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Smart Lipo on Upper/lower Abs, Flanks - Atlanta, GA + inner/outer thighs/hips 6 weeks later!

Worth It
Spent: $6,970 in Atlanta

Comments (65)

Updated 29 Apr 2012

Posted 12 May 2011

Woo hoo! My treatment day is finally here - I am going in tomorrow morning (5/13/11) at 6:30 a.m. I am going to have my upper and lower abs done and my flanks. I am also having my inner and outer thighs done in June in a separate procedure.

I have had this belly since I gave birth to my son 28 years ago and it is time for it TO GO! I am petite, but have never been able to get rid of the belly or muffin top no matter what type of exercising I do. And, I was born with big thighs. With the onset of menopause, it has only been getting worse...

I started looking into Smartlipo at the end of the summer last year. All the posters here have been a great help and I finally decided to just go for it. I am not looking forward to the recovery, but no pain, no gain, right?

I am 51 years old, 5'4", 123 pounds. I am going to post my measurements, too, because no one seems to do that and I have wondered how many inches people are actually losing. So, as of right now, my waist measures 29 inches and my belly/gut/muffin top is 35 inches at the widest part of my flabby tummy :)

I am attaching my "before" pictures - good Lord, maybe I should have opted to get the thighs reduced first, lol.



Updated on 14 May 2011:
Day 1 - I am really surprised that I am doing so well today! I have not taken any of the RX pain medicine they sent home with me: I did take 600 mg of ibuprofen this morning (ibuprofen reduces inflammation, Tylenol does not).

I don't remember a lot of the actual surgery - they gave me great drugs! I do remember Dr. Okoro telling me each step during the procedure before he did it so I knew what to expect and being to told roll over occasionally. I was surprised that the anesthetic didn't hurt, it was just little needle pricks in each area that he numbed. I do remember some discomfort from the laser (or the suction?) around the upper abdomen where I didn't have as much fat to remove. They took out 1150cc of fat!

I leaked a lot yesterday and slept downstairs last night on the couch with lots of towels and one of those plastic-backed pads that you see in hospitals (you can get them at Walmart) under me. So far today, I am oozing a little but the drainage has mostly stopped.

Pain-wise, on a scale of 10-10, with 10 being the worst, I'd rate today about a 2-3 if I am just sitting on the couch and about a 6-7 when I get up or sit down (just for that couple of seconds, then it goes back to a 2-3 again.) It's really not as bad as I was expecting. People are right when they say it feels like you have worked out really hard and have sore muscles, except that the pain is really deep inside - it's almost more like a "pulling" feeling, like your insides are tight...I can't explain it any better than that.

Updated on 15 May 2011:
Day 2 - OMG!!!! How do they expect you to crowbar yourself into this garment?? It takes hubby and I together to get me into it!

I LOVE what I am seeing so far! One weird thing - my lower abs are actually smaller than my upper abs right now. My waist today is 28 1/2 inches, the ex-muffin-top is now 34 1/2 inches (so 1/2 inch less for each measurement). I think this is AWESOME considering that I am swollen and my surgery was only two days ago!! My stomach looks like it used to when I was sucking in my gut only now I'm not holding it in :) I really don't have much bruising either, thanks to a great surgeon and the arnica/bromelain/tons of water I have been drinking.

Pain-wise, I am doing well! I haven't taken any ibuprofen or any other pain meds today. Pain when getting up or down is now about 4-5 on a scale of 1-10, and it just hurts for that couple of seconds that it takes to get up (or down). Other than that, no pain and just slightly tender when showering. I am starting to itch, though. Also, all of the incisions have healed over except the one at the bottom of my stomach. Maybe due to gravity?

Went grocery shopping, ran errands, did laundry today, all with no problem. But, now I am seriously dizzy and light-headed. I guess I overdid it - makes me wonder what it will be like at work tomorrow? Also, I am behind on my water quotient for today, so that may be part of it.

Things I Have Learned So Far:
1. You'd better have someone around to help you for the first several days or you'll never get back into your compression garment.

