49 year old patient who desired small breast implants and a symmetrizing uplift with improved body contouring. She underwent a mommy makeover that included a bilateral breast augmentation with a 225cc high profile silicone gel implant with a periareolar lift at her right breast and a 195cc moderate profile silicone gel implant and a vertical breast lift for her left for the improved breast shape and size symmetry and same time liposuction of her abdomen, flanks, waist, upper and lower back. The after photos are a year and a half after her mommy makeover showing her desired 32B cup breast size, shape and symmetry and improved body proportions.