This young patient lost 140 pounds with gastric bypass surgery. She wasn’t happy with the change of her breasts after the weight loss. She wanted to have full perky breasts. Dr. Lapuerta recommended a full breast lift and augmentation with an internal bra to hold her implants up since she had poor skin quality. She chose a 450cc silicone implant. 1 year after her surgery she is very happy with her results and plans to have future procedure with Dr. Lapuerta.