SmartLipo on Calves and Ankles - Sacramento, CA

Howdy Folks! I have been visiting another forum...

Howdy Folks! I have been visiting another forum for about a week on this subject but I wanted to start my own forum as well to add another personal testimony for this particular area for SmartLipo. As with the other forum, I hadn't found many personal testimonials online about SmartLipo on calves and ankles, I hope this will help others considering this procedure. Please also visit SlimLegs forum at: http://www.realself.com/forum/smart-lipo-knees-calves-ankles#comment-190035 SlimLegs has been a HUGE help to me with support through her own procedure and process. Thank you Slimlegs!

Here's my story: I am 34, 5'1" and 102 lbs. I am petite but curvy, except in my calves and ankles. This is an area I have tried to exercise, diet and even had mesotherapy done to help bring shape into my lower legs but of course, nothing worked because it's my genetics. On both sides of my family the women have heavier lower legs, it was written in my DNA and I knew some form of liposuction was the only answer.

I have been doing an extensive amount of research on liposuction for about 6 or 7 years now for my "cankles" and earlier this summer I decided to pursue the SmartLipo path. The main attraction for me is the local anesthesia, I am freaked out by general. All my research led me to a Surgery date of September 21, 2011.

I'll catch you up to date as I am in Post-Op Day 4 today and will continue to document my recovery in hopes to help others.


9.21.2011 - Surgery Date
I was very nervous this day. I have never had any surgery outside of dental work and my only stitches have been with wisdom teeth, so this was quite an event for me. Once I arrived and was checked in at the front desk, I took a pregnancy test (understandable) and went into the pre-op room where I met with the nurse first. The nurse took my before pictures, weight, blood pressure and gave me the following: antibiotic, ativan (anti anxiety), percocet and an anti-nausea. She explained everything to me and why I was taking each item as well as asked me questions about antibiotics I can take and pain meds for my prescriptions. I was appreciative of her finding a pain med for me that wouldn't be to strong for my size and considering I do not take medication very often.
Shortly after, Dr. Shideler came in to draw on my legs and talk to me about the procedure. 20 minutes later, I walked down to the surgery room to get things started.

The nurses hooked me up to all the monitors (blood pressure, heart and finger) and a few minutes later, they asked me if I was nervous and to take a few deep breaths. I know this was being my heart was racing like crazing! They continued to talk to me to help calm me down and then the ativan started kicking in, thankfully.

The actual procedure itself was not bad at all. I would say the most uncomfortable thing was the beginning with the lidocaine solution. It was not necessarily painful but more of a massive pressure feeling; kind of like the feeling when you have your blood pressure taken on your arm. I was surprised that the cannula vibrated and it actually felt like a giant tattoo gun (I have tattoos) and it kind of felt like a deep massage with the vibrations.

The doctor and nurses were great, talking with me and explaining each step, they played music for me, made sure the room was warm and I loved being awake. The doctor would hold up my leg here and there for me to see the progress and I loved saying good-bye to the fat as it was being dumped into the container! My procedure took about 2 - 2.5 hours, which flew by quickly and I believe they ended up sucking out a little less than 2Liters of fat and other liquids (solution/blood etc). They put maxipads on my incisions, ace bandages (I have garments already at home) and off to the post-op room I went.

Post-op was great. The nurse was thorough on what I would be expecting over the next couple of days, gave me a little care package with extra maxipads, antibiotic ointment and "discharge" instructions, along with my doctor's mobile number.

I went home and rested with my legs elevated.

