This is a 69 yr old female who had a gastric bypass and one year later I performed an abdominoplasty and hernia repair as well as a breast augmentation with a lift. She had a massive weight loss of well over 100 pounds. She had her surgeries in a staged fashion. I performed the hernia repair and tummy tuck at the first stage. The breast augmentation and lift was done as a second stage operation. Her implants are above the muscle and a full T incision for the lift was perfomed at the same time. She has gel implants ( 300cc on rt, 270cc gel on left). To give her a small C cup. Her pictures are at her 2 month post op visit.