This is a 59 year old mother of three children with large, sagging breasts, loose skin and muscles of the abdomen, large umbilical hernia, fatty deposits of the fack and flanks, and narrow hips. She wished to have breast reduction and lift, full abdominoplasty, umbilical hernia repair, liposculpture, and fat grafting of the hips to create a more hour-glass body shape. She is shown before surgery and about six months post-op.