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This is another case of composite body contouring in which a 29 year old lady from Sun City, Arizona who requested tummy tuck with liposuction and Brazilian butt lift. After 4 kids, her tummy became very flabby. She wanted to flatten her tummy using the tummy tuck with a very low incision technique and use all the fat to fill up her buttocks. Her buttock used to be very round before pregnancy. When she came to see me, her gluteals were flabby and small to the point they were out-of-proportion. She wanted reshaping of her buttocks using the Brazilian butt lift technique with fat grafting. We discussed this mommy makeover type 4. We sat down for several extensive consultations at my plastic surgery center located in Scottsdale, Arizona to discuss her goals. Before her cosmetic surgery, she is 5 feet 6 inches and 172 pounds. She had surgery at a local Arizona plastic surgery and recovery center. She stayed overnight for greater comfort. She had 4.5 liters of unwanted fat removed via liposuction on the thighs, tummy, and back. She had a tummy tuck that removed 2 pounds of excess weight from her body. She had 900 cc of fat injections into each buttock. Photos 3 months after her surgery, demonstrate the new shape of the buttocks, back and tummy.