Here is a 45 year old lady from Mesa, Arizona that requested tummy tuck with liposuction and Brazilian butt lift. We call this operation a mommy makeover type 4 or a composite body contouring procedure. Her goals were to reduce the size of her tummy, making it as tight as possible, and lowering the fat in her back fat while achieving a bigger and rounder butt. She wanted a really high and strong upper buttock shelf at the top of her gluteals. Before children, her buttock was round and full. Currently, her buttock is flabby and lost that beautiful roundness. She requested that I flatten her tummy using the tummy tuck with a very low incision technique and that I perform fat transfer to fill up her gluteals. She also wanted circumferential liposuction of the back, bra rolls, hips and thighs. I recommended a mommy makeover type 4. Before surgery, she is 5 feet 8 inches and 185 pounds. She had surgery at a local Arizona plastic surgery. She stayed overnight for greater comfort. She had 5 liters of unwanted fat removed via liposuction on the thighs, tummy, and back. She had a tummy tuck that removed 2.6 pounds of excess weight from her body. She had 1150 cc of fat injections into each buttock. Photos 5 months after her Brazilian buttock lift surgery.