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42 Year Old Male Lower Ab Smartlipo

Worth It
Spent: $2,350 in Tempe, AZ

I had smart lipo done on my lower abs on 8/22/10. Pain was uncomfortable to none. Dr. did give me ativan prior to procedure. Pain started at home a few hours later, in hind sight I should have taken pain meds when I first started to feel pain, but I waited. Very little to no pain next day. It's monday 8/26/10 I'm back at work and have not talen any pain meds in two days. Before surgery, I could pinch an inch of fat just around my lower abs. This morning, even still swollen I can't pinch anything! I can't believe it! amasing so far! I was exercising 6 days aweek, heavy weights in Am and cardio at night, 600 crunches and I couldn't get rid of the roll of fat. I can't wait till all the swelling is gone.

Read more ~ Updated 18 Aug 2010 »

Updated on Jul 30, 2010:

Just posted my pre and post pics. Sorry they are from my cell. The post was taken the day after the procedure.

Updated on Aug 2, 2010:

It's been 11 days since my procedure. incisions have gotten smaller and smaller to the point that when they are fully healed, they will probabley be undetectable. I have to say that I can't believe I waited to get this done! I still am excited to see that the total impact will be after 1 month. I should have a good indication at that point according to my Doctor. The pics I have here where taken only 1 day post so I will put new ones up when the month is over. Good luck to all of you in the same boat. Have to say the compression garmet is not fun when it's a 110 degrees in Arizona but it's bareable.

Updated on Aug 5, 2010:

It's 2 weeks post procedure today and I have to say I'm happy again. The swelling is down and I have been in my routine of weight lift in AM and cardio (3 miles treadmill) in PM and my 600 crunches. Last night when I got home and took off my compression garmet I was shocked at home thin I looked from the side view….I haven't felt or looked like that since my twenties. I think the cardio at night is somehow helping with the swelling.

Updated on Aug 18, 2010:

8/18/10 I went in for my 1 month follow up with the Dr. It went well dr. thought healing process was going as planned although I "still have some swelling". I have to say that my stomache looks better and better each week. I had a few rough moments intially after the first few days when the swelling began but overall I'm very pleased with the results after only 1 month. I can't wait till 6 months if it already looks this good now. Why did I wait so long to do this?

Original review from

SmartLipo is the Way to Go for Localized Fat

Worth It
Spent: $5,995 in Boulder, CO

The price was wonderful considering all the areas treated. I am a very active woman who eats healthy doesn't just work out, but trains to maintain strength, power, speed and endurance on a regular basis. Even with all my hard training and healthy diet, I had areas on my body that would not go away, even when I was training to compete and had only 16% body fat. This procedure had nothing to do with numbers on a scale, rather localized sections of fat that were completely resistant to exercise and diet.

The cons: it is a little bit painful after the procedure, but I am on day 2 without any pain medication so it's not completely unbearable pain. There is also bruising, so far minimal and I'm hopeful that the vitamin K cream will help with that.

Pros: The doctor and staff were GREAT and so helpful! I've never met a nicer staff at any medical facility. The nurse sat and talked with me throughout the majority of the procedure and held my water so I could occasionally sip it when my mouth got too dry.

I am still recovering but am excited to see my results!

Original review from

Upper & Lower Abs, Love Handles, Bra Rolls (Inner and Outer Thighs, Arms Next Week) – Austin

Worth It
Spent: $6,000 in Austin, TX

I had Smartlipo on my upper and lower abs, love handles, and bra rolls 2 days ago. I am 45, 5'8 and I weigh 180. I exercise regularly and previously a a tri-athlete. I have always been very fit an athletic. I have had health problems in the last 5 years where I cannot work out as much as I used to , but I have just been unable to take off weight in certain areas. Before doing Smartlipo, I researched it well. I talked with 3 different docs before deciding on my provider in Austin Tx. The staff at the med spa have been wonderful, along with the doctor. They were knowledgable and professional. Ok… here we go…. I am going to try to hit all the areas that most people would want to know about. The numbing injections were not as bad for me as some people describe. In certain places, they hurt, but nothing that was intolerable at all. I The procedure itself was not bad at and for the most part I did really feel anything. In a few places it hurt, but the doc would add more anesthesia, and then it was fine.

