Accessory Breasts: Risks, Scars, and Surgical Outcomes

Accessory breast tissue

Doctor: Excuse me, I would like to ask about accessory breasts, as I am considering having them removed.
However, I am concerned about potential scarring.
I would also like to know if this surgery carries a high risk and if there could be any complications afterward, such as difficulty raising my arm or if the results might be worse, like scarring or other negative outcomes.
Thank you for your response.

Yi, 20~29 year old female. Ask Date: 2004/08/17

Dr. Luo Qihua reply Plastic Surgery

If surgical excision is performed, it will naturally leave a scar, and sometimes there may be a slight indentation at the treatment site.
The visibility of the scar is related to individual skin characteristics.
Alternatively, ultrasound-assisted liposuction can be considered, which involves making an incision smaller than 1 centimeter to remove excess fat in that area, resulting in a flatter appearance.
However, if you have a tendency to develop keloids, even a small incision may lead to unsightly scarring.
Any surgical procedure carries its risks, including potential complications such as infection and hematoma due to bleeding.
Generally, this should not result in an inability to lift the arm.

Reply Date: 2004/08/17

More Info

When considering the surgical removal of accessory breasts, also known as supernumerary breasts, it is essential to understand the associated risks, potential scarring, and overall surgical outcomes. Accessory breasts can develop along the milk line, which runs from the armpit to the groin, and while they are generally benign, they can cause discomfort or aesthetic concerns for some individuals.

Surgical Risks
1. Infection: As with any surgical procedure, there is a risk of infection at the incision site. Proper pre-operative and post-operative care can minimize this risk.

2. Bleeding: Some patients may experience excessive bleeding during or after the surgery, which could necessitate further medical intervention.

3. Anesthesia Risks: General anesthesia, if used, carries its own set of risks, including allergic reactions and respiratory complications.

4. Scarring: One of the most common concerns regarding any surgical procedure is scarring. The extent of scarring depends on various factors, including the surgical technique used, the size of the accessory breast, and individual healing responses. Surgeons often aim to make incisions in less visible areas to minimize scarring.

5. Nerve Damage: There is a potential risk of nerve damage during surgery, which could lead to numbness or altered sensation in the surrounding areas.

6. Seroma or Hematoma Formation: Fluid accumulation (seroma) or blood accumulation (hematoma) can occur post-surgery, which may require additional treatment.

Post-Surgical Outcomes
1. Functionality: Most patients do not experience significant functional impairment post-surgery. However, some may have temporary limitations in arm movement due to pain or swelling. Physical therapy may be recommended to restore full range of motion.

2. Aesthetic Results: The goal of the surgery is to improve the aesthetic appearance. While some patients may be concerned about the final look, many find that the removal of accessory breasts enhances their overall body image. Discussing your aesthetic goals with your surgeon can help set realistic expectations.

3. Follow-Up Care: Regular follow-up appointments are crucial to monitor healing and address any complications that may arise. Your surgeon will provide specific instructions on how to care for the surgical site to promote healing and minimize scarring.

Recommendations
- Consultation: Before proceeding with surgery, it is vital to have a thorough consultation with a qualified surgeon who specializes in breast surgery. They can assess your specific situation, discuss the potential risks and benefits, and help you understand what to expect.

- Pre-Operative Assessment: A pre-operative assessment may include imaging studies to evaluate the accessory breast and surrounding tissues, ensuring that there are no underlying issues.

- Post-Operative Care: Follow your surgeon's post-operative care instructions meticulously. This may include wound care, activity restrictions, and signs of complications to watch for.

- Consider Alternatives: If you are particularly concerned about scarring or other risks, discuss non-surgical options or less invasive techniques with your surgeon.

In summary, while the surgical removal of accessory breasts can carry risks, many patients find the benefits outweigh the potential downsides. With proper planning, skilled surgical technique, and diligent post-operative care, the likelihood of complications can be minimized, leading to satisfactory outcomes. Always ensure that you have open communication with your healthcare provider to address any concerns you may have throughout the process.

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