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So far so good!

Smart Lipo: Was worth it
Cost: $6,000
Pain: Uncomfortable
Satisfaction: Excellent

I’m going to start by saying that the doctor I went to was a friend of mine, a fellow of the American Society for Laser Medicine and Surgery, a member of MENSA, and has received many awards. He’s also a member here at RealSelf.
I’m in the entertainment industry and my body is very important to me. My talent agent basically said that unless I lost some of my weight she wasn’t going to be able to book me much. Plus my wedding is coming up and after having my weight yo-yo between a 20 BMI to a 24BMI for the last year, I just wanted the fat gone. However scars are a big no-no for me and I would have NEVER let anyone even touch my body if I didn’t totally trust them. My doctor actually has had SmartLipo MPX done on him, so I was able to see some of his progression/swelling etc, which eased many of my concerns.
DAY # 1
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The day of the procedure I arrived at the office at 7:30am, with a friend who was also having the SmartLipo procedure done on the upper/lower abs. My friend is a lot heavier than I am (I was averaging a 23/24 BMI the past 2 months), and the doctor said that the procedure would be questionable for her. We discussed it a lot and basically what it came down to was that she would probably need a tummy tuck either way because of her age and weight, but the SmartLipo was less expensive than what a good traditional Liposuction doctor would cost her, and the procedure would not be as invasive. The doctor did remind both of us though that we must have realistic expectations about this, which I think we both do.
My friend went in for the procedure first (her procedure would take longer) after receiving some pills to relax her. It took awhile before the doctor would take her in. I think she was nervous and her blood pressure was high. The staff waited for the pills to really kick in and get her relaxed to drop her blood pressure before starting the SmartLipo. He basically told us that unless the blood pressure went down he wouldn’t do the surgery… and I would rather hear a doctor say that than doing something he/she knows is questionable! The doctor spent about 3 hours on my friend. The nurse came out and said she was doing great and had been snoring through almost the entire procedure.
The doctor came out before my procedure and talked to me a little bit more about the procedure and drainage. I knew he planned to go through my belly button, which was the main factor in convincing me to do this since the scars wouldn’t be visible. He mentioned that he was going to put two small drainage holes on me, above the pubic bone. I freaked out about that… knowing they would scar. I was just about ready to back out, but he said he could laser out the color different in about a year and in the mean time I could cover them with make-up. I said agreed to this, but I think he knew that I still wasn’t thrilled about it… keep reading for what he did for me!
After the assistant cleaned up the room from my friend’s procedure they took me in. I had already received the relaxing pills while they were working on my friend. First they took me to do the before photos, and then to the room where the SmartLipo was done. I’m terrified of needles, but the doctor inserted the first one in my belly and I didn’t even feel it! I was talking to the doctor and the assistant during most of the first part of the procedure, but because I was lying down I couldn’t really see what was going on. I don’t know exactly what the sequence of events was, but I think they first made the incisions in my belly button, then pumped my tummy area up with the tumescent anesthesia (saline and Lidocaine). The doctor then inserted what felt like small corrugated tubing, I imagine it must look like one of those semi-thick plastic flexible straws your drink from! It felt like the tubes were going out like the staves of a hand fan. I could feel the doctor moving the laser through tubing, which felt REALLY odd because of the corrugated feeling of the tubes, but it didn’t hurt. He did me a favor though and worked on a bit more than we planned, going into the front sides of my flanks to give my abdomen some more curve. It wasn’t really the full flanks, but enough to give me some really nice shape for the wedding dress… so I was thrilled! I fell asleep after awhile, and probably slept for a good hour of the procedure. When I woke up the doctor was actually sucking out the fat and some of the fluids. Again, what was an odd sensation to have my insides basically vacuumed (it felt like a dentist vacuuming out saliva), but it didn’t hurt. I asked the doctor to move the "fat canister" up so I could see what exactly he was sucking out of me, which I expected to be a lot of white chunky fat, but to my surprise it was a lot of red/pink liquids and little "chunks" here and there that weren’t much bigger than those little rocks found at the children’s playgrounds. The "fat canister" was filled with a lot of red fluid at the bottom and topped with a frothy pink that looked more "fatty". The doctor laughed when I said I wanted a photo of it, and the assistant quickly disposed of it, but last night I came across someone else who had posted a photo, so if you search you will find it. The doctor left after the procedure and the assistant helped me down from the table.