2. Absolutely stick to drinking 1/2 of your body weight in ounces of water (so if you weigh 140 pounds, drink 70 oz of water per day).

3. DON"T use maxi-pads with those little crisscross "quilted for better absorption"-type panels unless you want to look like you have applied waffles to your body. I thought getting the thick pads would be good for the oozing, but never thought about the impression they would make!

4. Move SLOWLY in the shower. Normal, regular movements will make you very dizzy and light-headed.

5. Beware of how you zip up the garment - on mine there is a "flap" under the zipper so you don't get a zipper imprint. I didn't realize mine had bunched up in a couple of spots and those are the places that are bruised.

Updated on 16 May 2011:
Day 3 - I went to work today and worked the full day. The pain was tolerable - again mostly just when I stood or sat. BUT, I have been really light-headed and dizzy today - that was worse than the pain I've had so far. I went in to the Dr's office after work and they checked vitals (OK), checked to see if I was dehydrated (no) and if I am eating enough (yes). They came to the conclusion that my electrolytes are out of balance so I am chugging PowerAde along with my water quota now. I swear this compression garment has something to do with it - it is so tight that I feel like I can't draw a full breath. Ugh!

Updated on 17 May 2011:
Day 4 - Still lightheaded but I feel wayyy better today as far as soreness. Now it seems more like a "tightness" when I bend down or get up. I am not seeing much difference in the mirror (I was really hoping to have a six-pack by now, lol), but what little bruising I had is disappearing (thanks to the arnica and drinking tons of water). Some of the incisions are still not healed over either so I am glopping on an antibiotic cream. Oh! Maybe they are still oozing because the gallons of water I am drinking are leaking out :)

Updated on 18 May 2011:
Day 5- Pretty much the same as yesterday. I am moving around without much pain, just a "tightness" in my abdomen. I still hate the compression garment :) I stopped by Target this evening and got two Spanx-type camisoles to wear while I am out of the garment (which I only need to wear for 12 hours/day now, but am still wearing 24/7).

Updated on 20 May 2011:
Day 7 - I had my 1 week post-op check today and have lost 1.5 pounds and 1 inch off both my waist and my muffin top - yea me!

Today is the first day I have gone without the compression garment and, as much as I hate it, I am going to put it back on as soon as I finish this post! It's been off for about 10 hours and I am feeling wayyy bloated and sore even though I have been wearing a Spanx-type camisole. Rats! But, I guess I need to get used to it because the surgeon actually wants me to wear it as close to 24/7 as I can for 5 more weeks for best results. Ugh! Still gulping the water and taking the arnica - the bruising is mostly gone (although I feel bruised deep inside), but the swelling is starting to take over now...

Updated on 22 May 2011:
OMG! This is the first time I have felt the "numbness-but-sensitivity" that everyone has been mentioning. I thought I would go nuts yesterday - I was so itchy in one spot but I couldn't "scratch" the itch! I could feel where it itched and could obviously scratch the skin, but it wouldn't penetrate through the numb skin to get deep enough in my tissues to relieve the itch. Arrghhhh! :)

Updated on 5 Jun 2011:
Week 3 - The bruising is gone and I am starting to (barely) see a change. I still have lots of swelling so I am not noticing a dramatic difference like some other posters. I still have some numb areas and some "bruised" tenderness if I push on an area. I am still drinking lots of water and still wearing the compression garment as much as possible. I have started back to exercising and yoga. So far, I have lost 2 pounds, but the tape measure says I have lost 1 1/2 inches from my waist and 4 inches from my muffin top, so I know there is progress even if it isn't dramatic yet!

Updated on 12 Jun 2011:
Week 4 - not much to report. I have lost 5 inches total off the muffin top, which is great, but I feel like I can't really see it yet, so I am glad I measured before the surgery. I haven't gained weight and haven't lost it, and I don't really have any noticeable difference in my pants like some other posters seem to. I do see a flatter stomach when I am sitting down, which is nice!

Updated on 19 Jun 2011:
Week 5 - finally starting to see results! I have been really trying to do lymphatic massage on myself daily and I am slowly starting to see the swelling decrease, although I can still definitely see swollen areas...

