47 year old Asian woman with a history of four pregnancies and c-sections and breast augmentation with saline implants, now with left sided rupture along with abdominal wall laxity with excess skin. She underwent a mommy makeover with bilateral breast revision with removal and replacement of saline implants for 355cc silicone implants and abdominoplasty. The results are 2.5 years after breast surgery with improved breast shape, and 7 months after abdominoplasty with with return of her hourglass figure.