9.22.2011 - Post-op(PO) Day 1
I worked PO-Day 1 but only because I have the benefit of being able to work from home when needed. If, I had to go into the office, I would not have worked Thursday nor Friday. My legs still felt numb but I could definitely feel the deep soreness in my calf muscles. After sitting for a bit with my legs elevated, it felt like I had done 200 toe-lifts the day before. It's a very deep overall muscle soreness/tightness. But once I was moving a about for a few minutes, they would loosen up and feel much better. I am actually surprised that it isn't more painful but happy it's not! My incisions were left open to allow for drainage so I had to change my maxipads a couple of times during the day. I also had been told to put on my knee-hi compression stockings which then caused my inner knees to start swelling and bruise. After speaking with the nurse, I put on my full length compression stockings, this definitely helped with the swelling. I was swollen right away in the ankles but I could see the difference right I away! I knew this might change based on what Slimlegs has posted and what the doctor told me but it was awesome see a difference right away! I didn't want to take the percocet so I took Extra Strength Tylenol and was fine. I don't feel that I need a heavy pain med at all.

9.23.2011 - PO-Day 2
I was definitely more sore this day. I think partly from the lidocaine solution draining and wearing off even though they still feel numb but that is expected. I made myself get up and walk around a bit more on the second day to help with my tightness in my calves. I switched to Ibuprofen to help with the swelling and still have the pain relief. I didn't notice a difference between the Tylenol and IB with pain, they both did the same amount of relief. I was also surprised at how tired I was this day, I napped more than I did on Day 1. I was pretty much done with the drainage so I did not have to wear the maxipads anymore.

9.24.2011 - PO-Day 3
I have to say, day 3 was the best my legs felt. I was trying to be a bit more active with walking around the house and I even used the stairs! My muscles felt more loose yesterday than the previous two days. I also had a dinner party that had been planned for months that I attended. I was really nervous about how I was going to feel walk, etc but I did just fine. I still walked slow and a bit like a granny but it was fine. I was up on my feet a lot and noticed I started swelling more so I'll have to take it easy on Day 4. I did forget to mention that on Day 1 and Day 2, the clinic emailed me tips/expectations for the first 4 days post op, which I thought was very helpful. I also called my nurse on Day 1 and Day 2 with questions and she was very helpful.

9.25.2011 - PO-Day 4
So, I think I overdid it yesterday with the dinner party and today I am the most swollen that I have been. I also washed my garments today and while they are air drying, I am also letting my legs "air dry", which means I am swelling. I will put my garments back on shortly, the instructions are to wear the garments for at least 12 hours Days 4 - 10. My muscles still feel like they are loosening up and not as sore/tight as they were the first couple of days. My incisions are healing up nicely, so I hope to not have any scars. Since, I was quite active yesterday, I am going to take it easy today and keep my legs elevated for a bit but I'll still walk around to keep the healing process moving along. I also noticed I have a lot of bruising, which really doesn't surprise me, I already bruise very easily. I think taking Arnica is helping the huge bruises on my inner knees from the knee-hi stockings. I'll keep taking arnica to help with the bruising, they are nasty looking. :-)

Now you're up to date! I'll keep you posted on my recovery and please feel free to ask or message me any questions!

I'll continue to post pictures and recovery info. Have a super day!

5 Comments

Hey there! I had my PO-wk 1 visit yesterday. Everything is healing on schedule. I notice I started a ton of swelling PO-Day 5 and yesterday was the most I have been swollen. I am still fairly stiff and tight but I notice the toughest times are first thing in the morning and at the end of the day after I've been walking around most of the day. I still have a ton of bruising and I still have the intense pressure and sunburn feeling in my legs. I run cold water over then in the shower and do some cold compresses here and there during the day and this helps the sunburn feeling. I was told this is caused from the swelling and the nerves repairing themselves from the procedure. My legs are are also still numb feeling but I gaining more sensation as each day passes. If anything changes I'll post something otherwise I'll post again on week 2! Take care!
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Oh...forgot to tell you that I posted a picture from yesterday above with the other pictures. Cheers!
Wow! You look great!! You really don't have much swelling in these pictures. Recently I've been dealing with a lot of swelling, especially at the end of the day. They get almost back to the same size they were! How is your first week going? Are you getting around ok? Still lots of soreness and stiffness?
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9.29.2011 - PO-wk 1 Hey there! I had my PO-wk 1...

