This woman had old MEME silicone gel breast implants placed before the breast implant moratorium in the 1990s. Since then, she had four children, the youngest under one year old, and her breast shape had changed and she had lost breast volume. She also had developed bulging in the tummy area. She came to our Scottsdale office, and Dr. Nachbar performed a Post-Baby Tune-Up® procedure including Breast Implant exchange, removing her old silicone implants and placing larger 533 cc cohesive silicone gel breast implants, a breast lift to tighten the breast, and a Tummy Tuck. She is shown one year after surgery.