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Smart Lipo on 41 Yr Old Male - Plano, TX

After years of working out i still had the spare...

After years of working out i still had the spare tire and man boobs. Finally i got tired of it and decided to do something about it. I saw a Groupon for 1199.00 and decided to "go for it". I did my research on the this site as well as you tube to educate myself somewhat and decided this was the safest route. The one thing i couldnt find is a story/review that mirrored my own. So get ready for a long read as i want to be detailed for that next guy. Seems most of the info is geared toward women and yes you can get some info but there was always something missing. If when reading this you have additional questions that I dont answer please email me and i'll do my best to answer them for you. So lets get going.

About me: Male, single, 5ft 6", 185lb, some muscle tone and i carry all my fat in the middle (spare tire) and in my upper chest (man boobs). ive always been able to lift weights and grow bigger but never get any definition/cuts except for my arms, legs, and traps. everything else always covered in fat and wouldnt show thru. I will upload before photos shortly as well as after ones.

So for my first visit experience: I met with the doctor. Very nice guy and talked to me like a normal person. Not down to me. He asked about me and my job, workout program, what i want to accomplish, etc...general info get to know you stuff. then he explained the procedure in detail and the differences between some of the other procedures. he did such a good job explaining i didnt really have any other questions to ask. he said i picked the right one and then we went to another room where he removed my shirt and checked me out. He did some pinching and feeling and concluded that i should get really good results. Then we went back to another room where he gave me his opinion on what he thought i needed. the groupon on covered one area but he gave me the same pricing for the other areas. i figured i might as well have it all done: upper abs, lower abs, love handles (sides and back), and the man boobs. so the next stage was setting up the pre op visit. at this point the required another 1K to hold the appointment.

I was luckly to get one just a couple weeks later. Anne the surgical nurse did this and she was great. Very nice and every other word was sweety, darling, honey, baby...i loved it. here we went over all the details of what would happen. and then she gave me the drug listings i would need. Arnica (reduce swelling...it goes under your tongue and doesnt taste bad at all) its OTC and they had it in the office too for 10 buck. Just as easy to get it there. Arnica gel which seems to work pretty well in reducing swelling and pain. you can get it from the vitamin store for 8 bucks. also pick up some bromilan (reduces swelling/bruising and you can substitute drinking a lot of pineapple juice which does the same thing), and vitamin C. Then a antibotic, some hydrocodine, anti nausea, ambian, and a Valium. Get them all. you will need them. you'll also get fitted for the compression garment that you have to wear afterward. ITS a BITCH to get on LOL. Its very tight so hook the hooks first and then zip it up. you should be able to breath but it will be difficult. i worked up a sweat getting it on LOL. but keep in mind that you will be smaller after the procedure so it wont be as tight.

So the big day came. I had only had a cup of coffee, 1/2 bottle of water, and a fiber one bar and my appt was at 2 pm. I was very nervous and watched some videos on youtube that scared me even more. people saying how much it hurt and all the pain they had with this. this doc did say he could bring in a anesthesiologist and put me out if i wanted him too. but all i saw there was more $$$ going out of my pocket. and he assured me it wouldnt hurt. i took my valium about 1.5 hrs before my appointment and it didnt really kick in so they gave me another when i got there. they provided me a pair of paper boxers that i just put on over my regular briefs. then they gave me a paper gown to wear and socks to keep my feet warm. after 20 min or so of waiting on a table with the lights out this one worked. the doc came back in and drew on his outline. he outlined a six pack, drew a big circle around each breast and marked the part under my arm where they extended. Then he got to the love handles all the way around my side and back. He proceeded to work up a little of my back which would in theory give me the V shape. I was impressed that he even went below my belly button to take care of the over hang.