9.29.2011 - PO-wk 1
Hey there! I had my PO-wk 1 visit yesterday. Everything is healing on schedule. I notice I started a ton of swelling PO-Day 5 and yesterday was the most I have been swollen. I am still fairly stiff and tight but I notice the toughest times are first thing in the morning and at the end of the day after I've been walking around most of the day. I still have a ton of bruising and I still have the intense pressure and sunburn feeling in my legs. I run cold water over then in the shower and do some cold compresses here and there during the day and this helps the sunburn feeling. I was told this is caused from the swelling and the nerves repairing themselves from the procedure. My legs are are also still numb feeling but I gaining more sensation as each day passes. If anything changes I'll post something otherwise I'll post again on week 2! Take care!

10.05.2011 - PO-wk 2
Howdy folks! Today is my post-op week 2, YAY!!! I definitely feel much better than I did the first week, thankfully. Over the last week, I have noticed much of my bruising has healed but it's still healing. I do not have nearly as much swelling as I did the first week, however, my feet and ankles still swell a lot by the end of the day. I had to buy two pairs of shoes that my swollen feet can be comfy in but thankfully they are still cute! The mornings are best since I am not nearly as swollen as the end of the day but this is to be expected. Getting up in the morning is easier, I still have that intense throbbing but over the last couple of days I have noticed it is not as intense and it lasts for maybe 15 seconds compared to the minute or two before. My muscles are also not as tight as they were previously, so the first few steps in the morning are not nearly as painful, they don't feel as though the muscle is ripping but still some discomfort. The heat in my legs has also lessened. Running cold water over them twice a day really helps. My incisions are nearly healed and I can start to use scar cream soon. I have noticed the hard lumps they said I would see and started gentle massage, which is suppose to help this. I still have that "heavy" feeling with pressure but it's not as intense as it was last week. I have also stopped wearing the heavy duty compression garments and have moved to wear light support, mostly during the day while I am most active. I am walking more normal than before but still not quite back to normal normal. I plan to start walking a bit more around my neighborhood and I'm going to start incorporating some of my workout around arms and abs that involved light leg movements this week.

I added two new pictures for my before and I updated with three pictures I took this morning when I am not as swollen.

I'll keep posting as the weeks go by or if there is some major change. Take Care until then!

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9.29.2011 - PO-wk 1 Hey there! I had my PO-wk 1...

9.29.2011 - PO-wk 1
Hey there! I had my PO-wk 1 visit yesterday. Everything is healing on schedule. I notice I started a ton of swelling PO-Day 5 and yesterday was the most I have been swollen. I am still fairly stiff and tight but I notice the toughest times are first thing in the morning and at the end of the day after I've been walking around most of the day. I still have a ton of bruising and I still have the intense pressure and sunburn feeling in my legs. I run cold water over then in the shower and do some cold compresses here and there during the day and this helps the sunburn feeling. I was told this is caused from the swelling and the nerves repairing themselves from the procedure. My legs are are also still numb feeling but I gaining more sensation as each day passes. If anything changes I'll post something otherwise I'll post again on week 2! Take care!

10.05.2011 - PO-wk 2
Howdy folks! Today is my post-op week 2, YAY!!! I definitely feel much better than I did the first week, thankfully. Over the last week, I have noticed much of my bruising has healed but it's still healing. I do not have nearly as much swelling as I did the first week, however, my feet and ankles still swell a lot by the end of the day. I had to buy two pairs of shoes that my swollen feet can be comfy in but thankfully they are still cute! The mornings are best since I am not nearly as swollen as the end of the day but this is to be expected. Getting up in the morning is easier, I still have that intense throbbing but over the last couple of days I have noticed it is not as intense and it lasts for maybe 15 seconds compared to the minute or two before. My muscles are also not as tight as they were previously, so the first few steps in the morning are not nearly as painful, they don't feel as though the muscle is ripping but still some discomfort. The heat in my legs has also lessened. Running cold water over them twice a day really helps. My incisions are nearly healed and I can start to use scar cream soon. I have noticed the hard lumps they said I would see and started gentle massage, which is suppose to help this. I still have that "heavy" feeling with pressure but it's not as intense as it was last week. I have also stopped wearing the heavy duty compression garments and have moved to wear light support, mostly during the day while I am most active. I am walking more normal than before but still not quite back to normal normal. I plan to start walking a bit more around my neighborhood and I'm going to start incorporating some of my workout around arms and abs that involved light leg movements this week.

