Patient in her 40’s with prior 490 cc silicone breast augmentation desiring breast reduction/lift with downsizing of implants and body contouring. She also had significant lateral displacement of implants. She had a breast reduction/lift with redo augmentation, bilateral capsulectomy with downsizing of her implants to 310 cc silicone and internal bra with Galaflex to prevent lateral displacement. She also had a tummy tuck/360 lower body lift with 360 Hi-Def lipo and BBL at the same time.