This is a 32 year old healthy white female. She is 5’3” and 160lbs. She has had two children via c-section. She was interested in a mommy makeover. Examination showed that she had a very lax abdomen with a pannus and almost double bubble presentation. She also had mild diastasis of the rectus muscle. As far as her breasts were concerned her bra size was a 36B was second degree ptosis and her desire was to be in the D bra range. She also had some slight asymmetry with the left breast being slightly larger. In order to achieved her desired outcome she underwent a mommy makeover which included an augmentation with a vertical mastopexy utilizing a 450cc moderate plus smooth silicone implant on the right and a 425cc on the left. She also underwent an abdominoplasty with liposuction of the hips and rectus plication. Her postoperative course was uneventful and after two weeks she was out and about. She returned to exercise and more aggressive physical activity at 6 weeks. Photos obtained at four months shows that she has achieved an excellent result. The breasts are now full, elevated and symmetric. Her abdomen is flat with a nice abdominal contour. She recently returned from vacation and was excited to wear a bathing suit that flattered her new figure.