Daniel P. Friedmann, MD

I love this guy! He did such a great job on my lipo and fat transfer. He did an amazing job! Totally recommend him! I also modified what I wanted a tiny bit because of his advice, and he was so right!! :)

Dr Friedmann is very knowledgeable and takes the time to listen to all of your questions and explains the procedure very thoroughly. He is very calm, professional, polite, and friendly. I highly recommend him!

March 18 - smart Lipo of upper/lower abs, flanks, waist, arms. March 25 - smart Lipo of inner/outer thighs, knees. I don't have any before photos. But I'm posting a few after. Viewer beware. It's not pretty. But looking better by the day. The procedure was more painful than expected, both the numbing and the actual Lipo. Recovery is easier than expected. Recovery is more annoying than painful. My results were a slow go to begin with. However, everyday is a huge improvement. This is so worth it. I've even cared 100% for my 7 month old during this process -other than the day of procedure.

Went in today for my preop and everyone was super friendly and helped me feel more comfortable. It's a big deal for me to be voluntarily going under the knife and I need to feel confident in the hands of my new creator. The surgeon was very professional and had a very calming aura about him. I am doing smart lipo on my upper and lower abdomen, waist, flanks, and hips. 5 areas for $6500. I will be awake during the procedure which seems a bit intimidating, but it does minimize potential complications from anesthesia. Nevertheless, I will be diverting my attention from the real world by texting, reading, listening to music, whatever it takes. Pretty cool they let you keep your phone on you and read magazines. So 6 days til surgery.... 6 days to eat every carb one last time.... ;-)

Updated on 12 Mar 2016:
5 days til surgery! Been kind of nervous so haven't been eating a whole lot as usual. Maybe I can lose a couple pounds before my surgery ;-)

Updated on 13 Mar 2016:
Ok so I am getting closer to my surgery and I made the mistake of watching the procedure online..... now I am more freaked out. Lol. I am such a baby. I hope the numbing isn't as bad as I have read. Anyhow, here are a couple more preop pics.

Updated on 17 Mar 2016:
I was so anxious for the past two weeks that I literally had nothing left in me to be scared about. Sarah the RN at Westlake dermatology was very patient with me, and although the numbing hurt like hell ( a 9 out of a 10), she got me through the procedure just by being so nice and reassuring. When you look at your stomach after the fluid is injected you will freak out about how huge it is. You literally look obese. The Dr came in and made some incisions in about 10 areas. That part I did not feel. Most of the procedure, which lasted 3 hours and 15 mins, felt fine with occasional discomfort. However, there were times that I wanted to scream bloody murder. I laughed at the pain though because I was in shock that I actually went through with the procedure. There were times I wanted to back out and say screw the money I am out! Luckily I went through it. They put an IV in you just in case more meds are needed- I didn't need mine. The whole time the Dr, the nurses, and I were joking around. I felt comfortable. I absolutely love Dr Friedmann. He is quite funny and has been known to be simply irresistible by people such as himself ;-) He is very knowledgeable and willing to ask any questions you might have. Highly skilled and highly recommended. I am going to have some vein treatment with him soon and am contemplating more Smartlipo to my thighs. I am now in bed just resting. I heard to prop yourself up so you can drain more adequately. I took an anti nausea pill and will take a tylenol 3 in 30 min with food. All and all it was a good experience. Do NOT make the mistake of thinking this is a slightly painful procedure or you will be caught off guard. Just accept some moderate pain and stop stressing. I read so much prior to the procedure I feel like I can assist in the procedure. Just do your homework and do what is recommended and you will be fine. Trust me, i am the biggest baby ever and I was fine. More updates later.

Updated on 17 Mar 2016:
Ok, its been about 5 hours since my surgery ended and I am in quite a bit of pain. I have already taken 2 tylenol 3 and CLEARLY the local anesthestic has worn off. If the second day is worse then I am kinda scared. I haven't noticed any drainage but then again I haven't even bothered to check. Ughhh..... If anyone can give me some advice please do so..

