Rejuvenation of the breasts and abdomen at same setting. In this case, tummy tuck and periareolar breast lift with capsulectomy and implant exchange. 35 yo 5′ 4″ 130 Lbs with massive dilatation of core abdominal muscles and diastasis rectii due to pregnancies. Note severely stretched abdominal wall muscles when patient relaxes her core muscles and/ or when bending over without tightening her core muscles. Patient required layered tightening of her diastasis rectii together with oblique plication along each side of her lower abdomen at time of her abdominoplasty. Patient had previous saline implants with Grade II capsular contracture, during the abdominal tightening and abdominoplasty she also had bilateral periareolar breast lift, removal of portions of the thickened breast capsule and replacement of her implants with silicone gel high profile 500 cc implants. Note the successful rejuvenation of this patient’s breasts and abdomen at the same setting – hence the term “mommy makeover” .