This is a 44 year old woman who is 5ft 5 inches and was more than one year after her bypass surgery was performed. She had lost approximately 120 pounds. She requested body contouring and I performed a bilateral mastopexy or lift for her. The post operative picture is taken at one year post op. I have performed the Wise pattern or T incision and lifted her breast tissue and tightened the envelope of skin. I elected NOT to use an implant as she did not want to have a large volume breast. Her incisions have healed well and she has an improved contour and appearance of her breasts.