This 40-year-old woman who had lost over 150 lbs. following gastric bypass surgery, had a breast mastopexy to lift and shape her breasts, followed 3 months later by the placement of 550 cc, high-profile, silicone breast implants. Given the degree of laxity following her massive weight loss, and the fact that she wanted a fuller profiled breast implant, it was necessary to perform the breast lift and breast augmentation in separate operations to reduce the risks and optimize her results.