This 47-year-old mother was bothered by her excess lower abdominal fat and fat deposits of her flanks. She also was unhappy with shape and size of her breasts after breast feeding, noting a change in nipple position and deflation to the upper portion of the breasts. Dr. Fisher recommended a mommy makeover with extended abdominoplasty with extensive liposuction of the central abdomen, flanks and back and muscle repair. For her breasts, he recommended a balancing operation with breast lift and asymmetric reduction and autologous fat grafting for increased upper pole fullness.