30-year-old presents to discuss options for a “mommy makeover”. She is accompanied today by her mother, who is also here for a consultation. She is married, and is a stay at home mother with a 3-year-old and a 5 month old. She was only able to breast feed the youngest for about a month. Her primary concern is her breasts. She currently wears a 36B bra, and would like her breasts to be perkier with a little more volume. She feels like her breasts are very “saggy,” and wants them to be the “way they used to be”. She does want them to look natural and proportional. problems or surgery and no family history of breast cancer. Height is 5’2″. Weight is 152 pounds. Even though her primary goal was additional breast volume, because she had significant breast droop (ptosis), we explained that breast implants needed to wait until the ptosis was corrected with a breast lift. Once healed (typically 2-3 months later) if she still desired more breast volume, we could add implants without adding new scars (using the breast lift scars). She agreed to this staged approach, and proceeded with a mastopexy (breast lift). The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. After several months, she was able to proceed with her breast augmentation, once the breast droop had been corrected (shown here, with 225 cc implants placed below the muscle).