35 year old mother of 4. Her children are 16, 12, 10, and 6 years old. Her last child was a cesarean birth. She has had a weight loss of 118lbs over the last 5 years with diet and exercise. She presented to discuss a “mommy makeover”. Her areas of concern include; breasts, abdomen, and upper thighs. She is currently a 34DD. She likes the way her breasts look in her bra, but without they are “droopy as hell”. She says that her abdomen has excess skin with multiple stretch marks. She says that there is “so much extra skin, I want it gone.” Height is 5’3″. Weight is 125 pounds. Height is 5’3″. Weight is 125 pounds. An abdominoplasty with rectus repair was performed on an outpatient basis under general anesthesia. Results are shown at 6 months. (A breast lift was also performed, making this a “mommy makeover”).