Then its off to the operating room. by this time the valium has kicked in. Let the help you cause you'll feel drunk. Then they start to cover you up and clean you up with beta-dine (antiseptic) and here comes the needles. really they didnt hurt much. the dentist hurts more than this did. overall he made 9 incisions to complete the procedure on me. so the shots/liticane are given and then its time for them to fill the fat cavity with the saline/liticaine solution. at first it doesnt hurt at all. you just feel pressure as he pushes the tube thru all the fat tissue. think of taking a knife and stabing a roast. that is what the resistance feels like but you really dont feel anything but pressure. HOWEVER there is some occasional pain. they do the close up stuff first and then start to push the cannula deeper. every now an then they will hit a spot the lidicaine didnt reach yet. just say ouch and let them know and they will slow down and let the fluid penetrate further and it wont hurt as much. its just a quick stabbing pain and doesnt last. So now they have you full of the lidicaine solution its time to zap that fat. this is pretty painless and it makes a odd sound like bubbles in a aquarium. At this point it is painless but every now and then you will feel a burning heat sensation. Again just tell them its getting a little hot at that spot and they will back off and let it cool down. The whole procedure took about 2.5 hrs with about 1 hr of that letting the valium kick in and the clean up at the end.

I had a ride so they got me to the car and I got home to eat something. I was spent and ate a couple bites and drank a little and went right to bed. 3 hrs later i woke up and here i am writing this review. Oh and there will be more to come tomorrow after i take my first shower and get a look at myself before the compression garment goes back on. I'll get pics too and post the before, 24 hrs later, and so on as i do them. For anyone thinking about going back to work after, i wouldnt. You can and would probably be ok but take the day. the next day you should be able to go to work if you have too. I took the day off (friday) so not back to work until monday and all should be good.

lastly excuse my spelling. more to come for day two tomorrow.

Day two. i slept pretty good last night but my...

day two.
i slept pretty good last night but my stomach was a little sore. the compression vest inst that comfortable laying down but not so back you can get some rest. upon waking up i spoke with my buddy who too me and I really missed a lot. The drugs did make me lupie eonugh that i i forgot some to the things i said and did. So i ate some breakfast which didnt last with me long. Cup of coffee, piece of toast, and some yogurt. Well it didnt stay down very long. about 20 minutes later it all came back up. i tool one of my anti nausea pills and everything seems fine. i sat up to watch tv and quick started dozing off so i went back to bed for a couple hours. When i work up i decided to take a shower. I worked my way out of the vest and tossed it in the washing machine for a quick clean. i soaked the bandages down in the shower and they did come off easier but Men if you are hairy chested or have a hairy back you might want to clip, way, or near that stuff off the night before. all the hairs pulling was worse than the procedure itself. finally i got it done and there wasnt much blood or anything. i didnt recover the puncture holes when i got out and put the vest back on. now how did it look you ask: first glance not as good as i hoped but its still healing so i am not taking a lot of stock in it yet. the waist line (muffin top) was all but gone on the side (flanks) and a lot smaller in the front but still there somewhat. they went in thru the belly button so that whole area was still sore and swollen. the upper chest area was much better. still a little bit of the man boobs but i think most of that is swelling and as soon as i can get back into the gym i should "grow" into them pretty quickly. one other note about the compression vest...it itches like a mofo... more to come later but i added the before pics.

Day three... i dont think i have ever slept this...

day three... i dont think i have ever slept this much in my life over a 3 day period. its funny i am still remembering bits and pieces of my experience. I guess the valium really did a number on me but i didnt think so at the time. much better today though. yesterday i was a little disappointed at the results view but not today. much much better. the swelling is starting to go down and i am seeing the results more clearly. i am still sore but not too bad. ive only taken 2 or 3 pain pills and at this point its nothing i cant bear so i probably wont take any more unless its just to help me sleep some because there really isnt enough pain to warrant anything stronger than OTC pain relief. one thing that is surprising is i dont see any bruising. i know i probably am under the skin but the black and blue you think would be visible isnt. still one of the worst things is the freaking itching. it really makes you want to rip the compression vest off and just scratch yourself raw but you cant do that. dont get me wrong its not unbearable and it comes in waves. as long as you are still or sitting things are ok but then you stand up and you start to tingle all over. it sucks but its the price you pay to be pretty. another thing i have noticed is around my belly button its hard under the skin. i read about this before and i know it will eventually go away but it feels really odd. but lots of water and massage and everything should go fine. i cant start to imagine massaging it right now though as its still too sore but in a few days i am sure it'll be fine. all and all so far so good and i am ready to start the working out again and growing into my new body LOL. one thing...water...water...water...drink a lot of it. stay tuned...after pics will be posted on day 4.

