A 46 year old female presented to discuss breast augmentation and a possible tummy tuck. This is something she had considered for a long time. She has two grown children, both of whom she breast-fed. Her goals are to increase breast volume, and to remove the excess abdominal skin. She acknowledges states she has some breast “droop”, but noted that she was not interested in a lift at this time. She would very much like to be able to wear a bikini again. Height is 5’6. Weight is 135 pounds. Because of her pre-existing breast ptosis (droop), I explained that needed to be corrected before we could proceed with breast implants. Therefore, we suggested and she agreed to proceed with a mastopexy (breast lift). The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 3 months. After several months, she was able to proceed with her breast augmentation, once the breast droop had been corrected. After trying on our sizers, she decided that her goal was around 400 cc. She was augmented with 400 cc smooth round high profile silicone gel implants placed subpectorally (under the muscle) via inframammary incisions. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.