This patient is 63 years old and over the course of two years, she has lost over 100 pounds with diet and exercise. She was at a stable weight and wanted to have her loose skin removed. She met with Dr. Lapuerta to discuss her options and if she would be a candidate for plastic surgery. She consulted with 3 other doctors before choosing Dr. Lapuerta as her surgeon. Her main concern was her stomach and lower body. Next was her breasts. Her breast tissue was very thin and her nipple position was very low. She needed a full breast lift with silicone implants along with SERI scaffolding to hold her implants up. The SERI scaffolding acts as an interal bra to support the implants to prevent them from bottoming out. It has been a year since her surgery and she couldn’t be happier with her decisions.