This is a 53-year-old resident of San Francisco, California who presented to the San Francisco bay area+- office at Union Square for evaluation for breast surgery and a tummy tuck. She is 5 feet 5 inches tall and weighs 130 pounds. She has had previous breast reduction many years ago. She has undergone a vertical breast reduction, a tummy tuck and liposuction of her flanks. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California.