Transaxillary Breast Augmentation/Wise-Pattern Mastopexy in the Massive Weight Loss Patient

  • George John BitarEmail author


For obese women, losing a lot of weight is a great achievement as it requires willpower, determination, and sacrifice. Women can either undergo massive weight loss (MWL) by dieting and exercising or via bariatric surgery such as laparoscopic banding or gastric bypass surgery. MWL after a bariatric procedure requires about a year to 18 months. Changes occur in the process of weight loss with respect to family dynamics, romantic relationships, social interactions, work habits, self-esteem, and other life issues that may be unique to each individual patient. Ideally, plastic surgery on MWL patients provides enormously positive results for their self-image, self-esteem, attitude, and – ultimately – their health.


Cosmetic Surgery Breast Augmentation Capsular Contracture Pectoralis Major Muscle Silicone Implant 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    McNemar TB, Lomonaco J, Krieger MD. Bariatric plastic surgery: a guide to cosmetic surgery after weight loss. Omaha, NA: Addicus Books; 2008. p. 28.Google Scholar
  2. 2.
    Hurwitz D, Agha-Mohammadi S, Ota K, Unadkat J. A clinical review of total body lift surgery. Aesthetic Surg J. 2008, 28(3):294–303.CrossRefGoogle Scholar
  3. 3.
    Momeni A, Padron NT, Fohn M, Bannasch H, Borges J, Ryu SM, Stark GB. Safety, complications, and satisfaction of patients undergoing submuscular breast augmentation via the inframammary and endoscopic transaxillary approach. Aesthetic Plast Surg. 2005;29(6):558–64.CrossRefPubMedGoogle Scholar
  4. 4.
    Dowden R. Keeping the transumbilical breast augmentation safe. Plast Reconstr Surg. 2001;108(5):1389–400; discussion 1401–08.CrossRefPubMedGoogle Scholar
  5. 5.
    Hendricks H. Complete submuscular breast augmentation: 650 cases managed using an alternative surgical technique. Aesthetic Plast Surg. 2007;31(2):147–53.CrossRefPubMedGoogle Scholar
  6. 6.
    Bitar G. Breast augmentation: axillary approach. In: Shiffman MA, editor. Breast augmentation: principles and practice. Berlin: Springer; 2009. p. 231–40.CrossRefGoogle Scholar
  7. 7.
    Bitar G, Myers S. Nutrition issues after bariatric surgery for weight loss (in press).Google Scholar
  8. 8.
    Hurwitz D. Total body lift. USA: MD; 2005. p. 107.Google Scholar
  9. 9.
    Handel N, Cordray T, Gutierrez J, Jensen JA. A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg. 2006;117(3):757–67; discussion 768–72.CrossRefPubMedGoogle Scholar
  10. 10.
    Pittet B, Montandon D, Pittet D. Infection in breast implants. Lancet Infect Dis. 2005;5(2):94–106.CrossRefPubMedGoogle Scholar
  11. 11.
    FDA Breast Implant Consumer Handbook – 2004. Retrieved 30 May 2007, Web site:
  12. 12.
    Troilius C. A ten-year evaluation following corrections of implant ptosis subsequent to transaxillary subpectoral breast augmentation. Plast Reconstr Surg. 2004;114(6):1638–41; discussion 1642–3.CrossRefPubMedGoogle Scholar
  13. 13.
    Serra-Renom J, Garrido MF, Yoon T. Augmentation mammaplasty with anatomic soft, cohesive silicone implant using the transaxillary approach at subfascial level with endoscopic assistance. Plast Reconstr Surg. 2005;116(2):640–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Bitar Cosmetic Surgery InstituteManassasUSA

Personalised recommendations