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This patient in her early 50’s had an abdominoplasty, breast augmentation and liposuction, or “mommy makeover,” in Saint Louis at West County Plastic Surgeons. For the redundant skin and fat in the abdomen area, she had a hip-to-hip incision and plication of rectus and umbilical reconstruction. This means that, in addition to removing extra skin, the abdominal muscles were sewn back together to their more natural, tighter position, as they were when she was younger. She also had bilateral liposuction of the flanks and upper back bra area. To address the breasts, she preferred a modest augmentation.