A healthy and active 54-year-old woman from phoenix, Arizona requested a mommy makeover including breast lift without breast implants and tummy tuck with liposuction. Her goals were to accomplish an improvement in the shape of the breasts, tighten her tummy, and reduce the fat rolls in the hips and thighs. The most important goal for her breasts included achieving a solid breast lift and improved symmetry. Before cosmetic surgery, she is 5 feet 5 inches and 187 pounds. She had an anchor pattern breast lift, a tummy tuck and liposuction of the tummy, hips, inner and outer thighs, all in one session. Very little breast tissue was removed from the right breast, which was larger and more saggy, to make her more symmetrical. In the tummy, more than 3 liters of fat and excess skin was removed during her tummy tuck. The lipo yielded 2.4 liters (5 pounds) of unwanted fat removal from the thighs, hips, arms and tummy. No breast implants were placed and the breast tissue was suspended using a dermal technique. She has surgery at a local outpatient plastic surgery center with an overnight stay and is shown 4 months after surgery in the before and after photos.