Day 4... very little pain today and a significant...

day 4... very little pain today and a significant amount of swelling reduction. pretty much moving as normal now. as promised here are some after pics. not the greatest quality but the difference can be seen. still swollen though but i am impressed how fast healing has been and how little bruising i have. i go back for a follow up appt tomorrow and hopefully i'll get side by side before and after pics from the doc. a few questions i have to ask are about some indents spots and how i can tell swelling from remaining fat at this point. also they didnt tell me how much fat was removed but in my "high" state before i left the operating room they told me there was a picture, so i am ready to see it.

OK its now day 9 and all is well. i had my 1st...

OK its now day 9 and all is well. i had my 1st post op follow up last week. all incision points are almost healed up but the two on my back flank and side flank are a little sore. i think some of it is due to going back to work and wearing jeans instead of my lounge pants.

i finally did get a little bruising but not bad and just isolated to the incision points. and those same spots continue to itch pretty good. the doc said i can go to just wearing the compression vest 12 on 12 off and suggested wearing it in the day while at work. not fond of this and i think i am going reverse it because its really uncomfortable as you heal. i bought some compression tshirts from dicks sporting goods and am wearing those during the days and they work pretty well but are not as tight in the ab/belly area as the compression vest. doc said these were good as secondary garments for the next part of the healing process.

The doc said the removed 660cc (23 oz) of fat. it doesnt sound like much but think of it as a ice cube. when froze the volume is much greater than when its melted which is what happens when the laser explodes the fat cell. i have noticed a huge difference but i still think he could have taken a little more out of my stomach(lower) and love handle areas.

i had started my diet last week and its been pretty easy so far. i downloaded myfitnesspal from itunes to track my progress. i set it for an aggressive goal. 182 is what i weight in at the docs office and i want to hit 165 by mid/end of jan 2012. im keeping to a 1200 cal per day limit and drinking lots of water. my food intake is high fiber, low cal, low fat, low carb types of items which can be kind of hard as i dont really like veggies but its working ok so far. it really requires some planning to fit my schedule. as for my work out program i am going to start the P90x again. I did this once (just the muscle building part - not the cardio programs as i dont really have room in my condo to do that) and it worked pretty good and is easy to do at home. and it works fast too. i would recommend it to anyone and the diet program it gives you to follow is much like mine above. i want to get to the point where i can have one or two cheat meals per week without feeling guilty. it'll take a while but i'll get there.

i have my 4th of 6 follow up at the docs office just after the first of the year (2012) and he said that is typically when they take the after photos. i am really pushing myself to make that after photo look like he sucked out the fat and implanted muscles LOL

13 weeks later...20lbs lost - 5-10 to go but all...

13 weeks later...20lbs lost - 5-10 to go but all my clothes fit great, except for the fat jeans and large t-shirts.
Jeffrey Caruth

i had no issues. this went very smooth and i never felt rush or like i couldnt ask a question. anne is great and really gave me a lot of info and made sure i understood everything. dr. caruth was also great and made me feel welcome and didnt talk down to me and even asked about my life and what i do. great experience so far.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
5 out of 5 stars Wait tmes
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Comments (14)

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Thanks for sharing. Your details of the procedure were very similar to mine. People really need to take it easy for a few days. I also had my abs done. You don't realize how much you use your abs until you take on something like this.
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The doc was a surgeon and does all kinds of cosmetic surgery. you can check out their profile/web page at www.planoaesthetics.com. I didnt consider the type of surgeon as i figured they know what they are doing. Maybe naive of me but again i did this on a whim. i had my consult and then the procedure 2 weeks later at the first open spot.

As for your second question, I am not sure. The web site for the center says its the SmartLipo Triplex machine. An your are right that the smart lipo does tighten the skin. i had forgotten about that because it cotterizes at the same time. Doctor was Jeffery Caruth...he sounds just like Dr. Phil LOL
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Just read the doc's profile..not bad at all.. sucks that he's located across the crountry for me (i'm in New York) otherwise I would consider him. Did you post any before and after pictures on this site? curious to see them if available, if not, totally understand. I'm gettting more and more excited about the procedure.
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i have no issues answering your questions.
1. i did not consult with anyone who had had this type of procedure before. I just read many reviews and watched some youtube videos (its not as bad as they make it look by the way).

