A nice lady, 30 years of age from North Scottsdale, Arizona came to our plastic surgery office in Scottsdale for a consultation. She was dissatisfied with a flabby tummy, stubborn fat pockets, and deflated breasts after 3 kids. She was really concerned about stretch marks in her tummy and the smaller breast cup. Despite good diet and exercise, her tummy continued to bother her, and her breasts had become small and deflated. She wanted a plastic surgery operation which would create a tight and flat tummy and allow for a full D cup size. Before her tummy tuck and mommy makeover, she is 5 feet 8 inches and 137 pounds. I recommended abdominoplasty, lipo of the tummy and hips and breast augmentation using silicone gel breast implants. She had some mild asymmetry and a different size breast implant was recommended for each breast. Her cosmetic surgery was performed at a local Arizona plastic surgery center with an overnight stay. She had a tummy tuck to tighten the muscles and the loose skin. Her MemoryGel silicone breast implants were placed under the muscle and a 450 cc volume implant was placed in the left while a 475 cc breast implant was placed on the right side. The before and after photos are taken 3 months after plastic surgery.