Once off the table the assistant had me stand over a pad, expecting that I would leak the saline/Lidocaine mixed with blood… but much to both of our surprises I didn’t! Upon closer inspection the doctor never put the drainage holes in me above my pubic bone, because he knew I was really concerned about the scarring from the holes. The doctor came out during my procedure and talked to my fiancé about it, which was our designated driver, and told my fiancé that he could continue the procedure without putting in the drainage holes, but I would be swelled for longer. Lucky for me they came to the conclusion to let me just swell for a bit longer. I’d rather be swelled longer than have scars! When I asked the doctor about this he said my body will just have to break down the saline/Lidocaine that was left over, and pass it through my body naturally. I literally didn’t have more than probably a teaspoon of “stuff” leak out of my belly button after the procedure. I did look really swollen though and very "bottom heavy" in the lower belly, but the assistant helped me into the garment right away, so I didn’t look at it much more after that.
When I came out of the procedure I was walking around with no problems. My friend however had the drainage holes put in and was leaking a ton and not moving well. Her pads and clothes were soaked, and she got sick and threw-up from the Vicodin the doctor gave us. I’m big on eating breakfast though and the doctor told us ahead of time to make sure we had a high protein breakfast which I did, but she really didn’t. I think her problem with the Vicodin making her sick was mostly from not eating a good breakfast that morning.
We left the office around 4pm, after the doctor gave us lots of pads, "adult diapers", arnica gel, and arnica tablets, Vicodin, as well as telling us to drink pineapple juice for the bromelain, which helps reduce swelling. We headed to my friend’s house where my fiancé was going to "baby-sit" us both. My friend was in major pain, but I was doing really well so my fiancé and I got her comfortable in bed and then headed out to run some errands and pick up dinner. I think at that point I probably still had a lot of the Lidocaine in my system which was keeping the pain away.
I had a salad with boiled eggs, and Tofurkey slices for dinner. My friend had BBQ and some fried foods including okra and other "sides".
Towards the end of the first night I was swelling really bad and felt like I was literally going to "pop" out of my garment. I felt like Violet Beauregarde from Charlie and the Chocolate Factory, like I needed to be "juiced". I tried showering and pressing on my belly to see if I could get any of the liquid out to relieve the swelling, which I couldn’t. I was in a bit of pain just from the swelling of the garment and called the doctor after the shower to see if maybe I needed those drainage holes put in… but hoped not! I mentioned that my friend was still draining and I hadn’t drained at all. He told me not to worry about it because our procedures were very different since he used so much saline/Lidocaine on her and less on me, as well as putting the drainage holes on her. He told me to take the Vicodin, which I did and it put me to sleep.
DAY # 2
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I woke up the next day and felt MUCH better. The swelling had gone down a lot. I still felt like my body had a weird shape to it, but I knew the swelling wasn’t totally gone. getting up to move around was practically impossible. I felt like I’d done 2,000 sit-ups in a single day! Every time I moved it hurt because I usually use my ab muscles and never realized exactly how much I used them. I had Seinfeld on t.v. and had to change the station because every time I laughed it hurt. Coughing was nearly impossible as well and I had to drink water to just pass stuff down my throat. It was almost impossible to stand up, and took me a good 30-40 seconds to straighten up, once I was standing. However, I did get up and walk around. I had cucumbers to start with for breakfast because I wasn’t sure if I could stomach anything. I quickly followed the cucumbers up with 2 boiled eggs and a chocolate whey protein shake. I started taking the Arnica pills and drinking the pineapple juice the second evening. For dinner I had two more boiled eggs, Tofurkey slices and a salad with cucumbers.
My friend opted to remain off of the Vicodin and has been taking Tylenol instead. However, she was also in bed all day.
DAY # 3
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Getting out of bed today was MUCH easier than yesterday. This morning I took the Vicodin, antibiotic, and arnica pills. I had two boiled eggs, a chocolate whey protein shake, and pineapple juice for breakfast.
I can stand straight up with no problem. I can even cough! It hurts a little, but not too much. The swelling is down a lot more than yesterday. Primarily my main issue it that my skin feels very taut in my abdomen area. I took off the padding and tape, since I’m not leaking, which makes it feel a lot better! I have a few minor bruises; I’m planning to start using the arnica gel tonight. I feel like one of my bruises might actually just be at the top of the garment where I swelled up around it. I think I look a lot worse than I actually am because even after showering and scrubbing I can’t get all of the lines off from where he used the markers on me… and the blue marker does look like bruised lines even though they aren’t.
I actually don’t look lumpy at all! I’m still a little heavy on the bottom, but it’s nothing bad and not really noticeable unless I look from the side in the mirror. As I said earlier, I was REALLY bottom heavy directly following the procedure. I’ve been either sitting up or standing for the days following the procedure so I suspect that the small pooch is actually just saline/Lidocaine sitting in that region that will dissolve on it’s own.
My friend is also out of bed and moving around… even after only taking Tylenol.
I’m heading home today and we think she can manage around on her own now.
I’ll try to get my original photo from the doctor’s office and post it with follow up photos as I progress.
Much thanks to my doctor and all of his staff – I love it!



