Here we have a pleasant 31-year old lady originally from Tucson, Arizona who came in for a consultation at my medical office near Phoenix, Arizona. She started thinking about plastic surgery after her last child. She reports that she lost her figure after the last baby. She has saggy breasts with asymmetry and a flabby tummy. She tried diet and exercise and did lose some weight, but is not happy with how the breast and tummy turn out. She has been working out and has not seen that much of a difference. She has decided that a mommy makeover is the best operation for her at this time. She would like to have a breast lift and breast implants. She used to be a C cup, but now is a B cup. Her goal is to be a small DD or full D cup. Her goal with the tummy is to have it be flat and smooth. Before surgery, she was in good health, measured 5 feet 1 inch and weighed 135 pounds. I designed a mommy makeover to accomplish her goals. Her cosmetic surgery combined an anchor breast lift, saline filled breast implants and tummy tuck. I used different size breast implants to achieve better symmetry. The smaller breast received a 400 cc moderate plus implant and the left breast received a 440 cc breast implant. An additional 700 cc of fat was removed from the hips and love handles through lipo. She stayed at the plastic surgery recovery center overnight and recovered nicely from her mommy makeover. She is now a very full D cup and has a nice flat tummy. Since surgery, she has experienced a boost in her confidence. She is very pleased that I recommended lipo of the love handles because that has improved her figure and gave her an hour-glass shape.