27 year old patient came from Pasco, Washington came to see Dr Lee to discuss a Mommy Makeover. She had lost and gained and lost signifcant amounts of weight. She had now stabilized and wanted to pursue surgery to improve her appearance. She had a significantly wide chest with severe convexity of the chest wall. She was a 38A cup. She had two large rolls of fat and excess skin in the upper and lower abdomen and many stretch marks. Dr Lee performed an abdominoplasty with liposuction and breast augmentation. Patient chose 457cc silicone implants. Patient very happy with the dramatic improvement in her body shape.