2. hanging or saggy skin might depend on how much you are having done. the smart lipo isnt something that really over weight people should do. this procedure is more for people who are basically in good shape and just have areas that have been resistant to exercise. i "felt" saggy in my belly for about 8 weeks but it has tightened back up as it has healed. Keep in mind they are separating some of the fat from the muscle wall so it does take some time for the muscle and skin to reattach but it does firm up. i dont feel saggy at all but still have toning to do but i have dropped about 20lbs since the procedure. its still a work in progress. i want to drop 10 more but will be happy with 5.

3. no lumps or problems. only thing i dont like is i can see the puncture marks on my upper chest. a tan will help that though. trust me its not bother enough to say "i wish i wouldnt have done it".

4. now this is the funny part. i picked my doc cause he ran a groupon and i had the extra cash at the time. but before i went in for the consult i did check the web for reviews on him. i found nothing and would recommend him. he did seem to know his stuff and was very personable as was everyone in his office. i honestly did this on a whim but it was the best 4200.00 bucks i have spent in a long time.

i'm pretty much a open book so feel free to ask any other questions.
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This is really good feedback. I"m actually about 182 lbs and mainly have a fatty area around my belly. My concern is having a losse skins afterwards but have ready in many places that the smart lipo should help tighten the skin. Two more questions if that is ok. (1) The doctor i'm looking to use isa dermatolist surgeon vs a typical surgeon. Did you consider this before your procedure? and (2) My doctor is suggesting vasar and smart lipo mpx.. do you recal what your doctor used?
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I'm 43. I'll send you a pm.
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Hi, I'm currently contemplating about getting Smart Lipo but my analytical way of being is making the decision process very difficult. I went for a consultation two weeks and really liked the doctor (not his staff though). I had some follow up questions and asked for some references. Their response was that they cant provide any because of Hippa laws, though I thought a waiver can bypass this. Though I do understand that some people might want to keep this private and note share the information. My question to you guys would be.. (1)Before deciding to move forward, did you consult with someone who had hte procedure done? (2) My concern is getting hanging or saggy skin after the procedure.. did your skin tighten afer a while or still loose? (3) any lumps? and (4) what was your criteria for choosing your doctor? Sorry for all the question, but it would be extremely helpful with my decision making process.

Thank you in advance!
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yeah i did at walmart in the exercise section. It was neopreen with velcro to attach but its a "one size" fits all thing and i couldnt get it tight enough so its going back. It was only 5 bucks but I guess you get what you pay for. Actually in the last couple of days the compression shirts are just as tight on me as the vest so I'm "officially" ditching the vest from now on.

Under local wasnt to bad at all. The 2 valuim they gave me plus the local and the local that was in the tumesent solution was enough to kill most of the pain. there were only a few times i jumped or said something. really the pain level wasnt much worse than going to dentist to have a couple cavities filled and at most a root canal. Yes I have had a couple and found in comparison the over all comfort level of awake smart lipo was better (easier to tolorate) than that of a root canal.

How old are you mark? You should post some pics. I would love to see the results but completely understand if you dont want too. I was hesitant to do it but I finally though what the hell.
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LOL fortunately I had a general anesthetic, so none the wiser. I admire you for doing it under local. Did you end up finding a binder or alternative to the dreaded vest!?
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I dont know much about spanx except that they are kind of expensive. You might try looking for a compression shirt at a sporting goods store and buy one of those. Get a size smaller than what you think and it should help a lot. some of the brands are under armor, nike, and riddell (discount brand from walmart). Trust me they do help and they are pretty cheap compared to spanx and the vest you/I got from our doctors offices (at least thats where mine came from). i cant imagine having the pubic area done...ouch.
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I feel great. I can relate to the flanks being sore. Mine are bit better now, just a feeling of tightness more so than anything. All my bruising was gone by about week 3. My pubic area is still swollen (hard) as I had that area done as well. I've read that this area tends to stay swollen for much longer. Went for a review last week with the surgeon. I had developed a seroma on my stomach. It had been there for about a week, and was the only “squishy” area I had. He numbed me up and stuck in a needle and removed about 100cc of fluid. Felt so much better. Seromas can tend to return, but luckily mine has not returned.

