36-year-old mother who underwent massive weight loss through diet and exercise desired restoration of her breast and body. She underwent a formal mommy makeover which included mastopexy augmentation which included a vertical pedicle breast reduction with inferior breast tissue resection and pillar plication along with a 250 cc mentor moderate profile plus gel implant place to do some muscular plane. She also had a lipoabdominoplasty with muscle repair. She is six months postop in the after images.