This is a 51-year-old female, weighing 172 and is 5′ 6″ in height. She had undergone a vertical banded gastroplasty 5 years prior.2007 She underwent a belt lipectomy with vertical hernia repair.2008 She underwent a breast lift using the SPAIR technique 2012 She underwent a breast augmentation with Allergan Style 68 HP Natrelle Saline 550cc filled to 600.