This 30-year-old woman had children and experienced loss of tissue volume. She wanted to have a breast augmentation at the same time as an abdominoplasty. We used a periareolar approach for subpectoral placement of Allergan 15-421 gel implants. Her abdomen had a discrete loss of tissue adjacent to the umbilicus, requiring repair of the deeper tissues. No liposuction was performed except for a little to smooth the ends of the transverse scars.