I added two new pictures for my before and I updated with three pictures I took this morning when I am not as swollen.

I'll keep posting as the weeks go by or if there is some major change. Take Care until then!

2 Comments

I updated the main review with my week 2 post-op info. Sorry it posted, twice, I must have hit the submit button twice! I also added pictures from this morning above, they are a bit blurry as well; accidentally had it on a low-light setting.
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Oh I also added two before pics with two other angles to the gallery above.

10.12.11 - PO-wk 3 Hey folks, today is post-op...

10.12.11 - PO-wk 3
Hey folks, today is post-op week 3! Moving around and swelling has drastically improved since week 2. I still have some slight swelling by the end of the day but it is minimal compared to what I was during week 2. My bruising is pretty much almost healed and my incisions are improving every day.

The intense throbbing in the morning has really decreased and I barely notice it in the mornings. I am also pretty much walking normal again; going down stairs is still tricky. I still have the hard lumps and I'm massaging 2 - 3 times a day; these are expected and may last for a few months.

Each day I see some slight improvement and definitely very happy I went through with this procedure.

I added a photo for my week 3 below. Cheers!

6 Comments

Picked up my Arnica cream today. I am ready to go. :-)
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Awesome! I think I forgot to tell you that I start using the cream on Day 4 when I was told to start wearing my garments for 12 hours a day. That way I could put the cream on and let my legs "air out" for a few hours and then put the garments back on. I didn't use it the first 3 days. Also, do not put it on your incisions, you want those to dry out.

Wishing you the best for tomorrow, very excited for you!
Lulugrrl- week 3 and your legs look great! My procedure is this coming Friday. I am nervous, but mostly about the first two weeks of recovery. I hope that my legs look as good as yours do at three weeks.
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PO week 4 - 7 Hey there! I apologize for not...

PO week 4 - 7

Hey there! I apologize for not updating the last few weeks, it's been super busy with the Halloween holiday!

The last few weeks have pretty much been similar. I can walk and exercise normally and when I'm on my feet too long, my feet and ankles still swell a bit but not so much that I cannot wear shoes. I still have some swelling at the end of a normal day.

I am still massaging my legs a couple of times of day. One of them is a lymphatic massage to help with the remaining swelling and hard spots. I notice the hard spots are starting to smooth out, thankfully.

I am very happy with my results thus far and cannot wait until the swelling is completely gone! I feel like I am in the home stretch but at the same time I have plateaued a bit with the swelling. This is probably why they say 3 - 6 months to see full results.

I wore a dress to work the other day and it's the first time I have worn one without tall boots! I was super happy and I find myself excited to shop for dresses and skirts.

I posted week 4 and 6 photos. I'll update with more photos next week as it will be week 8 post op!!!

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Oh and I still have not gained all the sensation...

Oh and I still have not gained all the sensation in my skin below my calf. But I feel like it's slightly improving on the inside and back of my ankle area.

7 Comments

Thank you for your great post and pics! (I also read Slimlegs post, by the way ;o) I am looking to have this done in the fall and I am amazed by your pics...looks great! I have a slim figure but big calves and legs and no amount of exercise makes a difference. My mom has them, my gram had them...arg! I've read as much as I can find on this procedure- and it isn't much. I can't seem to find a qualified PS for this procedure in my area and most likely will have to do it another city. I will keep checking back...looks great-congrats!
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Hi Kansas!

Thank you! Congrats on making the decision to move forward with the procedure! It's scary and nerve racking but I am sooooo thankful everyday that I went through with it.

I have the same family history on both sides of my family; women all have thick calves and ankles...I was destined to have them, ugh ugh ugh.

