Patient is a pleasant 36-year-old Hispanic female, mother of five children who breastfed. She complained of small, saggy breasts with loss of fullness. She wore about a deflated, C-cup bra size and she desired to become a fuller, “DD”-cup. She underwent Breast Augmentation with Sientra, 505 cc, Textured, Round, Highly-Cohesive ( “gummy-bear”,) High-Profile Silicone Gel Implants and Total Abdominoplasty with removal of about 1.4 lbs of tummy tissue and Power-assisted Lipoplasty with evacuation of about 1.2 liter of lipoaspirate… and she is thrilled with her results!