Updated on 26 Jun 2011:
I am on Week 6 now and still noticing swelling. It comes and goes. I look great first thing in the morning and pregnant in the afternoon! I asked the Dr about it since so many people here seem to have NO swelling by the 6 week mark. He says that we all heal differently and it is normal to still have it, especially if I do anything strenuous. I am really happy with the results when I see myself first thing in the morning, though! Here are the pics, see for yourself...

Updated on 28 Jun 2011:
I had my inner/outer thighs and hips done on Saturday (the 25th) so I am now on Day 3 from the 2nd surgery and in week 7 of the first one. I can say that I am starting to see more results in my abs now (finally) but figure that's because all the swelling migrated south to my thighs :). I was pretty sore on Day 1 (sat down realllyyyy slowly), went back to work yesterday (Day 2)and it was bearable, and was doing great today (day 3). I have hardly any pain today unless I bump my thighs. I'm bruised, though! On pain, no gain, right?

Updated on 3 Jul 2011:
Week 1/Thighs - boy, am I bruised! I"m taking my arnica faithfully, so I hope it goes away soon. I am not seeing results yet, in fact, I am about 1/4" bigger right now than before surgery, due to swelling.

Updated on 27 Aug 2011:
I am now at 3.5 months for my upper and lower abs/waist and just over 2 months for my inner/outer thighs and hips... I can see results, so I am happy, but not ecstatic like some people are (I was more excited at the beginning!). I can see that the "poochy" stomach is gone and that the thighs are smaller on top, but, seriously, my measurements are almost exactly the same as they were when I updated in week 4 after the procedure. Sorta thought I would have had more definitive results by now...I posted pictures, you be the judge!

Updated on 23 Oct 2011:
So, I have changed my vote about whether Smartlipo was worth it from "Worth it" to "Undecided"... I am at 5 months for my upper/lower abs and waist and they haven't changed a bit - I am still wearing the same size pants, still have the same measurements (btw, my weight hasn't changed). I can visually see that the lower ab "pooch" is gone, so I am happy about that. Maybe I had higher expectations than I should have because one of the Dr.'s staff told me she had gone from a size 8 to a size 4 after her surgery. I was hoping for at least 1 change in pants size!

I am still numb along my waist and I can actually see that my incision areas are smaller than the surrounding skin(the skin is more indented or shrunken? Don't know how to describe it), so I am hoping this means I am still swollen. I had the abs/waist done in May and the thighs/hips done in June. My mom-in-law passed away 3 days after my second surgery and we flew to her funeral - the flight made me really swollen and they told me it would delay my results by a month or two. I am starting Smooth Shapes next week as they say it will help, but I am not holding my breath at this point...

I must say I LOVE my thighs! (They still measure the same, too - but I can see a big difference. They tell me that thigh results take the longest to see.) That surgery was definitely worth it.

Updated on 28 Oct 2011:
I am adding new pictures. I took some today for the Smooth Shapes review I'll be doing (hoping that will get rid of the swelling/lumps/bumps/numbness that I still have...)

Updated on 14 Jan 2012:
I meant to update sooner than this but the holidays got in the way! I finished the Smoothshapes treatments on my waist and abdomen just before Thanksgiving. I had 7 treatments plus 1 Velashape treatment. I am MUCH happier now! I thought I still looked pretty puffy 5 months after my Smartlipo surgery but the Smoothshapes definitely helped (see pictures below).

I lost 2 inches from my waist and 3 inches from my abdomen from doing the Smoothshapes treatment! I actually went out and bought my very first sweater dress and wore it over the holidays because I was so pleased with how I look now! (And I was told I looked hot so yippee for Smartlipo/Smoothshapes, lol).

I have my 6 month followup (actually it's been 8 months, though!)on Thursday. My waist is not as contoured on the right side as it is on the left and I still have an indentation around one incision on the left side, so I want to ask about touch ups.