Updated on 18 Mar 2016:
I read all of the scary reviews that the day after smartlipo is the roughest day in regards for pain so I made sure to take my pain meds every 4 hours starting a few hours after the procedure was done. Honestly the day of surgery was the worst for me. I have been taking my meds even at night so I wouldn't wake up in severe pain, and so that I could get some sleep. Seemed to do the trick. I haven't taken the compression garment off yet, nor have I gone to my 1 day post op appt. I feel like sitting up propped up against something is more comfortable than laying down. I will try to take a picture when I remove my garment in a few hours. I feel like the compression garment is adding to my acid reflux because it is so tight. Anything I eat does not settle and makes me not want to eat at all. Maybe this is how you actually lose weight-you can't eat! Lol. Last night one of my puncture sites started hurting a lot. It was kind of scary as I assumed it was infected. Luckily the severe pain subsided in a couple of hours. This surgery is more intense than I thought and I have had a tonsillectomy and a breast augmentation. I sure hope I at least see some results today when I remove the compression garment so I don't lose my sanity. :-/

Updated on 18 Mar 2016:
The purple bikini pics are the before images and the black ones are 1 day post op.

Updated on 19 Mar 2016:
Yesterday, which was 1 day post op, I ended up staying in bed after my dr appt due to being extremely nauseous all day. I'm assuming it was the codeine. I couldn't eat anything until 930pm, the nausea subsided and I ate a turkey wrap from jasons deli. I pretty much slept all day. Today, which is day 2 post op, I am feeling much better. I am still sore but am taking only Extra strength tylenol. I stopped taking Tylenol 3 yesterday around noon since I realized it was making me super nauseous. I took a shower and noticed some swelling already taking place. This is the hard part since you really only get one day to see progress, which is the day after surgery, then the swelling takes place. I have an appetite today, but will be careful to eat healthy since I cannot work out. I do NOT want to have to do this again lol. I don't think I am draining much anymore. He sutured my incisions, and to be honest I can barely even find them! Awesome! Here is a pic of my new spanx like compression garment I got from Target. I still have to wear
my binder but it's in the washer right now.

Updated on 20 Mar 2016:
Today I am a little sore waking up and the binder is keeping my appetite at bay. I weighed in today at 126 lbs which is around 4 lbs less than I did on the day of surgery. I am happy to see I didn't gain 10 pounds like people on this website say. I get to take this binder off tonight and switch to a lighter form of compression. Thank God! This binder has been so damn itchy and uncomfortable. Yesterday i literally got a gob of vaseline and rubbed it along my entire torso in hopes of some relief from the itching. It seemed to work temporarily. I am a little nauseous from the antibiotics today, but it is probably because I am having a hard time eating much. One word of advice, take a stool softener (or 3) the day of surgery until you are off pain meds and able to move more. Otherwise you may get bloated and constipated which will add to your weight gain and discomfort. I am supposed to go back to work tomorrow (4 days post op) so I hope I feel up to it. I am a hygienist in a busy practice so I bend around in a chair a lot. Well going to take a nap now. :-)

Updated on 20 Mar 2016:
I stopped by Dillards and bought some spanx sculpt with straps. You can wear your own bra with it, which is good for anyone who has a larger bust. They are sooo much more comfortable than the binder and do a really good job at holding everything in and minimizing discomfort from sitting or bending. This will be ideal for work. Today is a lot better than the preceding days, however I am still taking Tylenol for soreness. Tomorrow will be my first day back to work and I already warned them that I may be somewhat limited to what I can do.

Updated on 25 Mar 2016:
I have been wearing my Spanx 24 hours a day after the binder was off at day 3 post op. I definitely notice swelling (I hope it's swelling) in my love handle and waist area. I hope it smoothes out soon as it's discouraging. I definitely looked better 1 day post op. Does anyone have similar experiences with swelling and can offer some advice or words of encouragement? I have my post op appt today in a couple hours. I already started working out today. I took it easy and did some light cardio which made me feel better since my appetite has returned to normal. I don't want to gain weight after going through all this! I will ask the dr if it's ok to start working out and if my wounds seem to be healing ok. I hope he says I am very swollen. I will feel better if so.

