Dell P. Smith, MD (retired)

I am 51 years old. I have always tried to take care of my skin. I use great product and sunscreen. But my face was starting to droop. I had threads a year and a half ago and honestly wish I would I have saved my money to put towards something a little more permanent. I am extremely optimistic and looking forward to seeing the end result. I will keep you posted.



Updated on 31 Jan 2023:
Still some swelling and bruising. Patiently waiting for the final result.they say it can take up to 3 months to see the final result. I can feel where they removed the buccal fat inside of my mouth, the first few days was a little hard to eat .

Updated on 14 Feb 2023:
This was taken about 6 weeks after. I can still feel the swelling on the inside of my mouth where the incisions were made to remove the buccal fat. I am hoping to see more results in my nasolabial folds as I did fat grafting as well. The Doctor did say that he could do some touch ups if needed.

Updated on 5 Mar 2023:
This picture was taken 7 weeks after procedure. The swelling is gone for the most part. I believe I have a little swelling left where they cut inside my mouth for the jowl removal. I am going in on the 13 th of March to add a little more fat to the nasolabial area and couple spots here and there.

I’ve always been self-conscious about my larger labia and how I felt in clothing. Dr. Smith explained everything, was patience and took great care that I understood everything about the surgery. After care was great as well. I had some stitches come out ( I got sick and coughing so much tore them) and he made sure I understood my options. I was happy with the results anyways and decided to do no revisions. It’s been wonderful to have non-painful intercourse to ride a bike with no pain.

3 weeks post-op BR. Dr. Smith and his team are great! Cindy is an absolute life saver, I can't say enough good things about her. She's just an amazing person and always eases my worries. Thank you!

Well it finally happened. I have big boobs.. I think. I had surgery Feb 18th 2017 at 10 am. It has been a crazy experience. I have ITP it is a blood disease where my body destroys its platelets. I wasn’t sure if i was a candidate to have breast augmentation but both my hematologist and my plastic surgeon were very confident about it and made me feel like it was no big deal. My platelets had been testing around 30,000 in order to have surgery they needed to be in a lot higher in the 80,000 range. My surgery was planned on Feb 11 and in order to have surgery I went on a steroid 2 weeks before for 4 days. My blood was tested the day before the surgery and my platelets actually dropped down to 27,000. Ugh, how annoying they drop by 3,000 after being on these horrible drugs that make you so you cannot sleep for days. We had to cancel the first surgery and reschedule for the following week. I went in to get 2 doses of platelets before the surgery. I was debating between 350cc and 400cc. but I wanted my dr. to choose. He choose the smaller size because I am a runner and one of my biggest concerns was that they would get in the of my running. I only want to be a full see cup so i am anxious to see my results and to see if that is what i have. Everything went well with the surgery. I did loose a lot of blood and they did have to put two drains in. the drains are like to bulbs that fill will the excessive blood. My husband has been emptying them every few hrs and recording the blood loss. We estimate that total with the surgery and after I have probably lost 2 pints of blood. As long as I was sitting down and sleeping I have felt fine. This morning I was feeling pretty well i got up to use the bathroom at 5:30 and felt horrible i was dizzy and nauseous. My husband helped me back to bed and gave me some pain medicine I should have taken one about 3 hrs ago but i didn’t because I was sleeping.

I have decided not to miss a pain medicine dosage. I think if i wouldn’t have missed that one I would have been fine this morning. The past couple of days have been a pretty rough recovery. I have only been eating soup and i have been laying in bed a lot. Everything from my waist up was hurting really really bad today I went to the bathroom and started crying for a minute because I was so discouraged about how crappy I felt. My husband has had to do everything for me. We decided that we should go on a walk. What a great idea that was. the kids loved going outside and riding bikes and sliding and swinging and I walked around and imaged the pain leaving my body. We came back and my sister came to visit it was so nice to see her and just have some support. I feel like 60 times better right now then I did today. Until this point it was just getting worse and worse and I finally feel like it is getting better. Just taking it one day at a time. We are going in tomorrow morning to see if the drains can be removed. Im getting excited to take a peak at the girls. I am so glad that the surgery is over with. It has been a hard recovery so far.

Updated on 25 Feb 2017:
Hoping my bleeding stops to get these out. I'm wrapped so tight I'm taking pain kills just for the pain of being wrapped.

Updated on 25 Feb 2017:
-A (I call it) before surgery 350cc mentor implants. I'm still in a lot of pain 1 week later.

