Patient is a beautiful 35-year-old, mother of four children who had previous saline breast augmentation with 500 cc implants. She hated the feel of these saline implants, and wanted to exchange these to larger, silicone gel breast implants. She also complained of a saggy abdomen with excess skin and stretch-marks after pregnancy. She wanted to have the breast and abdominoplasty procedures performed at the same surgical setting with one recovery period. She underwent removal of her old saline implants and replacements with Natrelle, Style 45, Smooth, Round, High Profile 700 cc Silicone Gels, and Full Abdominoplasty with rectus muscle plication and removal of about 339 grams of tissue. She is thrilled with her results.