Here is a case of extended tummy tuck after major weight loss. We see a nice 35-year-old lady from Buckeye, Arizona who presented to my office near Phoenix, Arizona. Her story was special because during pregnancy she had gained over 100 pounds. At one point she weighed 246 pounds. She lost a lot of the weight. She came to the office weighing in at 131 pounds and wanted to discuss what to do about the extra skin in the tummy and her deflated breasts. She had been thinking about breast augmentation and tummy tuck for many years. We sat down and discussed her priorities. She wanted the softest breasts possible that appeared very natural and looked great for her frame. She wanted a tight tummy and for me to remove the loose skin. After I examined her, I found she was a good candidate for surgery and offered a mommy makeover type I, including breast augmentation with silicone breast implants and an extended tummy tuck to accurately remove the loose skin after major weight loss. Before cosmetic surgery, she is 5 feet 4 inches and 131 pounds. The extended tummy tuck was performed using a very low incision technique and the abdominal muscles were tightened. A pain reducing pump was placed and the patient remained overnight. With the breasts, she wanted to establish a solid full C cup. Her operation was performed at a local Arizona plastic surgery center, with an over night stay. Her recovery went nicely after her mommy makeover. She is shown 2 months after the procedure and her photos demonstrate a tight and flat tummy, round and attractive breasts and a nice improvement in her figure.