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Liposelection performed on inner thighs with really no changes.

Smart Lipo: Was not worth it
Cost: $5,480
Pain: Mild
Satisfaction: Poor

I have always had "a little extra" in my inner thighs which dieting and exercise would relieve in the summer months. As I have gotten older this "extra" was no longer eliminated. So, I decided to get liposuction done to help eliminate this problem area which was very embarassing to me because of being my being of such small stature.
I had Liposelection (Smart Lipo) performed on an outpatient basis with minimal pain, and some bruising and swelling. I only needed to utilized the docotor prescribed pain medication the first 24hrs. After that discomfort was relieved with Tylenol. I iced, massaged, and wore biking shorts post op.
Within 2 months my inner thighs were back to normal. However, there was no change in the "little extra" that I carried there. Occasional swelling occurs that is easily resolved with massage. Major swelling occurs with vigorous exercise – exercise that is focused toward tighten the inner thigh muscles. This major swelling takes heat compresses and massage over several days to alleviate. While the procedure was simple and mostly pain free, the cellulite problem in my inner thighs has not changed. I read and heard good reviews about this procedure and how effective it was in resolving cellulite problems on the legs.
I’ve had no changes in the appearance of my thighs. However, I now have the swelling problems that I don’t think was worth the attempt to improve the appearance of my legs.
It is not a procedure that I will have performed again. However, I am still on the look out for anything that will help with alleviating the cellulite on my thighs which is very embarassing to me.



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Smartlipo doesn’t work

Smart Lipo: Was not worth it
Cost: $4,000
Pain: Mild
Satisfaction: Poor

I had SMARTLIPO to get rid of the fat under my chin. Not only did the procedure not work, it made me look worse. Now I find out that the procedure which uses lipo and then a laser to tighten the skin, is only successful in five percent, according to several plastic surgeons I have spoken to. Is this ethical to offer a procedure that a doctor knows will not work?



