While in her early 30's this lovely patient had a tummy tuck under the skilled hands of Dr. James Rough. She experienced loose and sagging skin in the midriff region that led her to feel ashamed of her physique. Because of this she feels excited with her youthful, more taut belly after the removal of loose skin during her recent tummy tuck surgery. She also underwent bilateral breast augmentation with placement of 390 cc (right) and 380 cc (left) Mentor saline round smooth moderate plus implants. They were placed via periareolar incisions and under the pec. muscle.