Treatment of accessory breasts with simple excision, diamond-shaped excision, or Y-V technique provides insufficient aesthetic results. Therefore, we hereby present an effective surgical method to provide aesthetic and satisfactory results. Fifteen women between the ages of 18 and 48 years were treated with the method. Incision was made within the natural wrinkle line in the axillary fold, and ultrasound assisted liposuction was performed through the incision. For natural lining of axilla, accessory breast tissues were removed with pull-out method. Average follow up period for the patients was 8 months. All patients (total 15 patients, 25 accessory breasts) who underwent the operation with ultrasound assisted liposuction and breast tissue excision by pull-out method did not show any major complications such as skin necrosis, hematoma or scar contracture. The method could minimize scar and reduce contour problem after the operation. The patient's satisfaction was high, as they stayed in hospital for only 3 days and returned to full activities in a week. This can be an excellent method to treat accessory breast tissue and parenchyme.