She presents with four children. She breast fed all kids. Said her breasts are lower than they used to be. Has gained some weight in recent years as she ages and is not exercising as much as she knows she should. She underwent a ummy tuck, 2 hernia repairs (umbilical, as well as c-Section-difficult to palpate) with liposuction to flanks, bra strap and chin with Mastopexy augmentation with small round gel (400cc range).