This 40 year old mother of 2 children decided to pursue a mommy makeover to help reverse changes caused by her pregnancies. She is very active but unable to improve the skin laxity with any exercise or weight loss. Additionally, she desired larger breasts with increased upper breast fullness. After reviewing her goals, Dr. Steele performed a full abdominoplasty with flank liposuction removing about 4 pounds of skin and fat, as well as a breast augmentation with 385cc silicone gel filled implants. She is shown at 3 months after surgery with excellent results.