This is a 39-year-old woman who was concerned regarding the appearance of her breast and her abdomen after pregnancies. She had four children including one set of twins. Following her pregnancies, she was unable to improve the look of her abdomen with diet and exercise. She underwent bilateral breast lift and abdominoplasty. Postoperatively, she is very pleased with her result. She went down two pants sizes. She was able to wear bra without worrying that her breasts would fall out. She feels more confident with her new body shape.