A 40 year old, accompanied by her fiance, has two children ages 20 years and 8 years of age. She presented to discuss options for breast enhancement and tummy tuck. Her goal was to have her breasts lifted up, and possibly a little larger. When she is in a supportive, unpadded bra, she is pretty happy with her size. To address her breast ptosis (droop), we suggested to proceed with a mastopexy (breast lift) to correct these issues of sagging and appearance. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 3 months.