Updated on 27 Mar 2016:
Happy Easter Real Self dolls! Going to Brunch with normal clothes on for once. Lol. Have my spanx on under. I need to get back on the diet wagon so I can maximize my results! Decided I am going to get my thighs done in 5 weeks. Counting down!!

Updated on 27 Mar 2016:


Updated on 28 Mar 2016:
It's official! Getting smartlipo on my thighs on April 28th! Figured if I survived the pain from my whole abdomem, waist, hips, and flanks then my thighs should be a little easier. As far as my abdomen areas, I am 11 days post op and still swollen. This is to be expected though. The pain is now slight, no pain meds necessary at all. Going to Cancun in 3 weeks so I hope to be less swollen by then! !?

Updated on 3 Apr 2016:
This new CG feels like I am waist training. It has latex underneath and fits very snugly. I like it! Its Geordi brand- a Colombian designer.

Updated on 27 Apr 2016:
Tomorrow morning I am going in to do my inner and outer thighs. I am not nervous though. I am aware of the high level of pain I will be in, but I also know what to expect so it's not as intimidating. I have seen quite a few botched thigh jobs so I worry about taking out too much... we shall see... will keep yall posted!

Updated on 27 Apr 2016:


Updated on 28 Apr 2016:
Today I arrived and was not nervous at all. Of course the numbing part hurt, but it was more tolerable this time. The surgery itself was virtually painless. We were all joking the whole time. Dr Friedmann has a great sense of humor. I can see why he is known as "the most eligible bachelor" in Austin. I know 1350 ml of fat was removed so I expect to notice a difference soon. Definitely a lot of drainage when you sit down. Anyhow, I will keep yall posted with pics when possible.

Updated on 29 Apr 2016:
Today I was in less pain than the day after smartlipo of my stomach. The legs tend tl be a bit easier. Washing my garments now and canceled my 1 day post op appt due to weather here and I don't want to risk driving in a storm while on Tylenol 3 lol. Here is a pic from day 1 post op.

Updated on 29 Apr 2016:


Updated on 7 May 2016:
Ok I am a little over a week out from my inner and outer thigh surgery. Bruising is down quite a bit. Not too much swelling either. I had my post op appt yesterday and they removed the sutures on a few incision sites. Dr Friedmann is amazing! I have seen so many botched thigh jobs and he is very good at doing this area. Anyway, will take some post op pictures in a couple days!!

Updated on 11 May 2016:


Updated on 12 May 2016:

