This is a 45 year old healthy black female who has hypertension that is well controlled. She is 5’3.5” and 158lbs. She is a non-smoker. She did have two children; one by c-section. As a result of her pregnancies she has marked weakness of the abdominal wall with a significant diastasis of the rectus muscles causing her to appear pregnant at all times. It also made it very difficult for her to workout. As far as her breasts were concerned her bra size was a 36D with ptosis, but she was happy with the overall volume just wished them to be elevated and tighter. After extensive discussion she decided to proceed with the mommy makeover knowing that she would need to stay in town for a few days. She underwent a vertical mastopexy with only a minimal tissue excision and a full abdominoplasty with an aggressive plication of the rectus muscle. Her postoperative course was unremarkable. Photos obtained at two months show that she is healing nicely. The breasts are nicely elevated, but have maintained their fullness. She can now go braless if that is her desire. Her abdomen is markedly improved. She now has full muscular control and she no longer appears pregnant. The scars are settling in nicely and she will now gradually begin exercise to further enhance her surgical outcome.