This woman had had a breast augmentation ten years ago with saline breast implants, 375 cc on the right and 350 cc on the left. Since then, she has had three more children, and is now ready for her Post-Baby Tune-Up® Mommy Makeover. She also had excess tissue to the sides of her abdomen, and a small amount of breast tissue in the left axilla (underarm) area which had become bigger and smaller with each of her pregnancies. She came to our Scottsdale office, and Dr. Nachbar did a Post-Baby Tune-Up® with Circumferential No-Drain Tummy Tuck, breast implant exchange to silicone gel breast implants, 600 cc on the right and 550 cc on the left, and removal of the left axillary breast tissue. She is shown seven months after her surgery.