This 33 year old woman came to us after multiple pregnancies and recent weight loss. She had concerns about the loss of her abdominal wall support, skin laxity, stretch marks and saggy breasts. After consultation, she underwent a Circumferential Abdominoplasty with a Vertical Resection and muscle plication, as well as, a Subfascial Breast Augmenation using Sientra textured moderate round 525cc implants. All of the skin from the abdomen was removed which helped to contour her abdomen and remove excess stretch marks. She fits into her clothes, has fuller, perkier breasts, and a flatter abdomen. The post photos were take 18 months post surgery.