axillary folds
what they are
and
how surgery can help
Dr. Chacko Cyriac
Cosmetic Plastic Surgeon
Prominent axillary folds—also known as underarm or front bra bulges—can be a source of discomfort and self-consciousness for many individuals, particularly women. These folds of excess tissue in the armpit or front chest area may remain despite weight loss, exercise, or good fitness levels. Dr Chacko Cyriac offers advanced surgical correction to remove these folds and restore a smoother, more contoured upper body.
What are prominent axillary folds?
Axillary folds are visible bulges that form between the upper chest and the underarm. They may be composed of excess fat, glandular tissue, skin laxity, or a combination of these. Often mistaken for side breast tissue or a result of ill-fitting bras, these folds are actually a distinct anatomical concern that does not typically respond to lifestyle changes alone.
They can occur in individuals of normal weight and are commonly seen in women who have experienced hormonal changes, aging, or post-surgical effects.
What causes axillary folds?
The causes of axillary folds vary and may include:
Localized fat deposits resistant to diet or exercise
Extension of normal breast tissue into the axilla
Skin redundancy due to aging or weight loss
Congenital or developmental prominence of axillary tissue
A thorough clinical examination is necessary to determine the exact composition of the fold, which guides the treatment approach.
When to consider surgery
Surgical removal of axillary folds is considered when:
The folds are visible through clothing or under fitted garments
There is discomfort, sweating, or irritation in the area
The patient is bothered by the cosmetic appearance and lack of contour
Non-surgical options such as weight loss or skin tightening treatments are ineffective
Surgical correction provides a permanent and effective solution when performed by a qualified plastic surgeon.
Surgical options for axillary fold correction
The surgical approach depends on whether the fold is due to fat, glandular tissue, or skin excess:
Liposuction is often used when the bulge consists mainly of fat. It involves small incisions and targeted fat removal, resulting in minimal scarring and quick recovery.
Excisional surgery is required when there is skin laxity or breast tissue involvement. This method involves direct removal of the tissue through a carefully placed incision to achieve a flat, contoured result.
In some cases, a combined approach using both liposuction and excision yields the best outcome.
The procedure is typically done under local anesthesia with sedation or general anesthesia, depending on the extent of correction required.
Recovery and aftercare
Most patients recover quickly after axillary fold correction surgery. Mild swelling and bruising are common but subside within a few days. Compression garments may be recommended for a short period to support healing and contour.
Patients are usually able to resume daily activities within a few days and full physical activity within two to three weeks, based on the technique used.
Expected results
Surgery provides a visible improvement in the contour of the underarm and upper chest area. Most patients report:
Enhanced confidence in fitted clothing
Better definition of the chest and axillary line
Long-lasting results when combined with stable weight management
Scars, if any, are strategically placed and typically fade over time.
Why choose Dr Chacko Cyriac for axillary fold surgery
Dr Cyriac understands the aesthetic and physical discomfort caused by prominent axillary folds. He offers safe, customized surgical plans using proven plastic surgery techniques to ensure precise results with minimal downtime.
Our clinic provides a private, ethical environment focused on delivering care with both skill and sensitivity. Every step—from consultation to recovery—is guided by professionalism and patient safety.
Schedule a consultation today
If you're dealing with stubborn underarm folds and want to explore surgical solutions, expert help is just a click away. Book your consultation today and take the first step toward a smoother silhouette.