This is a 36 years old, 5’0” tall, physically fit mom with involution and atrophy of her breasts after pregnancy and breast feeding. The patient underwent a bilateral Benelli “Donut” mastopexy as an outpatient at the local surgery center under general anesthesia. She also underwent bilateral breast augmentation with 350 cc moderate plus profile silicone gel implants in a sub-glandular position (on top of the muscle). The procedure included some minor body contouring liposuction. 80 cc of autogenous fat from the liposuction was micro lipografted to the superior and medial quadrants of the patient’s breast tissue to produce the desired results medially (cleavage). The patient is shown 6 months post op.