This 32 year old 5’2″ 128 lb woman had undergone saline implant breast augmentation (elsewhere) at age 23, after which she had two children. She 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 full 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 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).