This 33-year-old fit mom was bothered by the appearance of her abdomen, despite spending plenty of time in the gym. She was most bothered by the stretch marks to her lower abdomen and lower abdominal skin laxity. She had also had a complicated breast surgery history with recurrent capsular contractures. Dr. Fisher recommended an abdominoplasty with muscle plication and targeted liposuction of the central abdomen. For her breast surgery, he recommended a single-stage implant/capsule removal, implant exchange with repositioning and internal bra placement with breast lift.