Updated on 1 Mar 2017:
I got my drains out 2 days ago. I'm wrapped so tight it hurts but I know I have to stay wrapped with my ITP.. so I don't bleed. I took a bath and had my ace bandage off finally and I felt great. Wondering how long I need to stay wrapped this tight... I can't wait to breath again and not feel like someone is squeezing me to death. Here are a few pictures of my progress. So grateful the drains are out! They're not fun.

Updated on 4 Mar 2017:
I feel great!! It's incredible what a difference I feel from just a few days ago. I walked 4 miles today. I've been able to lift my children and do laundry. Life is starting to go back to normal. Im off all medication. I'm liking the way my breasts look. They look much smaller than I thought they would but my goal was to be 34 c and that is what size bra fits me, I'll post photos. My biggest concern was having my boobs get in the way of my running but I don't think these will give me a problem. With clothes on I look the exact same as before but nude I look much different. I'm pleased with everything so far.

Updated on 23 Mar 2017:
I'm feeling great! I've been running for the past three days! I ran 5 miles yesterday and 4 miles today. Boobs don't bother me at all. Legs have been sore from taking more than one month off. I think the size is perfect for s runner not to big but can fill a bikini. I got sized at Victoria secret 32D. Everywhere else 34C that was exactly what I wanted to be. I'm happy with my results. They look very natural and in proportion with my body. When I told my girlfriend they didn't even notice they just said that I looked skinner because the proportion had changed.

Updated on 6 Apr 2017:
I had my last check up with Dr. Smith. He is a great doctor. I've been very pleased with him and his staff. I wanted to post my before and after photos that they had taken. I think that 350 is a perfect size for a runner. I've started running and they haven't bothered me at all. I look like a normal woman! Yippy!

Updated on 4 Nov 2017:


Updated on 24 Nov 2017:

I had exercised, done more crunches than I can count but I still had a mommy belly.
I had a consultation with Dr. Dell Smith and his great staff.
I believe a Tummy Tuck is life changing because it repaired my abdominal muscles and gave me confidence in my appearance.
I would say "YES Just Do It."

Hello everyone! So this is my story/journey to this point with my breasts and a couple other things. This is my 5th surgery on my breasts and I will be having a couple extra things done but are all included and my current doctor is a perfectionist and I think it is something that I have needed for some time now :-D First surgery was implants back in 2004 came out a 36D (before I was an empty 34B)  when my first son was 9 with no plans on having any more. They looked perfect! But then in 2006 I had another child with my new husband and things certainly didn't look the same after that. We lived in Arizona and after an unplanned crudely done c-section since my son was just too large after 8 or more hours of labor, he ended up being 10 pounds! I had a tummy tuck done. We moved to Utah after that and that is when I addressed my breasts and extended my tummy tuck so it ended up being a full lower body lift and got rid of the muffin top problem that just the tummy tuck didn't address. So while in Utah I had an implant exchange and lift, my breasts were a 40DDD at this point and I just needed something alot smaller. And I felt that my inframammary fold was too low since having the tummy tuck but was told before the implant exchange that it was impossible for that to happen and I didn't have that problem. Then the assistant at the doctors office said that my breasts would look like pancakes if  I didn't go with the ones that she had suggested which looked huge to me but thought they knew what was up and trusted her judgement. Voiced my concerns and what I was wanting to achieve but nothing changed. So after the exchange and lift they went down to a 40DD. So a cup size down but certainly not as small as I was looking for at all! I went in an asked for smaller, I didn't insist on another implant. But after them still not being as small as I wanted I had them removed completely. But after the doctor had first made sure that I hadn't just gained weight that had to be verified first since revisions to something you didn't want is usually cost less. Well it didn't change and so they were removed and another lift was done.  After removal they were a 38DD, so slightly smaller but not by much so something else should have happened from the get go. But we moved again to Idaho and I felt defeated about my breasts and just thought that is what I had to live with. But they were still too big for me and exercising was still painful for me and having to practically bind them to do any sort of running or jumping I went the reduction route which insurance did cover. Got them down to a 38C or VS 36D which was great and I could finally crossfit without pain! But now they were flat. No cleavage or anything without a bra and was left with alot of sideboob. But reduction isn't much about aesthetic's but fuctionality so when I went for revisions from the doctor that did my reduction it was going to cost alot more than I had expected.. So I decided to have a consultation with yet another doctor here in Idaho about all of it.... And guess what? As soon as he saw them he said that my inframammary fold was too low and my breasts had essentially bottomed out and my tissue was just too thin and not strong enough anymore and he wouldn't have done a reduction at all but fixed what was going on first. Granted insurance covered most of the reduction cost but not all so that was dissapointing to say the least. And then thinking to myself, I told my doctor back in Utah that I thought they were low and was completely ignored. So I felt vindicated that what I had said actually was, and at the same time I cried at all the money, time and pain that I had endured during those surgeries that this doctor saw it right away. He told me that I should never get implants again and probably shouldn't have done the exchange when I did because my tissue didn't hold it right. So I have some picture before the reduction that I had then after the reduction then some new ones from the surgery I just had 2 weeks ago today. My doctor now I have to say is a blessing and he is an absolute perfectionist! His words since we didn't do all of what he wants to do at one time is instead of getting a "C" and doing it all at once separating out the procedures and getting an "A". It was music to my ears even if I do have to wait awhile to see the final result. Plus he did my chin for free since it is typically not a fat harvest site!