We took pics and measurements before the procedure. The whole thing lasted about an hour and 1/2. The doctor was very particular and went over each areas several times. He was really a 'sculptor' as he did this. We talked through the whole thing, so I could easily carry on a conversation while the procedure was taking place.

When the procedure was over, Alicia, the nurse put dressing over the small incisions (7-9 of them) then she put on 2 very tight 12 inch wide elastic bandages (like a very wide ace bandage) and then the compression garment, which looked a lycra elastic black leotard) and I was on my way home. The draining continued and by the time I go home all the pads had to be changed. I used Maxi pads that were cut in half or thirds or whatever size I needed to cover incisions. I put folded up old sheets on my bed along with a towel to sleep on. I made it to 3 a.m. before I had to get up and changed the pads. The first night was not too bad in terms of sleep or pain. I was sore, but not intolerable.

The next morning I felt pretty good, although I did feel like I had a really hard workout. I went out to buy groceries and went to Kohl's to try on and buy the Flexees corsette that a friend recommended. I was pretty tired after that and came home and slept, then went out again later for dinner and to the whole foods store to get Arnica gel for the bruising. Make sure you use the Arnica gel… It is amazing stuff. I was putting it on both sides of my lower abdomen and by the time I was doing the second side, the first side bruising had already faded. I am also taking the Bromide and arnica tablets and I think that has really helped because I bruise very easily and I have minimal bruising from the procedure.

The second night was bad. I was very sore laying on my back and it was too painful to try to lay on my sides. I gave up the battle at 3a.m. and just got up and took some pain medication, but had to stay up. I should note that I because more and more sore and swollen throughout the first day and by the end of the day I was really done… My abs and back, etc, were sore like I had really overdone it in a work out, but I was never incapacitated by it.

So this is the the morning of the second day, which everyone said is the worst time, but so far I don't feel as bad as I did last night or through the night. I have taken some measurements. Right before Smartlipo, my waist was 33 inches. Even with all the swelling and wrapping, my waist was 32 yesterday and today it is 31 1/2. The top of my hips are 39, but I a not totally sure what they were pre, because I am not sure I am measuring in the same place. So I feel pretty good today so far. not as sore as last night, but still sore. Swelling comes and goes, but seems to be down today.

Next week I will have inner and outer thighs and arms done. I will keep posting and when I have a first set of after pics of the upper abdomen and back, I will post some pics.

Draining: I started to drain IMMEDIATELY and drained for about 30 hours. The worst drainage was from the incision above the pubic bone; there were times when liquid was literally pouring out of that incision. I used maxi pads that I cut in half. The draining was not that annoying; just have to keep up with it and it was basically only for a day. I am using Bio-gel on the incisions and i HIGHLY recommend it.

Read more ~ Updated 21 Jan 2011 »

Updated on Jul 19, 2010:

I am on day 4. The last few days I have definitely been sore, but not unbearable. It gets worse at as the day goes on, but not intolerable. Yesterday was a day when I had much less soreness until trying to sleep last night. The swelling seems best in the morning and gets worse during the day, but all-in-all the swelling is not too bad. My bruising is minimal. I am back to work today and it should be no problem. Throughout the past few days I have pretty much done my usual routine of walking and going to the grocery store and working on different things and it has not been problem. I did accidentally run into a doorknob with my stomach yesterday as I was getting into the shower and that was awful. I almost passed out from the pain. I will post more pics in a few days. Right now it looks pretty much the same as day one.

Updated on Sep 22, 2010:

I just uploaded my befores and 2 months post. You can see a dramatic difference, but I also need to note that I have been dieting and working out a lot. I have lost over 20 pounds so not all of the affect is from the Smartlipo. All-in-all I am happy with the results. I feel more healthy and an in much better shape. The areas that I am not thrilled about are the flanks/bra rolls on both sides. I don't see much difference in the rolls and I don't feel like there is a very dramtic difference in the area beside the breast area, although I was wearing a tight camisole that would have made it difficult for the doctor to see accurately. There is also a little flap of fat that was not removed on both arms. I need to note that my doctor said that he would touch these areas up so I will post pics again after the touch ups. Like I said, all-in-all, I am happy and the smartlipo helped to get me motivated to diet and work out more to be able to lose more weight. I still have 15 pounds to go….. reply

