This 26 year young weight loss patient, 5’9” and 190lb. lost 100 pounds over a 2 year period. She maintained a stable weight and wanted to focus on removing the excess skin left around her abdomen and improve the breast volume. The breast volume was improved by subpectoral breast augmentation with 457cc. silicone gel implant, through an inframammary incision, and a tummy tuck was performed at the same time. She is seen 24 months post op measuring at a DD cup size from her original B cup and is very pleased with her fuller breast volume and rejuvenated abdomen. She now feels her body reflects and matches how she feels on the inside.