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“Round 2:After Much Thought.. I Did It.. !!! Smartlipo on Abdomen”
Spent: $4,000 in new york city
I had been thinking about it for about two years and did much research, on line, and on this site, as well as many consults. I am petite and an avid runner and athelete. I have always been toned and in good shape, however I have never been able to get rid of the extra fat on my abdomen.
The only times it would go away is if I was on a carzy diet and or not eating enough. I did not want to condone that behavior or become unhealthy. I waited two years because I wanted to be sure, that I really wanted the procedure and that the extra fat bothered me enough to warrant cosmetic surgery. I chose my doctor becuase of his manner, his attention and the before and after pictures. Also he had a few very good results on this site.
Additionally, his fees are reasonable for new york. I was very nervous before my procedure and followed the doctors orders closely. I had my blood taken and reviwed two weeks proior, and took my antibiotic. I have heard many people who take bromelain and arnica, but my docotor advised to not include anythin new to my system. he said th body would take care of itself, ad i am inclined to agree. I had the procedure yesterday and I am writing one day post.
The procedure took 1 hour, and i had smart lipo mpx on my sides of the abdomen and the upper and lower abdomen. basically the entire abdomen was treated. I was given a cocktail to relax me, and the worst part was the administration of lidocaine mix, the anesthetic. I went home feeling okay, numb and a little pain only. Since my procedure, I would not descirbe the feeling as pain but a severe soreness and burning. Quite tolerable. I slet most of the night, but the bandages they wrapped me in ( to collect the draining fluid) were pertty uncomfortable and were very tight as they are beneath the garment. I was swelling very much.
This morning, i went in for the follow up, and the bandages were removed. My swelling has went down by 60% and i hope the rest will go down. soon. I am a little over 24 hours out of procedure and i am excited to see results. I will say, that I had only 300cc of fat removed and thus my experience will more than likely be less traumatizing than others who have had more areas and or fat treated. I have pics and will continue uploading as I heal. thanks!!! and i hope this helps~
Updated on Aug 21, 2010:
Okay, So I am on Day 4 post op. Not much has changed really. I am still about 4 lbs over my weight pre-op. The swelling is still very noticeable as are the scabs on the puncture. A little discouraged but still hoping for the best. Any suggestions on replacements for the garment and or any other recovery advice?
Updated on Sep 3, 2010:
UPDATE--- day 12 Here are some new pics.. the swelling has almost gone down all the way. my upper abs have healed better than the lower abs.. but they are doing well :)
Updated on Sep 3, 2010:
day 12, 70% swelling gone.. bruising okay
Updated on Oct 12, 2010:
10-12-10 it has been a ful two months and I an begining to doubt whether this procedure was worth it. i have a very hard stomach and in places it does not look natural. my left upper ab has less fat than my right. and i notice this every day. on top of that.. i dont see much of a difference. my waist line feels fatty or full of liquid- not sure. and around my belly button is very hard. i have been massaging every day, but the healing does not seem to be distribted evenly. should i still be bumpy? should i still be retaining fluid. I have not gained any weight so it is not the result of my indulgence. if anything i hae gained 1 lb probably in water. i have added pics to show. my before pics seem to look better than my after pics
Updated on Oct 12, 2010:
teo months later i am not hopefull. my stomach looks abnormal and not as smooth as before. see pics: the abdomen is larger and wasit is larger ( despite i did not gain weight) it appears i am still swollen, and there is a noticeable dent between my upper and lower abs. my belly button area is very hard and lumpy.. i dont have a smaller waist and finally.. by left upper ab had more fat removed than my right.. it seems that the dent has been the result of a garment- that my doctor said was "made to fit me" that was too tight will the dent or the swelling ever go away?
Updated on Oct 12, 2010:
unhappy. my stomach looks unnatural and has a weird dent. it is hard and bigger than before. i have not gained any weight so that cannot be a reason. there is still alot of fluid or fat, but it is distributed unevenly.
Updated on 12 Feb 2011:
6 months later.
I have an uneven stomach and 4 big scars above my panty line.
My stomach was much sexier before surgery.
I do not know why my surgeon did not go through the belly button. at least then i would not hae scars. NOT recomended!
I am considering going to some one else to fix this. its terrible and I am sad that I did not just leave my body alone.
Updated on 6 Mar 2011:
Updated on 6 Oct 2011:
I went for a touch up yesterday. I couldnt take my dislike of the results any longer-
It looks much better the second time around.I will post pics when I can.
This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.
Helpful review?
My Doctor: Dr. Pakeman
My rating:
I feel he was kind, gentle, thoughtful and paid attention to my needs. He provided all the time I needed, and I did not feel rushed. HIs staff is okay- not that educated but very helpful Reasonable cost Though my results are not satisfactory-- and that is the most important thing

thank you for sharing....really happy to hear realself made a difference in your research. best wishes on continued recovery and a happy outcome
Here are quite a few doctor tips about Smartlipo recovery
btw, did we have the same surgeon in nyc?
good luck to you.
we did have the same surgeon. I have noticed that the area is not nearly as flat as it used to be.. although it is smaller.
The lower part of my abdomen is usually swollen.. even after 3 months.
I am seriously reconsidering that smartlipo was a good ides for me :(
i too am considering a touch up-- but am concernec about the results.
do you have any scarring?
I am not happy - will likely go for a touch up. What are your plans how are your final results
I am still unhappy. I am thinking of going to a different doctor for a touch up. What do you plan on doing?
I have an appointment with this doctor, how are ur results now? I'm thinking I should cancel
i dont see the different after spent all my savings and my vacations.. i talk to dr a few times that it is too early to see result but my hart just know...my love handle is just ..
Yes I am still unhappy. I will likely being going to another Dr. for a touch up.
How are your results now?
does your doctor think it can be "fixed"?