I performed a a superior pedicle mastopexy with a Ruth Graf auto augmentation to reposition her own natural tissue from the lower portion of her breast to the upper pole. To account for pre-operative asymmetry, I removed 12 grams of tissue from the outer skin envelope of the right breast and 35 grams from the left. Moving on to her abdomen, I used a Vaser ultrasonic device to break down fat in specific areas using ultrasound waves. Then, I removed the emulsified fat using suction-assisted lipectomy, taking out a total of 350 cc of fat from the central upper midline and along the sides. To complete her transformation, I performed a tummy tuck to plicate her muscles and removed 1310 grams (approx 2.89lbs) of skin from the abdominal pannus.