When it comes to body contouring, the underarm area is often overlooked; however, for individuals seeking to enhance the appearance of their underarms, axillary and pre-axillary surgeries offer transformative options. These popular procedures are designed to address excess fat, loose skin, or both in the armpit region. Let’s explore the different techniques involved in these procedures and understand what to expect during the recovery process.

The Procedure 

Liposuction: Liposuction is a common technique used to remove excess fat deposits from specific areas of the body, including the axillary region. During this procedure, small incisions are made in the armpit, through which a thin tube called a cannula is inserted to suction out the fat.

Direct Excision: In cases where there is significant excess skin or glandular tissue, direct excision may be necessary. This involves surgically removing the excess tissue through incisions in the armpit area.

Non-Invasive Skin Tightening: In addition to liposuction or direct excision, non-invasive skin tightening procedures may be utilized to improve the appearance of loose skin in the axillary region. Techniques such as radiofrequency or laser treatments can stimulate collagen production and tighten the skin.

Recovery Process

  • After axillary or pre-axillary surgery, patients can expect some swelling, bruising, and discomfort in the treated area. Pain medication and antibiotics may be prescribed to manage discomfort and prevent infection.
  • Patients are typically advised to limit physical activity and avoid strenuous exercise for a few weeks following surgery to allow for proper healing.
  • Compression garments are often worn post-operatively to minimize swelling, support the surgical site, and help shape the contours of the armpit area.
  • Patients need to follow their surgeon’s post-operative instructions carefully, including keeping the incision sites clean and dry and attending follow-up appointments to monitor progress.


Compression Garments

Compression garments play a crucial role in the recovery process after axillary or pre-axillary surgery. These garments provide gentle pressure to the treated area, which helps reduce swelling, promote circulation, and support the healing tissues. Patients are typically instructed to wear compression garments continuously for the first few weeks after surgery and then gradually reduce the wear time as swelling subsides.

Scar Care

Scar care is an essential aspect of the recovery process to minimize the visibility of incision scars. Patients are advised to keep the incision sites clean and dry to prevent infection and to avoid exposing the scars to direct sunlight until they have fully healed.

  • Topical scar treatments, such as silicone gel or sheets, may be recommended to help soften and flatten the scars over time.
  • Patients need to be patient with the scar healing process, as scars typically mature and fade over several months to a year.

Overall, axillary and pre-axillary surgeries, combined with liposuction and non-invasive skin tightening, can effectively improve the contour and appearance of the underarm area, providing patients with enhanced confidence and satisfaction with their body image. If you are considering axillary or pre-axillary surgery, Dr. Navin Singh at Washingtonian Plastic Surgery is here to guide you through the process. Contact us today, and let us help you achieve your aesthetic goals!