Aberrant breast tissue is usually present along the milk line above or
below the normal breast location, Occasionally, it is found in unusua
l locations, such as the axilla, scapula, thigh, and labia majora, Acc
essory axillary breast tissue is present in approximately 2% to 6% of
women. Although this finding has been reported in a variety of clinica
l journals, such as Radiology and Human Pathology, it has received lit
tle attention in the plastic surgery literature, Axillary breast tissu
e, presenting as palpable thickenings in the axilla, can undergo month
ly premenstrual changes, such as tenderness and swelling, difficulty w
ith shoulder range of motion, and irritation from clothing, These symp
toms may be exacerbated and become more apparent during puberty and pr
egnancy. In addition, it is cosmetically unsightful, and consequently,
patients often desire surgery for improvement, We present a study of
28 patients who underwent surgical removal of their axillary breast ti
ssue. From these successful reports, we recommend that axillary breast
tissue should be surgically removed.