Can I Remove Accessory Breasts After Breastfeeding?

Excision of accessory breast tissue?

Hello Dr.
Chou, after I gave birth, I developed an accessory breast tissue under my armpit due to breastfeeding.
It is painful when pressed and looks unsightly when I wear clothes.
I'm very troubled by it and would like to know if it can be surgically removed.
Thank you.

popo, 30~39 year old female. Ask Date: 2010/06/21

Dr. Zhou Hongzhang reply Plastic Surgery

Accessory breasts may become more prominent due to hormonal changes during pregnancy, childbirth, or puberty.
They can sometimes feel swollen or painful due to lactation or the menstrual cycle.
Accessory breasts can be surgically removed, and a consultation can be done at an outpatient clinic.
Generally, if the accessory breast is large, hospitalization and general anesthesia may be required; however, if it is not very large, it can be removed under local anesthesia.

Reply Date: 2010/06/21

More Info

After breastfeeding, it is indeed possible to remove accessory breasts, also known as supernumerary breasts or polymastia. These are additional breast tissues that can develop in various locations, including the armpit area. The presence of accessory breasts can be a source of discomfort, both physically and emotionally, especially if they cause pain or affect your clothing choices.

If you are experiencing pain when pressing on the accessory breast, it is advisable to consult with a healthcare professional, preferably a surgeon who specializes in breast surgery. They can evaluate your specific situation and determine whether surgical removal is appropriate. The procedure to remove accessory breasts is typically straightforward and can be performed under local or general anesthesia, depending on the size and location of the tissue.

It is important to have a thorough examination to ensure that the accessory breast tissue is benign and not associated with any underlying conditions. Imaging studies, such as ultrasound or mammography, may be recommended to assess the tissue further. Once it is confirmed that the tissue is not problematic, surgical removal can be considered.

In terms of timing, many women choose to wait until they have completed their breastfeeding journey before pursuing surgery. This is because hormonal changes during lactation can affect breast tissue, and it may be difficult to assess the true nature of the accessory breast until after breastfeeding has ended. Additionally, some women may find that the accessory breast becomes less prominent or painful after they stop breastfeeding.

Post-surgery, recovery typically involves some swelling and discomfort, but most patients can return to normal activities within a few weeks. It is essential to follow your surgeon's post-operative care instructions to ensure proper healing.

In summary, if you are experiencing discomfort from an accessory breast after breastfeeding, surgical removal is a viable option. Consult with a qualified healthcare provider to discuss your symptoms, undergo necessary evaluations, and determine the best course of action for your situation. Your comfort and well-being are paramount, and addressing this issue can significantly improve your quality of life.

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