Axillary fat pad removal procedure is done under local anesthesia and it takes 45 mins to 1 hour to complete. The area is marked from where the axillary fat are to be removed. After that a puncture low the fold of the axillary breast tissue and tumescent fluid is injected for breaking the fat. VASER 4D liposuction is used for removing fat and giving a proper sculpted shape the area. Afterwards dressing is applied. You will be given compression garment to wear.