28 year old here today for consultation after massive weight loss. She was referred to me by a patient of mine, who she is good friends with. She had a Lap Band procedure done in 2012. Since then she has lost 130 pounds. She lost the weight very rapidly, and for the past year her weight has been very stable, only fluctuating by 10 pounds. She exercises very regularly, and states her excess skin gets in the way of her exercise. She states she has a lot of muscle, but it is hidden under her excess skin. Regarding her breasts, she was diagnosed with scoliosis at a young age, and had to wear a back brace for a long time. She states since wearing the brace when her breasts were developing, she thinks it caused her breasts to be droopy. Since her weight loss, the ptosis was made even worse. She would like her breasts lifted “back up where they belong.” Height is 5’ 5″. Weight is 200 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. Results shown at 3 months. After several months, she was able to proceed with her breast augmentation, once the breast droop had been corrected (shown HERE).