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This 39-year-old female presented to my office to discuss a mommy makeover. Following the birth of her two children, she developed excess skin of the lower abdomen and expressed dissatisfaction with the appearance of her breasts. Specifically, she felt her breasts had lost upper pole fullness and appeared hollow, and that her areolas had enlarged beyond what she found aesthetically pleasing. We discussed a surgical plan consisting of an abdominoplasty with liposuction, as well as breast augmentation with mastopexy. After reviewing a range of implant sizes that aligned with her goals, she elected to proceed with placement of 325 cc round silicone breast implants in conjunction with a breast lift.