I'm a pear shape and always have had huge hips, thighs, and butt and absolutely no boobs whatsoever, even when I was at my heavier weights. One of my boobs was an A cup, and the other was AA. I mean I just looked ridiculous. Thankfully I love working out so I have broad shoulders that offset my hips, so my silhouette was actually pretty good. But I was always so depressed and disappointed with my boobs (lack of). Every time I put on a swimsuit I had to stuff silicone inserts into the padding layer just to look somewhat normal, but it looked totally fake. Like you could so tell that I didn't have any actual boob going on there. So yeah, I was pretty self conscious.
Then I found out I was getting a pretty nice tax return, so I looked up how much it would be to get a boob job with some silicone implants, and decided I could afford them. Only....I have like no fat at all in my upper body. It's all concentrated in my thighs and butt. So the implants would look stupid and totally fake, and my lower body would still look like [RS bleep]. So much cellulite it hurts to look at it. So I looked up what other thing I could do to fix myself, and BAM. Lipo + fat transfer popped up on google. I was like, "HELL YES, take my ass fat and shoot it into my [RS bleep]?? I'd rather die than not suck out my fat and get boobs at the same time!" So I decided I must have the procedure, or I would promptly expire.
I started looking at Beleza cause that's where my mom goes to get stuff done, but they really sucked at following up my email request for info, and when I finally got the email like 2 days later, I was like screw you guys, I'm taking my fat ass and my tax money elsewhere. I remembered hearing a radio ad about Westlake Dermatology and recalled that they were pretty fancy and high end, so just for [RS bleep] and giggles I decided to check out the website and see what they had going on. Totally didn't expect to be able to afford them. Afterall, they were in the hills by Lake Travis which is where all the wealthy reside...I figured the only thing I could afford there was a zit popping session lol. Well, as soon as I got on the site, i saw a banner at the top of the page advertising their February Smartlipo specials...$1095 an area which was about $200 less per area than Beleza. [RS bleep] yeah! Plus Westlake has always been recognized as the gold standard in cosmetic treatments and especially anything to do with the moving around of fat. Request more info? Duh.
1 hour later: "Holy [RS bleep] they already wrote back!"
Super informative email and the person who wrote it actually tried to sound nice and enthusiastic, so I went ahead and scheduled a consultation. Super polite receptionist scheduled me with Trudi, one of the consultants. Trudi was awesome and sweet, and didn't try to sell me anything I didn't need. She was no-[RS bleep] about the fat transfer...she took one look at my boobs and was like um you're not going to get any actual breasts from a fat transfer, just maybe a slight increase. .."HAHAHAHHAAHA" I laughed...not out loud. I laugh in the face of negativity. And truth sometimes. Lol. I told her I still wanted to do the fat transfer anyway because literally ANYTHING would be better than what I had. So the lipo for my outer thighs, inner thighs, and inner and top of my knees was $3885. Adding the fat transfer was $2500. Idk how the prices broke down I guess she was charging me for 4 areas but discounting it or something. (the price up top includes everything. Prescriptions, blood work, compression garment, follow up appts, etc) So I scheduled my surgery right then and there and put my deposit down to hold the date.
I ended up having to reschedule my surgery once cause my tax return was taking forever to be deposited into my bank account, but the scheduling chicks were all super nice about it and no one got annoyed with me. Trudi didn't even get annoyed that I kept texting her with questions.
Pre-op day came and I had my visit with Dr Friedmann (who was awesome and also pretty cute), and anyway he checked out the chubby spots where I wanted the fat sucked out and took a look at my lack of [RS bleep] and was like "yep...yep, yep" cause I was clearly in dire need of a boobie intervention lol. Then one week later I went in for my surgery. Took my Ativan and didn't eat breakfast like I was supposed to, so they gave me some goldfish (which didn't smile back. I feel cheated.).
As soon as I started feeling nice and fucked up, I had my before pics done and then went back to the OR to get some lidocaine saline stuff injected into my legs all over. I looked like a sideshow freak trying to walk down the hallway after that to pee. I kept having to pee it was ridiculous. Anyway the surgery was good. Took a long time but I didn't really care cause I was fucked up on the Ativan. I didn't feel any pain when he was doing the lipo, but since it took so long, the lidocaine started wearing off in my boobs. Plus since my boobs were so small, they only put a tiny bit in them so as not to fill them up too much with fluids I assume, cause then there would be no room for fat. I super appreciate that because I have a high pain tolerance and would be fine if I could feel some stuff, if it meant better boob results. So I could pretty much feel everything he did in my boobs after about half an hour..They weren't numb really. The skin was numb, so I didn't feel pain when my skin was being punctured and stuff, but the inside was pretty sore cause he couldn't numb the muscles...just not possible.. plus I could feel my boobs being squeezed cause he had to really kinda be rough with my boobs because they didn't cooperate very well. They were fibrous, is what he said. I lol'd a couple times in my head because it was funny to imagine this from another person's POV watching him struggling to get the syringe to go all the way in my boob without stabbing me in the heart. Idk I was fucked up so I guess everything was funny to me. Anyway I was entertained by conversation between him and the two nurses so I wasn't really bored. I dozed off a couple times too. It was a little uncomfortable at times but that's because I'm resistant to numbing agents, but really not as bad as what I thought it would be.
After surgery, my bf drove me home (he waited almost 7 hours for me in the waiting room), and I took some pain killers. I bled all over the place and stuff cause I forgot to change the gauze pads. Woohoo now I have blood droplets on my fancy bed sheets and the carpet and on my sofa pillows! He took a 5 hour nap with me and then took me over to my mom's house so he could head back to his house, and i would have someone to do stuff for me since I was basically on drugs. First few nights were easy cause my pain meds knocked me out. Now I am 4 days post, and last night was the hardest cause I ran out of painkillers and my bruises were hurting all night long. Specifically my outer thighs and knees because i like to sleep on my side with my legs stacked on top of each other. I don't really need the compression anymore but I put it back on this morning because it holds me in and makes it hurt less. I'm going without any pain meds not even regular Tylenol. My boobs don't really hurt..they never hurt much just a bit sore. They, at their worst, felt like they were engorged with milk. Sore and full, but not unbearable. On the 2nd day after surgery, they dropped a bit and softened up a whole lot. They didn't decrease in size very much and I think they look really nice! I actually have a shape to my boobs now it's awesome! I am wearing sports bras or no bra for now, but I fill out a 34 B bra now, whereas before I couldn't even really fill out my A cup bra. I'm 4 days out so there may be some decrease in the boobs but I don't think it'll be much. Maybe if I lose weight. But I don't really think I need to lose any weight now because my trouble spots are now gone and turned into boobies! Plus now if I gain weight, the fat in my boobs will get bigger yay! No more saddlebags and weird knee fat! Anyway, this review has gone on forever so I'm done now. I'll be adding photos here and there. But bottom line: Fat transfer is awesome, and Dr. Friedmann is awesome as well! You won't find a whole lot of reviews of him on RealSelf, but I promise he is very good at what he does. And those blue eyes *swoon* omg. I'm sure he's popular with the nurses there lol. Go see him now!

