This is a 44 year old woman who underwent a gastric bypass procedure, losing more than 150 pounds in the process. With this weight loss, she developed very flat and droopy breasts. She underwent a breast lift, with an anchor-shaped incision, as well as breast augmentation with 420 cc moderate profile silicone gel implants. She is seen six weeks after surgery, with a markedly different breast shape. Over the ensuing months, her scars will fade in intensity.