This is a 48 year old woman originally from Tempe, Arizona who requested a revision tummy tuck with liposuction and Brazilian butt lift. She had a consultation with me at my medical office located in Scottsdale, Arizona in order to achieve a better plastic surgery result. Her goal was to reduce the size of her tummy and her back. She told me she had surgery years earlier, but was not totally pleased with the results. She had a tummy tuck and liposuction of the back years ago, but complained that her tummy was not flat at the top and that her back was still fat and she had all her rolls. She also did not like the scar because it was wavy. She wanted me to revise her tummy tuck by lowering the scar and making it look straight, removing more skin and tightening the tummy muscles up at the top to flatten her tummy as best as possible. She also wanted me to perform liposuction of the back, hips and thighs to reduce the fat volume there. She told me to perform fat transfer with this volume. She wanted me to reshape her buttocks using the Brazilian butt lift technique with fat grafting. She told me she did not like her butt because it looked flat and square. She wanted more definition for her figure. She requested a revision tummy tuck, lipo and Brazilian butt lift in a single operation. We discussed this is a mommy makeover type 4. Before her cosmetic surgery, she is 5 feet 6 inches and 172 pounds. She told me that her priority was her tummy and the rolls in her back. She wanted a buttock that would stand out after fat injections. 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 injections into each buttock. Photos 6 months after her plastic surgery, show the new shape of the buttocks, back and tummy. She now weighs 166 pounds. She told me recently that she has a lot more confidence because her tummy is flat and tight, her buttocks are very round after fat transfer.