This woman in her 40s had six children, with the expected effects on her body. The breasts were large and she wanted a significant reduction, but she was concerned that she would lose too much shape. She came to our Scottsdale office, and Dr. Nachbar performed a Breast Reduction along with a modest 200 cc cohesive silicone gel breast implant. Dr. Nachbar removed 700 grams from the right breast, and 900 grams from the left. At the same time, he performed a Circumferential No-Drain Tummy Tuck, and she lost significant weight both before and then also after her surgery.