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Smart lipo is worth it

Smart Lipo: Was worth it
Cost: $5,350
Pain: Mild
Satisfaction: Excellent

I have my outer thighs done on 09-24-08. I also have scheduled my arms on 09-30-08.
Price:
So, all together it is $5,350 ($3,000 for the first area, $1,800 for the second area, plus $500 (the arms require skin tightening, and it is a bit extra). There are not too many doctors in Colorado, I have checked 3 months ago, and nobody would do Smart Lipo at all. So, it is a pretty new procedure for the state. My doctor is very professional and charges the way less than some other doctors in Denver area. For instance, I called the other office for approximate pricing, and they said that it would be $8,500 for the same areas.
The procedure:
The surgery itself was not too bad, but I was not able to fall asleep during the procedure, just my curiosity, and I also wanted to be aware of what is going on. I’m overweight (height 5’5, weight 198lb, age 35). My normal weight is 175lb (well, it is normal for me) and I have never been skinny, but I gained some for the past 2 years. I have been working out a lot lately and eating healthy; my goal is, at least, get back to my previous weight. The areas I chose for the surgery wouldn’t change easily, especially the arms.
After I passed 30th b-day, it has been very difficult to reduce the weight, and I always was unhappy with my arms, to the point that I won’t wear anything with no sleeve. On top of everything I quit smoking (3 months ago). If you smoke, and you want to do Smart Lipo, please please please quit prior the procedure!! At least, quit smoking temporary until you heal (your skin would not heal as well and as fast if you keep on smoking).
Pain:
It is painful, and do not believe anybody who says that it can be done over lunch. I wouldn’t recommend doing more than one area at a time, and the doctor I went to does not practice it either. It takes around 3 hours for one area. So I’m going to have my arms done next week on Tuesday.
The doctor sucked around 3 pounds of fat of me!!! I’ve set a record as my doctor said (well, never have I been a skinny girl )
The draining was not too bad either (just the day after surgery). Next day after surgery I went to work ( I work in the office, so I don’t have to move much, and I did not have a bad draining either, only from one incision on one leg).
It hurt a bit when they numbed me and also when the doctor was doing my superficial fat. Afterwards, it is uncomfortable to lie down, and then getting up as well. It is hard to get in the car (if you have an SUV). It is all bearable, but a bit uncomfortable. The skin is numb and feels like it is not you. I almost have no bruising (see the pictures attached). Do not forget that you won’t be able to drive home after the procedure – arrange your ride). In my case, I was able to get up from the table, and walk on my own, and I was not dizzy at all. (I ate the full breakfast at 5 am!!!! To be able to fill ok after the surgery – it is a must).
I do not have any swelling! I even called the doctor’s office to find out when I’m supposed to start swelling. The nurse said if I’m not swelled by now then I won’t swell at all. I guess I’m lucky! I measured myself the morning before the surgery, and measured again the day after the surgery – 2 inches are gone from each thigh. I did not lose much on weight yet, but the improvement can be clearly seen on the pictures (they ears from my sides are gone) My doctor said that it is ok to walk. So I started walking next day after surgery, it was 30 minutes, today I will do an hour. No power walks though, just a regular walk. I also started to massage the areas with my fingers – very gently. I put Neosporin on my incision to make it heal sooner.
Now, on day 2 after surgery (09-26-08) I fell better, my right leg hurts more for some reason, no draining (just a little bit from one incision on the right leg). I also have a small dent on my right hip (size of a quarter). Remember, there are going to be irregularities (as my doc says), so do not expect it to be perfect. That dent fricks me out a bit, but I think it will get better as I intend to walk every day and massage the areas every day as well. It is also advised to get lymphatic massage later (my doc said after 3 weeks of the procedure would be fine). I’m allowed to go to the gym after 2 weeks (2 week restriction for the outer thighs and 1 week restriction for the arms).
Medicine:
My doctor prescribed me antibiotics Cephalexin 500 mg – 2 pills twice a day 40 pills (I intend to finish them all), pain killers – Vicodin or such –take one for pain every 4 hours – 40 pills ( I personally took only 3 pills, one before the surgery and then 2 at home), Triazolam ( for better sleep and depression) – 20 pills (I only took 1 before the surgery per my doctor), and also Celebrex – take 1 pills twice daily for 10 days (Celebrex is a nonsteroidal anti-inflammatory drug used to treat pain or inflammation) – I will take all 20 pills. Beware that not too many insurance companies would pay for it.
Find out everything in advance so you have time to figure out if your insurance pays for it or you need to pay it on your own. In my case, there was no time left and I bought it for my own money ($93 for 20 pills!). Your doctor has to call your insurance and confirm that you need the drug. In case your insurance wouldn’t cover Celebrex – the best way to buy it would be on the Internet, it is as twice as cheaper then in any pharmacy (in my case – I did not know better at a time, and there was no time to think about it either). Your doctor should also give you some samples of Celebrex as well (mine gave me 12 pills). Also I got Arnica pills to help with swelling and bruising from my doctor.
Compression garment:
I also wear the compression stockings 24/7. My doctor gave me a script for them. Be aware that local store do not usually have compression garments with 20-30 compression on stock, and it takes some time to order – do it in beforehands. For some stores you need to make an appointment so they can take your measurements (ankle, calf, and thigh). In my case, I called more than 20 stores trying to find the hoses. They are costly as well. I got Mideven brand for $70, and I also ordered Jobst stockings from the net for $80 to have two pairs. It is advised to wear compression stockings for 2 weeks, so it would be handy to have a second pair.
I think that I covered all important points; I just want others to know more before the procedure that I did. If you have any questions, please e-mail me, I would be happy to help you.
 