Updated on 29 Apr 2012:
Yay - gonna do a touch up on Thursday 3/3/12. I still have a "bubble" on the lower left of my abdomen and I am a little bigger on the left side than the right at the waist (meaning my left side is not symmetrical with my right side). I also decided to do the bra roll while I am having the touch up since that area bugs me now that everything else is thinner. Even with that, I am suddenly having people ask me if I have lost weight (I haven't) so I am happy with the overall results!

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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My Doctor: Stanley Okoro, MD

My rating:

Dr. Okoro was very courteous, patiently answered all of my many questions, never rushed me, and never made me feel that anything I asked was silly. He drew circles all over me so I could see/approve the areas he was working on before I went into surgery. During the surgery, he told me what he was going to do before he did it, so I knew what to expect.

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Comments (65)

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Kirsty Cornwall (Community Manager) 13 May 2011

Good luck with your surgery today! Let us know how it goes.

LeighB 15 May 2011
I'm so glad it went well for you! Can't wait to see the after pics. Hope you're still feeling well!
Robinette 15 May 2011
I'm doing well - how are you now? You are now about 2 1/2 weeks post-op, right? Tell me things are tightening up and that the compression garment (which is driving me NUTS!) is more comfortable! Do I remember correctly that we have to wear it for 6 weeks? Is that 24/7?? Ugh...
LeighB 15 May 2011
Yes 2 1/2 weeks and doing really well. I went by the email instructions that you get after the procedure and ditched the garment they give you at 10 days and am now wearing high waist extra control briefs. I have a few different brands, most from Walmart. They are a little difficult to get on and off but feel just as supportive but don't cut in my waist and abs when I'm sitting down. The garment they gave me I felt was cutting in to me in certain places causing swelling in those areas. It was great when I was constantly up and walking but not designed for sitting. I did wear it 24/7 for 4 days and went to 8 hours off 12-16 until the 10th day. As far as tightening I'm not sure if that's happening yet, maybe a little. I feel similar to how I did after having a baby, that loose skin just took weeks to firm back up so I'm just expecting the same now. Your pics look great!! Glad you're doing well!
Robinette 17 May 2011
Yeah, I totally understand about how the garment is cutting into you. I am on Day 4 now and took it off to launder tonight - I have these big wide lines running across my stomach where it digs into my waist. And the zipper "crunches" up in certain places, what's that about? I'll have to look into those extra control briefs... Thanks! I'm glad you are doing well, too!
LeighB 17 May 2011
Make sure you get them that come down to mid-thigh. I made the mistake of not getting those and noticed swelling in the hips and couldn't understand why until I noticed my briefs were the cause! If you get the ones that go down to mid-thigh it doesn't cut the circulation at the hips. I'm hoping the swelling will eventually even out again! I also still have one incision on my lower abdomen that has not healed yet and the two on my hips are almost healed. Hang in there!
CrashAtAll 17 May 2011
"OMG!!!! How do they expect you to crowbar yourself into this garment??"
This is so true! I laughed so hard at this!!!

"DON"T use maxi-pads with those little crisscross "quilted for better absorption"-type panels unless you want to look like you have applied waffles to your body."
I wish I had realized this sooner as well, also, so funny... I love your post. I agree with everything!


"Beware of how you zip up the garment - on mine there is a "flap" under the zipper so you don't get a zipper imprint. I didn't realize mine had bunched up in a couple of spots and those are the places that are bruised."

Regarding this point- I actually stick one of the maxi pads (still the waffle kind) under the zipper area, running the length of my tummy so that when it bunches when I sit, the pad keeps it from digging into me.
Robinette 17 May 2011
"Regarding this point- I actually stick one of the maxi pads (still the waffle kind) under the zipper area, running the length of my tummy so that when it bunches when I sit, the pad keeps it from digging into me."

