This is a healthy young women who is 5’9” and 148lbs. She has a 5 year old child, whom she breast fed. Her bra size is a 34B and she wanted to be in that nice C range. Examination showed second degree ptosis with complete loss of volume. Her base width was 14cm. As far as her abdomen was concerned she had significant laxity particularly below the umbilicus which made her a better candidate for a modified abdominoplasty to keep the incision very low. After discussing the risks and benefits of the augmentation mastopexy and modified abdominoplasty she decided to proceed. After external sizing she chose 375cc moderate plus smooth silicone implants. Her surgery was completely unremarkable. Photos obtained at 2 months show that the breasts now have nice fill and with the vertical lift they sit properly on the chest. The modified abdominoplasty has removed almost all of her skin laxity, even in the periumbilical area. She is back to all activities including vigorous workouts and is quite pleased with her surgical outcome.

This is a 47 year old healthy white female. She is 5’4” and 135lbs. She lost 65lbs over the last few years. Examination showed laxity both above and below the umbilicus. The abdominal muscle tone was reasonable. After having a very successful augmentation mastopexy she decided to proceed with her abdominoplasty. Examination confirmed significantly laxity both above and below the umbilicus and for this reason she underwent a full abdominoplasty with plication. Her postoperative course was completely unremarkable and at 2 months she is back to all normal activity. Photos show that she has achieved an excellent aesthetic result. The abdomen is flat; there is no further redundancy of the skin, particularly in the upper abdomen. She now has a very attractive waist line. She can now wear more form fitting clothes and is quite pleased with her surgical results.

This set of before and after photos features a 49 year old woman who lost 120 lbs through diet and exercise. This unfortunately left her with marked laxity of the breasts, abdomen, thighs, back and arms. After careful discussion and a review of all options, the patient decided to correct these issues with 4 procedures: An abdominoplasty (tummy tuck) to correct the abdomen and lower back; an extended augmentation mastopexy to raise the nipple areola and create superior fill to the breast; a back lift to remove excess skin from the sub axillary (bra line below armpit) and upper back regions; and lastly, a brachioplasty (arm lift) to reshape and tighten the under portion of the upper arm, from the underarm region to the elbow. Photos taken 4 months after surgery show dramatic improvement. The patient's waist/midsection is now tight, well-shaped and in proportion/sync with her upper body. She no longer suffers from excessive or hanging skin tissue, particularly in the upper back region. Her breasts are elevated and firm. Her skin envelope correctly accounts for her major weight loss. And the post-op scarring, which will continue to improve, is very acceptable.