45 year old presenting with excess fatty tissue across the lower abdominal wall and flanks. She also underwent previous breast reduction lift in the remote past performed elsewhere. She is desiring cosmetic improvement to the abdomen and flanks as well a relifting of the breasts. Liposuction of the abdomen and flanks, full breast lift, and fat transfer to the breast was performed. The fat tissue was placed into the upper and inner portions of the breast to give fullness and volume to these areas. She has improved contour of the abdomen and her breast are lifted and more symmetric. She is shown 4 months after surgery and is very pleased with her new look.