Accessory Breasts: Definition and Common Misconceptions - Obstetrics and Gynecology

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Accessory breast tissue


Hello, how is accessory breast tissue defined? During my last bra shopping experience, the sales associate mentioned that I have accessory breast tissue, which I found hard to believe since I usually wear non-restrictive bras without underwire and my body shape is average, with no prominent breasts.
Is it possible that the slight amount of flesh under my arms when they hang naturally at my sides is considered accessory breast tissue? Thank you for your response!

Penny, 20~29 year old female. Ask Date: 2001/08/06

Dr. Wu Zongcheng reply Obstetrics and Gynecology


Accessory breast tissue is generally considered a localized proliferation of breast tissue and is benign.
Intervention is only necessary in three situations: 1.
If the accessory breast tissue continues to grow, raising suspicion for other tumors; 2.
The occurrence of complications, such as during pregnancy when lactation occurs but milk cannot be expressed, leading to symptoms; 3.
Aesthetic concerns, where the accessory breast is significantly larger, potentially resembling four breasts, in which case surgical removal of the axillary accessory breast may restore a normal appearance.
It is recommended that you visit a breast surgery clinic for further evaluation by a physician to clarify your concerns.

Reply Date: 2001/08/06

More Info


Accessory breasts, also known as supernumerary breasts, are a condition where additional breast tissue develops outside of the typical breast area. This condition can occur in both males and females, although it is more commonly reported in women. The presence of accessory breasts is often due to a developmental anomaly during embryogenesis when the mammary glands are forming.
To clarify, accessory breasts can appear anywhere along the milk line, which extends from the armpit to the groin. This means that in addition to the primary breasts, individuals may have extra breast tissue that can manifest as small lumps or even fully developed breasts in unusual locations. These accessory breasts can sometimes contain glandular tissue and may even produce milk under certain hormonal conditions, such as during pregnancy or lactation.

Common misconceptions about accessory breasts include the belief that they must be large or prominent to be considered "real" accessory breasts. In reality, they can be quite small and may not be noticeable unless specifically examined. Many people may not even realize they have accessory breast tissue, especially if it is minimal or located in a less visible area.
Regarding your concern about the "little bit of flesh" you feel when your arms are at your sides, it is important to differentiate between normal body fat and true accessory breast tissue. While it is common for individuals to have some fatty tissue in the underarm or side areas, this does not necessarily indicate the presence of accessory breasts. Accessory breast tissue typically has a more distinct structure and may feel different from surrounding fatty tissue.
If you are uncertain about whether you have accessory breast tissue, a consultation with a healthcare professional, such as a breast specialist or a plastic surgeon, can provide clarity. They can perform a physical examination and, if necessary, imaging studies like an ultrasound or mammogram to assess the tissue in question.
In terms of treatment, accessory breasts are often benign and do not require intervention unless they cause discomfort, pain, or psychological distress. In such cases, surgical removal may be considered.
It's also worth noting that the presence of accessory breasts does not typically affect one's overall health or breast function. However, it can sometimes lead to confusion or concern regarding body image, especially when shopping for bras or clothing. Many lingerie brands now offer options designed to accommodate various breast shapes and sizes, including those with accessory breast tissue.

In conclusion, accessory breasts are a relatively common anatomical variation that can be misunderstood. If you have concerns about your breast tissue or body image, seeking professional advice can help you understand your body better and address any issues you may have.

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