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Axillary Accessory Breast: Optimal Time for Operation.

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Optimal timing for accessory breast (AAB) surgery is before pregnancy. Post-childbirth surgery shows higher reoperation rates and lower patient satisfaction due to pregnancy-induced hyperplasia and engorgement.

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Area of Science:

  • Medical Science
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Accessory breasts (AAB) commonly occur in the axilla.
  • Pregnancy can exacerbate or initiate symptoms in AAB, including engorgement and hyperplasia due to lactation.

Purpose of the Study:

  • To determine the optimal timing for surgical excision of axillary accessory breasts (AAB).
  • To evaluate clinical presentations and surgical outcomes of AAB excision in relation to pregnancy.

Main Methods:

  • Retrospective analysis of 540 women undergoing AAB excision.
  • Comparison of outcomes between 416 patients operated on before pregnancy (Group 1) and 124 patients operated on after childbirth (Group 2).
  • Classification of AAB using the Damsoyu-Lee (DL) system; patient satisfaction assessed postoperatively.

Main Results:

  • Group 2 (post-childbirth) had more severe DL classifications (II/III) and higher specimen weight/liposuction volume.
  • Reoperation rates were significantly higher in Group 2 (7.2% vs. 0% in Group 1).
  • Post-childbirth AAB engorgement (25%) and milk secretion (5.6%) were observed; overall satisfaction was lower in Group 2.

Conclusions:

  • Pregnancy can induce hyperplasia and lactation-related symptoms in accessory breast tissue.
  • Surgical excision of AAB before pregnancy is associated with better outcomes, including lower reoperation rates and higher patient satisfaction.
  • Pre-pregnancy timing is recommended for AAB excision to optimize surgical results and patient experience.