Updated on 26 Feb 2016:
I'm posting some pics of how I'm healing up so far. Bruising isn't too bad, swelling is gone. Not too painful...just some muscle soreness.

Updated on 28 Feb 2016:
They don't hurt anymore except when I press on the undersides.. my muscles are pretty sore under there.

Updated on 2 Mar 2016:
Swelling is almost gone-ish. They swell up some days like this particular day, and I am definitely okay with that!

Updated on 7 Mar 2016:
Swelling and bruising from the surgery is totally gone now. I just found out 3 days ago that I was pregnant, so my boobies are going to be getting probably a lot bigger now. That means I was pregnant when I had the surgery. No anesthesia though, so I imagine everything will be fine with the pregnancy. I'm going to be continuing to post pictures of how my boobs change throughout the process, so if anyone wants to see how fat transfers are affected by hormone changes and weight gain, stay tuned!

Updated on 11 Sep 2021:
So I was looking back at old post-op photos of my breast fat transfer and I wanted to add an update since I’ve had a child and breastfed her. She’s now almost 5 years old. I did lose some of the fat but I think that’s from the breast feeding because when I was pregnant they got huge. I’ll include a picture of that too. The fat that got injected into my boobs basically tripled in size during my pregnancy but then went bye bye when I lost the weight.
I guess this is my way of saying farewell to my tiny A cups because I’ll be going in for my 650cc silicone high profile implants in 4 days and I am so excited I can barely keep it together over here. I’ll definitely post photos of that procedure for y’all!

I remember first becoming aware of my weight in 5th grade P.E. class after weighing ourselves and realizing how much higher my number than any of my girl friends. I became self-conscious while changing in the locker room and from that day forward, there has not been one occasion of wearing a bikini, dressing in front of friends, or un-dressing in more intimate settings that I have been comfortable or confident.

My weight peaked at 185 in high school (on a small frame 5'4"). During my 20's it dropped and stayed between 130-140. After the initial loss, diet and exercise would produce some results- face, breasts, torso would slim down first but nothing noticeable in the areas of most concern.

I spent my 30th birthday abroad. The trip was very good for me and I finally felt like I was comfortable with myself. Except I still did not like some of the bulges and bumps on the packaging and decided it was time to do something about it. I am only one day post surgery but am so glad I made this decision. I will be sure and post more updates as the results progress.

Updated on 21 Sep 2014:
Thought I would add a few more photos and provide an update of the first few days.

Day 1-2: Uneventful
I was surprised at how good I felt. A little restless sleeping each night with all of the garments but not too uncomfortable and I did not have a ton of drainage. I had my follow-up appointment in the morning of day 1 and spent the rest of the time working from home (I had taken the rest of the week off just in case). The pain was very minimal. The extra strength Tylenol was more than sufficient and I was able to avoid taking the prescribed pain meds.

