A nice 33 year old lady from Scottsdale, Arizona requested tummy tuck with circumferential liposuction and Brazilian butt lift. This operation is called a composite body contouring surgery. Her goals were to reduce and tighten her tummy, achieve an hour-glass shape and a bigger and rounder buttocks. After having children, her tummy became loose and stretchy. She was now looking for a tummy tuck with a very low incision and then for me to perform fat injection of this fat to fill up her buttocks as one operation. She also wanted me to perform liposuction of the back, hips and thighs to significantly reduce the fat volume and obtain an A-shape appearance with an hour glass waist. She wanted reshaping of her buttocks using the Brazilian butt lift technique with fat grafting. I did recommend a mommy makeover type 4. Before her plastic surgery, she is 5 feet 8 inches and 137 pounds. Surgery was performed at a local Arizona plastic surgery center. She had a tummy tuck that removed 1 pound of excess weight from her body. She also had 1.8 liters of unwanted fat removed via liposuction on the thighs, tummy, and back. I injected 510 cc of fat into each buttocks. She was able to achieve a natural result from the tummy tuck operation.