I'll post my 3 mth picture shortly and soon I'll be having my 6 mth post op check up and I'll post that picture as well.

Feel free to ask or message me any questions.
Hi There,
Thanks for step by step explaining about your precedure. My leg looks exactly like your befors pics. I have always wanted to be able to wear dress, shorts, skirt and boots but due to my heavy lower legs I have always only dreamed of.
I am Planning to get my lipo in 3 months in Toronto. I have to get lipo on ankle, Knee, calf and probably above my knees. I am so afraid of general anesthesia but not sure if I can get lipo on all under local. would you think if I go on diet for next three months It might help at all(in terms of having less painful surgery or shoreter in length)? I have never had any surgery even for my teeth, I am not sure if I can stay calm under local anesthesia do you have any suggestions? would you think if I divide the surgery in two different session one month apart then I will have less pain?
I would appreciate if you can give me some hint; or some fact that I should consider before choosing the right doctor for this precedure.
thanks
Sophie.
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03.20.12 - PO-mth 6 Howdy!!!! I am technically...

03.20.12 - PO-mth 6

Howdy!!!! I am technically about 7 months post-op now but thought I'd add all my info with pictures from my PO -mth 3 and 6.

I cannot be any happier with my current results!!! I love love the shape of my "new legs"! I still have a little swelling when I am on my feet for the majority of the day but I think that is pretty normal regardless of this procedure.

I still do not have all of my skin sensation back in the lower bottom parts of my ankles but I know I am still healing and it seems to get better each month, it's pretty much almost back entirely just a few spots are still a little numb.

My incisions around my ankle are still dark (I have olive skin tone) even though I have been using Mederma for quite some time. I decided to try a new product called Scar Away, which are patches I wear for 12 hours and those seem to be fading the incisions pretty quickly. I've only used them for about two weeks and can already see a major difference compared to Mederma.

I do have some brownish marks left from the lidocaine on the inside of my left calf (you can see them in the PO - mth 6 side picture). I am calling my surgeon about this to see if he recommends something that will make them fade. If, not then oh well, they are not too bad and I still do not regret having the surgery.

I have bought so many dresses and can't wait for summer to show off my new legs!!

I highly recommend this surgery to anyone that has thick ankles/calves! The healing is the hardest the first couple of weeks but if you can get through that it's smooth sailing afterwards!

My best wishes to everyone that decides to go through with this surgery and feel free to send me a personal message or comment on my post and I will continue to respond when I can.

Cheers!

15 Comments

Sad Legs- I went to three surgeons in the end and one said exactly the same as the one you saw- that the swelling would not make the procedure worth it (the other two agreed to do it but one was a dermatologist and not a plastic surgeon). It does seem (Lulugrrl may be able to concur) that this procedure is relatively new and, given the susceptibility of the area to swelling, it requires a experienced and highly skilled surgeon. As I said from day one I could see the results straight away although as I mentioned to you I still experience swelling at the end of the day. My incisions are tiny- they could almost pass as freckles and they are fading as I am putting rosehip oil on them. My surgeon also wanted me to go under for the procedure. I haven't got my shorts/skirts out just yet as it is winter here but in a couple of months...!!!!
I am really happy with my recovery. I do have little lumpy bits around my ankles (I think little pieces of scar tissue) but I have been massaging them twice a day and they are definitely going away. I think being active again is also helping them. Did you find that too Lulugrrl?
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Thanks so much for being here! Hmmm...that doesn't sound so bad. Does this mean you're wearing skirts comfortably? I had one surgeon tell me that he wouldn't do it because he didn't think my results would be good enough to justify the long period of swelling and recovery. Very discouraging
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Hi Sad Legs,
I am now 8 weeks post op and I still do get swelling every day at the end of the day. It is worse if I have had a full on day on my feet. The swelling is noticable to me (it is quite uncomfortable) but my legs still definitely look smaller. They did even from day one. I think I have been quite lucky though as my feet never swelled up either so I didn't have to get new shoes or anything like that. One reason for that could be that I only had my ankles done, not my calves or knees. I am also still wearing my compression socks non-stop despite my doctor saying I could stop at 6weeks (it is winter here so not a big inconvenience).
I definitely do not regret this procedure at all. Feel free to ask any other questions.
Good luck with your decision!
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Post Op - 1.5 years

Hi All!

