This is a 48-year old lady from Tempe, Arizona who requested liposuction of the back, including bra rolls. Before I saw her, she told me that she already had lipo and tummy tuck in Beverly Hills, California, but was not completely happy with her results. She was referred to me by a previous patient who had plastic surgery by me and was very satisfied. She had a consultation with me at my medical office located near Phoenix, Arizona to achieve a better plastic surgery result. Her goal was to reduce the size of her tummy, especially the upper portion, and her back. She had a tummy tuck and liposuction of the back several years earlier, but complained that her tummy was not flat at the top and that her back was still fat with rolls. In fact, she said it did not change at all with surgery performed elsewhere. She also did not like the scar because it was wavy and high. She wanted me to revise her tummy tuck by lowering the scar, making it look straight, and removing more skin while tightening the tummy muscles. She also wanted me to perform additional liposuction of the back, hips and thighs to reduce the fat volume. She wanted me to give her a result she could see. She also wanted me to reshape her buttocks using the Brazilian butt lift fat transfer technique. She told me she did not like her buttocks because they are flat and square. She wanted more definition in her figure. We discussed a mommy makeover type 4 at length with me before her cosmetic surgery. Before surgery, she is 5 feet 6 inches and 172 pounds. Her priority was her tummy and the rolls in her back. She also wanted buttocks that would stand out. She had surgery at a local Arizona plastic surgery and recovery center. She stayed overnight for greater comfort. She had 4 liters of unwanted fat removed via liposuction on the thighs, tummy, and back. She had a revision tummy tuck that removed 2.5 pounds of excess weight from her body. She had 630 cc of fat injected into each buttock. She weighs 166 pounds at the time of her photos. Photos 6 months after surgery demonstrate the new shape of the buttocks, back and tummy. She recently expressed that she has a lot more confidence because her tummy is flat and tight, her buttocks are very round and shapely and the back is smooth and has no rolls.