This is a 51 year old female who lost 70 lbs with diet and exercise alone. She was bothered by her severe breast ptosis (droopiness) and loose skin to the breasts as well as loose skin and sagginess to the arms and axillae (arm pit region). She underwent a volume preserving breast lift with an “axillary lift” and arm lift (brachioplasty) all done at the same time. 6 month after results are shown.