This 40 year old female requested consideration for breast reduction and abdominoplasty. She reported chronic upper and lower back pain as a result of her overly large breasts and met her insurance criteria for breast reduction. After several pregnancies, she was also unhappy with the laxity of her abdominal wall and the appearance of her abdominal scar following her c-section. She underwent breast reduction and cosmetic abdominoplasty in one operation. She was very happy with her new breast size and improved position of the nipples as well as her new tighter abdomen. She felt that she was back to her “pre-pregnancy figure”.