Hmm, That's a good idea! I wonder if that would work in the pubic area, which is the most swollen and bruised part on me...? What a choice - zipper lines or waffle marks!! :)
go4health 18 May 2011
Hi, I just continued to use those incontinence pads that are used for beds, and wrap it around my torso....No lines at all....
CrashAtAll 18 May 2011
OMG duh. Why didn't I think of that? I have two left and everything.
Robinette 18 May 2011
Yeah, that totally makes sense. Thanks!
LeighB 21 May 2011
It's weird how you get sore from not wearing the compression garment or spanx! I went a day without it and decided not to do that again because of how sore I felt. Are you still feeling faint? I remember just feeling more tired on certain days up til about 2 weeks, for no reason.
Robinette 21 May 2011
Yep, still having random Dizziness. I was totally convinced that it was because the compression garment was too tight, but I still had the dizzy spells all day yesterday and I was out of it for quite awhile. Hubby says it is 'cause I am blond :)
hope01 28 Jun 2011
My doctor said it very common to be dizzy or passout which I did the first time I was able to take off the garmet with the doctor.I wasn't dizzy with it on. The next few days I sat down and made sure my husband was home when I took it off to shower. Good Luck
Sharon at RealSelf (Community Manager) 15 Jun 2011

Thanks for all the updates, Robinette. Measuring is a good idea. It's SO difficult to see results when you see yourself every day. :)

TerriD2982 27 Jun 2011

Can someone please email. I have an appointment for Thursday, but not sure if I will go through with it... PLEASE HELP!! Thanks Terri

hope01 28 Jun 2011
Hi Terri, Why are you thinking about backing out? Did I read you are doing upper/lower and hips?? I would be happy to talk to you if it would help you
:-)
hope01 28 Jun 2011
Your Doctor is ok with doing 3 seperate areas? My doctor only did my hips because I had my lower abs done and not upper. I believe it had something to do with the meds & the time for the meds to stay in your system. I think my surgery was 3 1/2 hrs I could start feeling it by the time we were finishing up. The surgery it self I would do again in a min.. The post-op for me was a little harder than I thought. My doctor said I would be a little more sore around my hips because you are doing work around the bone...I will 4 weeks Friday and today was the first day I could go for a run. It was great!
TerriD2982 28 Jun 2011
Yes upper some lower and some love handles.... It is suppost to be about 2 to 3 hours and I can go right back to work the next day... Also they said no drains either. They incision is very small. So there is very little draining. I am just nervous because of healing. I had a breast lift and breast augmentation done and it was painful. Plus I am going away the 4-5 2 hrs away... And I am working on a very large tattoo piece on my side which still has 3 sessions left. During those appointments I can't wear the compression, including those nights. Also I am having a college graduation party 7/30 and I am hoping to not be swelled then either....
Tex Cyn 28 Jun 2011
thanks for the details...my surgery is scheduled for July 7th....One question...what is Arnica?
Robinette 28 Jun 2011
Arnica montana is a homeopathic medicine. You can find it in teeny tiny little pellets in a tube about the size of a chapstick container at Whole Foods or similar-type of stores. You want to get the lower number (it will say something like 6C or 12C - don't get something higher (like 30C) because that is for chronic things and the lower numbers are for acute (surgery)). You dissolve 5 little pellets (at one time) under your tongue three times a day starting 2 days before surgery and continuing for about 2 weeks afterwards to help reduce bruising and swelling. Also, don't touch them with your fingers - they go straight from the lid into your mouth! And, nothing to eat or drink for 15 minutes before or after taking them...
Tex Cyn 28 Jun 2011
Oh crap. They only had 30c where I went so that is what I got. What dosage do you recommend with that?
Robinette 28 Jun 2011

I don't know about that - the higher number is for chronic conditions... I went to Arnica Homecare. They say (for Arnica 30C): "Recommended dosage: 3 to 5 pellets, immediately after injury and then 3 times a day away from meals. For severe symptoms, dosage can be repeated hourly, reducing frequency with improvement."

Tex Cyn 28 Jun 2011
got it...THANKS SO MUCH!!!!
Robinette 28 Jun 2011
You're welcome - good luck :)

Oh yeah - also drink LOTS of water to help flush your system - starting 1 week before surgery (I am still doing it 6 weeks later). Drink 1/2 your body weight in oz per day (so if you weigh 130, drink 65 oz of water/day).

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