A 27 year old lady from Mesa, Arizona decided she wanted a mommy makeover. She had contemplated breast augmentation with saline breast implants, tummy tuck and lipo for a total of 3 years. She had lost 120 pounds and was concerned that her breasts were saggy. She did not like the flabbiness that developed in the abdomen and hips. She presented herself to my plastic surgery center located in Scottsdale, Arizona to pursue her interests in breast augmentation, breast lift, tummy tuck and lipo. Her breasts had sagged significantly when the weight starting coming off. Her nipples pointed towards the ground. She wanted bigger breasts, but she also wanted breasts that looked less saggy. She wanted increased perkiness, but a natural result with breast augmentation. She wanted to get rid of the rolls and stretchmarks. She was concerned that she could no longer see her belly button. Her mommy makeover was performed as a combined tummy tuck, anchor pattern breast lift with saline breast implants. I used the very low incision tummy tuck technique and repaired the abdominal muscles. She had lipo and an additional 1100 cc of unwanted fat was removed from the hips and flanks using power-assisted liposuction. A pain-reducing pump was placed for greater comfort. Right at surgery, she was wearing a 36 DD and she requested to stay the same size. She is in good health, 5 feet 6 inches tall, and weighs 181 pounds. We placed 450 cc smooth round moderate plus saline filled breast implants when performing her breast lift. She made an excellent recovery after her mommy makeover and remained at the plastic surgery and recovery center overnight. She recently mentioned to me that her new figure gives her great confidence. She especially appreciates the tummy and smaller waistline that was achieved with the combination of tummy tuck and lipo. Her new belly button, which is now visible, in her opinion, looks very natural.