This 32 year old woman had undergone breast augmentation elsewhere at age 23. In the subsequent 9 years, she had two children, and developed loose sagging breast skin, as well as capsular contracture and high “Snoopy-look” deformity of her left breast. She came to Minneapolis Plastic Surgery for a breast lift and exchange of her saline to new slightly smaller cohesive silicone implants, a tummy tuck, and liposuction of her inner thighs (mommy makeover). She had all of these procedures in one outpatient operation in our on-site, nationally-accredited office surgical facility under TIVA general anesthesia. She left our recovery room in less than an hour and a half, and was alert, comfortable without nausea, dressed, and ready for discharge home after having sipped a soda and visiting the restroom. Her scars are still dark and visible at 10 weeks post-op, but will continue to fade over time (and with ultraviolet avoidance).