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Patient is an attractive 33-year-old Caucasian mother who desired a “Mommy-Makeover” procedure after giving birth to four children.  She was done having kids.  She had been dieting and exercising and achieved a very good weight of 132 pounds as she was quite tall at 5 foot 6 inches.  Despite her best efforts, she complained of an area of “saggy and wrinkly” skin of her lower abdomen that would not go away, and she was extremely self-conscious about this.  Also, patient stated that her breasts had become “saggy, hollow and empty” after breastfeeding.  She wore about a 34-B bra cup-size and desired to become a full-C to small D-cup bra-size.  She underwent Total Abdominoplasty with rectus muscle plications as well as Breast Augmentation with Natrelle, Style 20, High-Profile, Smooth, Round, Silicone Gel Implants (400 cc to the left side and 425 cc to the right side) in the “Dual Plane” (partial submuscular) position and Circumareolar Mastopexies (breastlifts around the nipple).

Side View:

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Oblique View:

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After