a good candidate for liposuction. This stubborn pocket, known clinically as an axillary roll, can be difficult to reduce through exercise and clean eating alone. Find out how liposuction for bra fat reduction can help you fine-tune your silhouette below.

What Is an Axillary Roll?

An axillary roll, or bra fat, usually appears as a small but noticeable bulge of tissue that spills over the edge of a bra or swimsuit near the front of the armpit. This area is:

  • Prone to stubborn, localized fat deposits
  • Often genetically influenced, which is why even very fit patients can have it
  • Highly visible in form-fitting tops, dresses, and swimwear

Because weight loss is generalized, there’s no guarantee that a healthy lifestyle will reduce the fat in this area. That’s where liposuction comes in.

How Liposuction Treats Bra Fat

Liposuction is designed to remove isolated pockets of fat and refine your body’s contours—not to serve as a weight loss procedure. For bra fat and axillary rolls, I use tumescent liposuction, a trusted technique that:

  • Uses a special medicated solution to numb the area, minimize bleeding, and make fat easier to remove
  • Allows for very small incisions, usually hidden in natural creases
  • Enables precise shaping using a slender cannula (a thin, hollow tube) to gently break up and suction out unwanted fat

For many patients, treatment of the bra fat area can be performed in less than an hour as an outpatient procedure. You go home the same day with a compression garment and detailed aftercare instructions.

Who Is a Good Candidate for Bra Fat Liposuction?

Liposuction for bra fat is best for patients who:

  • Are close to their goal weight but bothered by a localized bulge
  • Have reasonably good skin tone so the skin can contract smoothly after fat removal
  • Are nonsmokers or willing to stop smoking before and after surgery
  • Have realistic expectations and understand that liposuction refines contours rather than dramatically changing body size

During your consultation, I will examine the area carefully to determine whether the bulge is due primarily to fat, skin laxity, or a combination of both. In some cases where loose skin is the main concern, an arm lift may be recommended as a complement or alternative to liposuction.

What To Expect: Procedure & Recovery

During Your Procedure

  • You’ll receive either local anesthesia with sedation or general anesthesia, depending on the extent of treatment and whether you’re combining bra fat liposuction with other areas.
  • I will inject the treatment area(s) with a tumescent solution and wait for it to become completely numb.
  • I then make tiny incisions and use a cannula to break up and remove the fat, sculpting a smoother transition from the chest to the upper arm and back.
  • Finally, I close the incisions with small sutures and cover them with dressings and a compression garment.

Recovery After Bra Fat Liposuction

Although every patient is different, you can generally expect:

  • First few days:
    • Swelling, bruising, and soreness peak early on.
    • You’ll wear a compression garment or supportive bra as directed to control swelling and help the skin adhere to your new contours.
    • I recommend light walking around the house to support circulation.
  • First 1 to 2 weeks:
    • Many patients feel comfortable returning to desk work or nonstrenuous jobs within several days.
    • Bruising starts to fade; soreness becomes more of a mild ache.
  • 2 to 4 weeks and beyond:
    • Swelling gradually subsides, and you begin to see a smoother upper body line in clothing.
    • Most patients can resume regular exercise with surgeon approval.
    • Final results continue to refine over several months as tissues settle.

How Long Do Results Last?

The fat removed during liposuction is gone permanently. However, it’s still important to:

  • Maintain a stable weight
  • Follow a healthy lifestyle
  • Wear supportive garments as recommended during the healing process

Significant weight gain after surgery can cause remaining fat cells in the area—or elsewhere—to enlarge, which may alter your results over time.

Liposuction for Other “Trouble Spots”

Many patients who come in for bra fat or axillary rolls also ask about treating other areas during the same procedure. Liposuction can often be used to contour:

  • Abdomen
  • Hips and flanks (“love handles”)
  • Inner and outer thighs
  • Upper arms
  • Back and bra roll
  • Under the chin (submental area)

Combining areas can create a more balanced, overall contour. My team and I will help you decide what makes the most sense for your goals and health.

Find Out If Liposuction for Bra Fat Is Right for You

If you’re ready to find out whether liposuction can help smooth your bra bulge and improve the fit of your favorite clothes, we’re here to help. Request a consultation using the online form or call my office at (912) 351-5050 to get started.

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