*This 38 year old petite woman had lost volume in her breasts and lost her abdominal wall muscle tone following the birth of her childen. She wanted to regain her youthful appearance. Her operative plan included a breast augmentation with a breast lift and a tummy tuck. Her breast augmentation/mastopexy was achieved by using smooth round gel breast implants that were placed the subglandular plane (on top of the muscle) using a circumvertical incision pattern. Moderate profile implants with a 175cc volume on her left and 200cc volume on her right were chosen for her. This procedure gave her breasts a nice full appearance.