Man totally agree about the compression vest! I ditched mine around week 2. Couldn't stand it any more. Had to go to a funeral last week, and I swelled like a balloon wearing a belt. I'm lucky I'm on leave for several months from work. That would be hard having to wear with belted pants. I've been searching for any alternative to the vest. Have read mixed reviews about those binders - mainly that they tend to ride up and the top rolls down. Was looking at some on internationaljock . com which have plastic “rods” built in at the top to prevent it rolling down (sorry, can’t post the link).

What do you think of spanx tops? Not sure if they provide much compression?? The past few days I have not been wearing any compression, and don’t feel that I swell any more than wearing the vest. Maybe I’ll just do without. It’s summer here (I live in Australia) so it will be a beyotch to wear a garment. Luckily, we have had the coldest start to summer in 50 years so it’s been ok so far.

I lost about 7lbs as well over the first 2 weeks. Didn’t have much of an appetite the first week. I’ve managed to keep it off. Weigh about 175lbs at the moment. My goal is 165lbs.
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hey mark thanks for the comments. i also having to remind myself that this was/is a jump start on a new way of life ie...diet, exercise, and better life choices in regards to my body. it is a bit frustrating but i know even though i still dont look swollen on the outside my insides are still healing. my pre-op visit i weighed in at 185 and post op (5 days later) i was 182 and both were the same time of day with the same amt of food consumed. as of yesterday morning after a week of strict dieting i decided to step on the scale...175.2. i know 7 lbs in a week is a little much so i am chalking some of that loss up to my incorrect scales but i dont think 4-5 is unreasonable in a week of better eating habits as i have done that before and then it slows down. 660cc isnt a lot compared to your experience and in comparison seems almost negligible but it seems to have been in the right spots. i think another 200 to 300cc in my belly probably would have been perfect but then again it could have been overkill too. i didnt want to look "hollowed" out or anything so i'll take on the challenge of loosing the rest the old fashion way. At least for right now LOL. I will say that if I could look the way i look in the morning when i first get up i would be extremely happy. You know before all your organs and loose fat fall to gravity, but that could be me just needing to tighten up all my ab muscles to hold everything in place.

As for my clothes fitting better... I havent really noticed my pants fitting a lot better yet. My pants are a little looser than they were pre-op but just only to the point that they are not cutting me. My hip/flanks is still really sore so i figure there is still swelling there which is right where i wear my pants. Its kind of catch 22. wearing my pants probably irritates the tissue keeping the swelling up in the area but i have to wear pants to work LOL. if i could have been wearing the easy waist clothing all this time then maybe i would have noticed better fitting pants. now my shirts on the other hand are fitting much better. i am wearing my older shirts that are more fitted and they look good.

the one thing i am really having issues with is the compression vest. its now really uncomfortable much more than right after the surgery. i think i am going to go out and find just one of those "belt" things today and see how that works out. i read in someone elses post they did this and it worked just as good and much more comfortable.

so how are you feeling after your lipo now?
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Thanks for your detailed progress updates, mnime. I had similar areas lipo'ed 4 weeks ago, so I'm about two weeks ahead of you in the healing stakes. It's hard to resist feeling initially frustrated about results, but I keep reminding myself this is a 6 month journey (at least). I see you had laser-assisted lipo. I had ultrasonic-assisted lipo. I had 3500cc removed from abdomen and 1500cc from the chest. I’m 6ft, 187lb. I get what you’re saying about the laser destroying the fat cells, then being removed. Volume can be confusing as some surgeons include the total fluid & fat removed, which can include the tumescent fluid as well! I am bit surprised your surgeon only removed 660cc, but as long as you can see a difference then that’s what counts. Sounds like you are healing quickly and pretty much avoided bruising. Blue balls are not fun! Have you noticed any changes in the way your clothes fit?
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Wow- I loved your review. It's interesting since I felt the same way you did, and looked a lot like you did before this mind blowing experience. Who can work out at this point? Fuggedaboutit.
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