This is the 6 month follow up on a 36 year old lady from northern Arizona who requested four cosmetic surgery procedures to be performed at the same time. She wanted a tummy tuck, breast lift with saline breast implants, liposuction, and Brazilian butt lift to be performed in one setting. She came to my office located in Scottsdale, Arizona for a consultation. She was referred by a previous patient who was very happy with their results. She mentioned her breasts were saggy and deflated. She requested bigger breasts and a breast lift. She wanted to go from a B cup to a D cup. She complained her tummy was flabby and had stretch marks after 4 kids. She requested abdominoplasty with muscle repair and removal of her fat pockets in the back and thighs. Her other goals were to improve the size and shape of her buttocks via fat injections. Before cosmetic surgery, she is 5 feet 2 inches and 136 pounds. I recommended a mommy makeover. Her plastic surgery operation was performed at a local Arizona plastic surgery and recovery hospital. During surgery, a tummy tuck with circumferential liposuction was performed as part of mommy makeover. She is shown 6 months after surgery with an excellent tight tummy and full, round breasts.