Day 3: Swelling!
The swelling came on full force and the previously comfortable garments were very tight. I felt like my entire body was swollen... even my knee caps.

Day 4: Lost the Compression Garments, Gained the Bruising
Thrilled to be done with the compression garments (mandatory for 24 hours a day until the 3rd full day after the procedure, then either the inner layer or Spanx are acceptable but not mandatory). I was surprised at how cumbersome they were as I have done some waist training with tight lacing corsets. I know some are recommended to wear the CGs for weeks or even months. I opted today to for these size-too-small capris as I wanted easier access for the first full day of wound care (appellation of Vasoline and fresh bandages on the invasion sites). I will probably wear the first layer garment under my work clothes starting tomorrow as I do not own any Spanx. I wish it was not so hot in Texas so that I may wear tights and hose instead. :)

Unrelated to the removal of the garments, the bruising began today. Pretty much only on the outer thighs. The bruising has darkened quite a bit from the attached photo taken at 9am this morning, I will take more photos tomorrow.


Still happy as can be with my decision. Despite the swelling, there are some subtle yet noticeable differences. Namely the smoothness of my outer thighs and the lack of bulge in the flank area. I only wish I had also gone ahead with my lower abdomen but plan to bring it up at my 1 week appointment Wednesday.

Question: Anyone have tips on how to get the marker off your skin?

Updated on 25 Sep 2014:
Well, still very swollen and am concerned with the inner thighs. I really hope to begin to see some improvement. Had a lymphatic massage yesterday and today has definitely been a drastic reduction in tenderness of the areas. Also had my 1 week post-op and went ahead and scheduled upper and lower abs next Wednesday.

Updated on 1 Oct 2014:
Went back in today for the lower and upper abdomen. Nothing new to report on the procedure or experience. Love Dr. Frieddman and his team more and more every time I interact with them. I trust his judgement but I do worry perhaps my expectations were not realistic. He took out such a small amount of fat. I thought for sure there would be more than the other four areas previously done as my stomach was quite... pinchable. I suppose time and patience will tell.

Regarding healing of the previous procedure, it has been progressing nicely. I have had two lymphatic massages and I do believe they have helped tremendously. I also soaked in an Epsom bath last night (3 cups dissolved into my big garden tub). My bruises improved dramatically and today has been the least swollen I have been. I don't know if the progress is attributed to the massage or the bath so I will continue both just to be sure I am covered. :)

Updated on 4 Oct 2014:
I am so extremely glad I decided to proceed with the additional two areas. The pain in my abdomen has ceased and I am feeling great. This was the point I resumed exercise last time so I will refrain and hopefully avoid the extreme bruised stage. We shall see.

Updated on 22 Oct 2014:
Well, I am at a little over 1 month for outer/inner thighs and waist and 3 weeks for upper/lower abdomen. I am down about 5 lbs from my weight the morning of procedure #1. I have been walking a lot. I tried running a week ago but it was still a bit too much discomfort. Not yet back to strength training just because of work and travel.

I have been very much enjoying my new look. My clothes fit great, didn't quite loose a full size but jeans that were tight with a roll over the top are now comfortable and loose in the waist. It feels like I missed out on... practically my whole life being self conscious and worried about my weight and now I can just be... me. So cliche, I know but it is true! I attended a dear friend's wedding this weekend and wore styles of dress I have NEVER been able to wear (pictured). It is absolutely amazing to try on a dress you never would have dared before and it look good (although admittedly it seems it will take some time to get used to being comfortable in more form fitting styles!)

There has been a noticeable amount of skin tightening in the last week, more than I seem to have noticed in the weeks before. I have a little tenderness in my lower abdomen but nothing to write home about, I still sleep on my stomach quite comfortably. A little tingling here and there (I assume this is the nerve endings reconnecting?) but again, nothing noteworthy.

I feel a little guilty going on about how wonderful my experience has been because I know from my own research on the site this is certainly not the case for all. Some of the frustrations and dismay I read from individuals almost deterred me. It is a significant investment to come out on the other side without the expected return. I just wish every one would be content with their outcome.

I will take some photos to show the healing this weekend!