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.