Updated October 4, 2008
I added up some new pictures. The arms are much better now, but the drainage is more excessive then it was after the sadle back surgery. Other than that, I’m still happy with the results, but now I have a bit of swelling on my thighs, maybe I overwalked :), but sweling is a part of the process, so no worries. I started to massage my thihgs with a little massager i have at home, and planning to get some lymphatic massage next week.
Updated on Feb 17, 2009:
09-24-08 Morning before the procedure on the outer thighs


This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Smartlipo 100% worth it!

Smart Lipo: Was worth it
Cost: $7,500
Pain: Uncomfortable
Satisfaction: Excellent

I had SmartLipo about six months ago and my results are great! I had my inner and outer thighs done and my recovery was very minimal, I was honestly back to work within three days! I would recommend it to any of my family and friends.
It is very important to make sure that your surgeon is a board certified plastic surgeon because there is a difference and your results will reflect that!



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

The most important factor….a qualified doctor

Smart Lipo: Was not worth it
Cost: $5,000
Pain: Severe
Satisfaction: Poor

I had horrible results from smart lipo which have caused me to incur an additional $20,000 to fix (reconstructive surgery). Buyer beware. While I am sure many people have excellent results, the key to good results is the physician performing the procedure, the laser itself. My original procedures was perform on my flanks/back and upper arms.
He (the original doctor that performed the procedure) literally took a chunk out of my arm, leaving an enormous scar. It turns out he had very little training in this procedure and purchased the laser from the manufacturer without prior experience. It has taken almost one year and over $20,000 to correct and I am not done yet.
My advise is if you are considering going forward with this procedure, see actual patients he has performed the surgery on and most of all talk to some of those patients.



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Couldn’t be happier!

Smart Lipo: Was worth it
Cost: $1,500
Pain: Painfree
Satisfaction: Excellent

I have always eaten healthy and exercised daily but just couldn’t get rid of my love handles. So I had smart lipo done and it absolutely helped me. The "hate" handles are gone and it was completely painless. The area was left tighter then it was before which is better results than regular liposuction that leaves the skin saggy. Since the skin became tighter in that area my tummy became taunter too making it a two for one!
I had minimal to no bruising for a couple days and was back to work the next day and in a bikini that following week! I would consider it for other areas when needed. There was no pain, no scarring or saggy skin and no down time to recover. What more can you ask for?



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Saddle bags gone today!

Smart Lipo: Was worth it
Cost: $3,500
Pain: Mild
Satisfaction: Very good

I finally had Smart Lipo today (2/9/09) in Santa Rosa, California. It was a super pleasant experience. The staff were attentive, the Dr was professional and fun, and I ultimately felt very little anxiety or pain.
They put me in a robe and paper panties, I got my area marked (saddle bag/outer thigh) and then got the sterile scrub down. This part was very cold, and I was naked and getting a sponge bath with anticeptic soap in front of two nurses. I layed down on the table, which was heated, and waited for the Dr to come in.
After hthe Dr came into the room they rolled me on to my side and did 4 little shots to numb me up for the holes to be cut in my skin. Those little shots didn’t hurt at all. Then they used a big long needle to numb me up. Most of the time the numbing needle didn’t hurt, but occasionally it got to the edge of my saddle bag area (into a low-fat area) and it hurt.
Once I was filled with the tumescent fluid from the big needle I really couldn’t feel a thing. They then used a metal insturment like a cheese grater to "tear up" some of my fiberous fat (they told me I had very fiberous fat). This felt like someone was using a metal insturment in my leg, but like my leg was that of a dead animals. It didnt hurt, it just felt like there was a lot of back and forth and breaking up of stuff in my numb leg (this may have been the worst part- just because it seems a little barberic). Then came the laser and the suction, both of which were a total non event. No pain, no rough sensation at all.
Then he flipped me over to the other side and started the process all over again. All in all, 400cc’s was removed, and they only used less than 1 bag of tumensend fluid  to numb me up.
I am laying in my bed now- writing this- and experiencing no pain at all. But I have peed a few times and my right leg has been shooting out some fluid every time I sit down. Everyone says to be prepared for this- but it really takes you by surprise!
I will update with pictures once I can get the garment off…
 
