40 year old woman treated with Mommy Makeover, 455 cc silicone A to D cup

This 40 year old woman is 5'0" tall and weighs 123 pounds. She has 4 children. She came into see me with concerns about the shape of her body after having children. Specifically she did not like the appearance of her abdomen and breasts. She had excess skin, stomach fat, and the muscle spread (diastasis) of her stomach. Her bra size was an A cup. She had a submuscular silicone implant placed through an inframammary fold incision. The implant is a 455 cc ultra high profile. She is now a D cup. She also had an abdominoplasty (tummy tuck) done.The photo is taken 1 year after surgery.