Preop and 3 months postop. This is a 43 yo female who is 5’5” tall and weighs 215 lbs. She has had 3 previous pregnancies and she is bothered by a loss of fullness in her breasts. She did have a previous breast reduction, but she feels that she has lost quite a bit of fullness. She has some asymmetry issues with the scarring. She also feels that she has laxity, skin, and fullness around her abdomen. She underwent an abdominoplasty with liposuction to the abdomen and back, a breast augmentation with silicone implants, and excision of bilateral lateral chest/breast skin.