A nice 33 year old lady from Scottsdale, Arizona requested tummy tuck with circumferential liposuction and Brazilian butt lift. She consulted with me at the plastic surgery center located in North Scottsdale, Arizona. Her goals were to reduce and tighten her tummy, achieve an hour-glass shape and a bigger and rounder buttocks. She told me that her buttock used to be very round and full before pregnancy. After kids 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. 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 recommended 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 and recovery center. She had 1.8 liters of unwanted fat removed via liposuction on the thighs, tummy, and back. She had a tummy tuck that removed 1 pound of excess weight from her body. She had 510 cc of fat injection into each buttocks. Photos 5 months after her cosmetic surgery, demonstrate the new shape of the buttocks, back and tummy. She was able to achieve a natural result from the tummy tuck operation.