I am adding a photo from my one year post-op last September and I'll add another one for my 2 year post-op this September.

I LOVE LOVE LOVE my legs. I can't even believe at how good they turned out! There is not a day that goes by where I regret this surgery, I am so very happy I went through with it.

Any little hard lumps I had left over have gone, all of my incisions are healed and the scars are so light, you don't even really see them and all skin sensation at my lower ankles has returned! The only lingering thing I have from the surgery are some light brown marks on the inside of my left upper ankle region. I am not sure what caused it and I still need to contact the doctor to see if there is anything I can do to heal it completely. If not, it's not so noticeable so it probably doesn't matter.

Best wishes to all of you ladies that have decided to consider or go through with this surgery, it is definitely worth it in my eyes.

Please feel free to always contact me with any questions!

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Post Op 1 year - front view

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From Scotland in UK just had my ankles and calves done 2 days ago. Doing lots of walking although slowly, drinking litres of water and elevating legs when resting. Ankles and feet very swollen. Hope they go down a bit by Monday when I'm back at work. No one other than my husband knows I've had it done. I think from what I've read I could be still struggling to walk. Don't see any tea difference just now due to swelling but I wasn't expecting to. Massive difference after op just like the picture you shared. Thanks for your posts really helped me today xxx
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Hi there wow early days if you saw a big difference post op then you'll get a great result once the swelling goes down. I need to post a new photo so you have prompted me to do so! Please keep in touch I love hearing from others who have gone through this op. Each day gets better you'll be surprised how fast they recover. Take care
Hi Lulugrl I just want to say a huge thank you for posts, I have been reading your journey over and over again for months while waiting to have my cankles done and I have found you review incredibly helpful! I'm based in New Zealand and just had my procedure done yesterday so here I lay feet up feeling very swollen. I'm going to start my own review so I can share my experience too and hopefully help someone else like you have for me. Cheers your legs look gorgeous and I pray mine turn out similar. Take care L x
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Dr. Blynn L Shideler

The staff is awesome at Sono Bello where my procedure was performed. Suzanne (patient care consultant), Amy (Nurse), Jessica & Amanda (receptionists) have all been extraordinary with me. They have been great with answering all of my questions, I had a ton believe me, and continue to be supportive through my recovery. In the beginning, there was a bit of mix up with doctors and I ended up with Dr. Shideler and I couldn't be more happy! He has been great with me since the beginning, answered all my questions, eased my worries and was up front and honest with me about my procedure being a difficult and more of a specialized area. I really appreciated the honesty from him. He had done my procedure (calves & ankles) many other times so I felt very confident with him as my doctor, not to mention all the other experience he has. Dr. Shideler has a great sense of humor and told me exactly what he was doing during the procedure. I really enjoyed this part because I love operation/surgery stuff and it helped calm my nerves (along with the drugs) during the surgery. I'd recommend Sono Bello and Dr. Shideler to anyone that is in the Sacramento/Bay Area in California. Thank you Dr. Shideler, Suzanne, Amy, Jessica and Amanda! I wanted to add a few more thoughts after I've had some time to think about my experience at SB. I still feel the same the same way about the staff and doctor but I do feel their process is backwards. I did not meet the doctor until two weeks before my procedure and at that point, he could have told me I was not a candidate; I would have been crushed if that were the case. To wait that long from the time I booked the appointment to the first meeting of the doctor, is too long to have your hopes up about the procedure. I think you should meet their patient care consultant, then within a week or even before you BOOK & PAY for your procedure, you should then meet the doctor to determine if you like the doctor or if you truly are a candidate, THEN book and pay for your procedure. Even though everything worked out for me, I can see how it would have been devastating if it hadn't worked out with their current process.

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
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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