Updated on Sep 27, 2010:

As promised…. Here are my before and 2 months pics…

Updated on Sep 27, 2010:

Captions added…

Updated on 21 Jan 2011:

As you can see in my after pics, there was not much change in my flank/love handle area and there was some residual fat in the stomach are. Yesterday my doctor did a touch up to these areas. Just as before, I am pretty sore today and I am taking my bromelain and arnica. It is not unbearable though. The touch up to my stomach was more painful because there was scar tissue from the original procedure in July. It hurt quite a bit, but it was not unbearable. The thing I need to mention is that I have continued to lose weight. In the last (post 2 months) pics I posted, I had lost 20 pounds and now I am up to 37 pounds before my touch up so not all the results you see will be from the lipo. However, my doc took pics right before my touch-up so I will try to get them for comparison. All in all this has been a positive experience and it helped me get on the ball and lose weight and I feel a lot better.

Original review from

Not Nearly As Painful and Scary As I Feared

Not Sure
Spent: $5,700 in Fort Worth, Texas

I had my inner and outer thighs and knees done. I've always hated these areas, and they are completely out of proportion with the rest of my body. My lower half is about two sizes bigger than my upper half, and even working out at the gym 7-8 hours a week and eating small portions and only healthy foods wasn't helping. I was TERRIFIED before the procedure, sick with fear after hearing all the comments here about how terribly painful the procedure was. Guess I was lucky, it wasn't anywhere near as painful as I was afraid of.

This doctor does the procedure under local anesthesia, not general. The nurse gave me one hydrocodone pill to relax 30 minutes prior, then a shot right before the procedure started. Most of the next 2 1/2 hours were a blur. I slipped in and out most of the time, only vaguely aware of what the doctor and nurse were doing. I didn't even feel the numbing anesthesia being injected into my legs. Two or three times I did feel really intense pain in my inner thigh as they worked on it. I remember moaning in pain and grabbing onto the bed, but all those times put together probably lasted no more than 10-15 seconds. Other than that, the pain and discomfort was not even a two on a 1-10 scale. Altogether the doctor made twelve incisions. I lost all concept of time and was surprised when they told me they were all done.

When I got home I limited my Vicodan intake to about 3 a day, one about every 7-8 hours and the pain wasn't bad at all. Just like my doctor's office told me, it felt like I'd done a marathon workout at the gym: super sore muscles, it was painful to walk and sit. But nothing unbearable. Had the surgery on Thursday morning and was back at work by Monday morning. Am still extremely sore and can't take Vicodan at work because it makes me too sleepy. Am on Extra Strength Tylenol now, which will get me through the day until I can get home and take a Vicodan and go to sleep tonight. I had virtually no drainage of blood or fluid after I got home from the procedure. My husband changed my bandages that night, but we didn't really need to. We put towels on the car seat coming home from the doctor's office and I slept on a shower curtain with towels on it the first night, but didn't need to, as nothing seeped through any of the bandages.

Wearing this compression garment is a major pain in the neck. Texas in July is not a good place and time to be wearing a full body garment, from shoulders to ankles. But I'm determined to wear it the entire 2 weeks, as I don't want to mess up my results after all this cost and discomfort. One of the most difficult things about this whole experience has been getting that darn garment back on after showering the day after the surgery. I was so swollen and sore and having to pull and tug and try to get the garment back on straight was TOUGH. As for the results, I'm only 4 days out and too swollen to really tell yet. My husband says he can absolutely tell the difference and he says my saddlebags are definitely smaller, but I don't see it. I know I am still extremely swollen and am just hopeful that over the next few weeks and months it turns out to all be worth it.

Original review from

Male Chest and Flanks Smartlipo

Worth It
Spent: $5,500 in Sterling, VA

Male, 23, did smart lipo today (9 July) on chest and flanks. Pain is not that bad. Draining a good amount so changing gauze every 30 minutes. The procedure did not hurt at all, more of a mental anguish knowing that the instrument is ripping through you fiberous tissue. I can walk around with no problem after surgery.

Original review from

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