Updated: February 20, 2009
Now- 11 days post op I am totally happy. I am uploading some before and after pictures.
My only concern is the scars! I have 4 on each leg, and half of them are healing really well- the other half are looking red and like they are forming scars. I have been using neosporin, vitamin E, calendula oil, and a natural scar oil that is a blend of different herbs and oils.
Anyone have any experience with those silicone pads or anything that really worked? Regardless- I am so happy with my results!
Updated on Feb 20, 2009:
Anyone have advice on how to monomize the scars from Smart Lipo?
 
front before (I am lopsided!)


This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Smart lipo was awsome

Smart Lipo: Was worth it
Cost: $7,800
Pain: Mild
Satisfaction: Excellent

I had Smart Lipo and it was really amazing! Just the process was awsome.  My surgeon was very professional and did better then I would’ve imagined!
I had my abdomen, inner and outer thighs and my hips done.  The Dr made my stomach slim and sexy and made my muffin top on the top of my hips dissapear. She also got rid of the fat on my thighs. 
The only pain I felt was minor muscle pain when I put pressure on the areas, other then that I was fine.  I didn’t take any a single pain pill and even took a nap during the procedure! It was so easy!
I feel that I look amazing now and can’t thank mt Dr enough! I highly recommend her, she made me look and feel amazing! I’m so happy that I chose to do Smart Lipo and picked the perfect doctor.



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

Happy so far

Smart Lipo: Was worth it
Cost: $9,400
Pain: Mild
Satisfaction: Very good

So far I’m please and would do it again. I am 53 years old and in spite of good diet and working out 3 times a week, I no longer had a waist and I had a belly that wouldn’t go away (menopause). In addition, I have had “thunder thighs” all my life.
I had Smartlipo on 27 Feb 09 and so far I’m happy. My doctor used the suction method to extract approximately 10 lbs of fat from my upper and lower abdomen, flanks (side of waist and back below bra) and inner and outer thighs. I have very good skin for my age and before the procedure my doctor told me that my results should be good, except my skin may be a little loose in the inner thigh area. Most people don’t have as much work done as I did, preferring to have only one or two areas done at a time, but I only wanted to have to wear the garment one time.
The procedure was long and wasn’t pleasant, but not as bad as I expected. I was given two oral sedatives when I arrived at the office and I was awake the whole time (I arrived at the office at 9am and left just before 5pm). I listened to a recorded book on my MP3 player the whole time which kept my mind off what was going on.
I drained for a little over 24 hours, especially from my thighs, which was unpleasant and messy, but all the holes closed up after that and much of the color from the bruising is going away. I was up and getting around fairly well after 2 days and I only needed the pain medication the night after the procedure. After 1 ½ weeks my thighs are still purple, but getting better. I still have considerable swelling and during the day and the areas can get hard and tender. I hope this will diminish soon. By the end of three weeks I will be very ready to get rid of this body suit. I am 5’10” and I don’t think it was made for people taller than 5’7”. I tug at it a lot.
As soon as I got home I could see the difference in my waist. I now have one! I still have considerable swelling so my abdomen is still there, although flatter and not as pronounced and I don’t see as much difference in my thighs as I would like. However, I will give it more time for the swelling to go down before final judgment. Even with the swelling, I now can very comfortably wear pants that were very tight before the smartlipo. I also am very pleased with what I see in the mirror.



This review is the subjective opinion of a Patient and not of this website!

Original review from realself.com

**Nothing contained on this Website should be construed as medical advice or diagnosis. The information and reports generated by us should not be interpreted as a substitute for physician consultation, evaluation, or treatment nor as an endorsement of any Third Party Sellers products or services.