title: Accessory Axillary Breast Excision with Liposuction Using Minimal Incision: A Preliminary Report.
abstract: BACKGROUND
  Accessory breasts have received little attention in the surgical fields, although the condition is quite common in the female population, with 2-6% of women suffering from it. Its convexity and cyclic pain make women feel embarrassed and uncomfortable, so patients often desire surgical excision to improve their appearances and to remove the pain.
  
  
  METHODS
  A total of 967 patients who had been treated by an excision of accessory breast tissue with liposuction using minimal incision from September 2013 to Dec 2015 at the Damsoyu Hospital were analyzed for clinical factors retrospectively.
  
  
  RESULTS
  All 967 patients were female. There were 514 (53.2%) unmarried patients and 453 (46.8%) married patients. The major clinical manifestation was the problem in the appearance with cyclic pain in both unmarried and married groups (82.7 vs. 87.9%). Three types of accessory breasts were observed: 779 (80.6%) breast tissue only in axillae, 182 (18.8%) breast tissue with accessory nipple, and 6 (0.6%) breast tissue with accessory nipple-areolar complex. The mean operation time was 58 min. All cyclic axillar pain in our cases was resolved after the operation. Postoperative complications developed in 160 patients (16.55%). Among them, seroma after operation was the most common (11.27%). In our study, 95.65% of the patients were satisfied with the cosmetic outcomes.
  
  
  CONCLUSIONS
  The surgical excision of accessory breasts with liposuction through the minimal incision is a safe and effective method to make women feel comfortable in clinical manifestations and be satisfied with their cosmetic axillar line.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Breast Division, Damsoyu Hospital, Seoul, Korea.
authors.forename: Seong Bae
authors.initials: SB
authors.lastname: Hwang
authors.affiliation: Breast Division, Damsoyu Hospital, Seoul, Korea.
authors.forename: Byung Seo
authors.initials: BS
authors.lastname: Choi
authors.affiliation: Breast Division, Damsoyu Hospital, Seoul, Korea.
authors.forename: Geon Young
authors.initials: GY
authors.lastname: Byun
authors.affiliation: Breast Division, Damsoyu Hospital, Seoul, Korea.
authors.forename: Bum Hwan
authors.initials: BH
authors.lastname: Koo
authors.affiliation: Breast Division, Damsoyu Hospital, Seoul, Korea. kingsoss@naver.com.
authors.forename: Sung Ryul
authors.initials: SR
authors.lastname: Lee
mesh_terms: D000328:Adult; D001365:Axilla / Q000601:surgery*; D001941:Breast Diseases / Q000175:diagnosis* / Q000523:psychology / Q000601:surgery*; D003131:Combined Modality Therapy; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009558:Nipples / Q000002:abnormalities* / Q000601:surgery; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011788:Quality of Life; D018570:Risk Assessment; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: Accessory breast; Liposuction; Minimal incision