Updated on 12 Jun 2015:
So he did a lift at the inframammary fold but didn't have to release the nipples because he said that when they are lifted up I had a nice breast :-) He pulled up my abdominal skin and attached it to my chest wall and the strattice/seri sling that he put in place to hold my breast tissue in place so that I shouldn't have a problem with bottoming out anymore and fat grafted some to my upper pole to give it some fullness that it hasn't had in a very very very long time! First day home I had a catheter in which was the first time I have had one with a plastic surgery but I think in the long run it was a blessing because I could just rest until my appointment the next day which was today so yay the pics didn't have that!!! Ended up with 2 drains on each side so that was a first for me but easy to manage since my husband is a rockstar and has seen me through all my procedures plus my dark couple years with cancer. He is amazing :-D Everything is alot more sore than I thought it would be but the nurse did say to expect pain much like when I had my tummy tuck that he did alot of attaching to my chest muscles and ab muscles that it felt like I had pulled a muscle all through there. And when I had had my tummy tuck I was one of the lucky ones that had a pain pump in those few days after so I didn't feel much. He harvested fat from my knees, abs and flanks and then did my chin as a bonus is why I have such glamorous head gear on!! He harvested 1600cc from all those harvest and then 100cc's from my chin and he fat grafted a little over 200cc's on my left side since when I was a teenager I had a lump removed that was half the size of a tennis ball and from here on out has always had less tissue and then 200cc's to the right side.

Updated on 12 Jun 2015:
So things are going as well as to expected after surgery. Lots of swelling and bruising but not completely unbearable with the pain meds and the blessing of a doting husband! The tape on the top of my breasts is where the doctor went in for the fat grafting. The rippling in the center below my breast is where he had to pull up my abdominal skin and put in sutures to hold things in place but should flatten over time as the sutures dissolve. The taped areas are where he harvested fat from my abs, sides, flanks and knees. And the tape under my ears and right under my chin is the sites from my chin lipo. I had to wear my head gear 24/7 and had my knees wrapped in ace bandages from mid thigh to mid calf but nothing for my stomach or sides. So all and all things are going well and I am looking forward to when I get my drains out.

Updated on 13 Jun 2015:
Feeling really good! Drains are out and that honestly just feels so much better :-) Bruising of course is still pretty significant but I have been using Arnica Gel on them all and I think it is helping alot! Still have a pretty sore right side and I can feel the muscle being pulled when I lift things which I try to keep to a minimum when I can. I will be posting more pictures soon since I have most of the tape off accept for right under my breasts.

Updated on 22 Jun 2015:
Hello everyone! So it's been 3 Weeks 4 days since my surgery and I think I am doing pretty good! Still sore in most of my liposuction sites and still some slight bruising. I still have some pain when lifting or moving certain ways in my breasts but I think it's due to the fact that so much it secured down to my muscles that some muscle movement hurts. We moved to a new city recently and it has taken its toll on me and I am scared with all that had been going on this past week that me forgetting to eat or not having time to eat and losing 6 pounds wasn't good for my fat grafts. So I am worried that I messed it up.... :-\ Left side is larger than the other because of a large tumor that was removed 20 years ago so he filled it more. It has been hard to have them 2 different sizes because it seems so significant to me and having to wait until the fall for revisions has me bummed.... But I travel to see my doctor on the 29th so hopefully everything is going as planned. Will update after my appointment. But all is good and I certainly love the height my breasts have now but I am wishing so much to see the end result and waiting is a killer!

Updated on 21 Oct 2015:
Hello everyone! Well it will be 21 weeks tomorrow since I have had my latest breast surgery. Everything is going well, I have muscle pain now and again which feels like a pulled muscle sometimes. But I am getting better everyday! I have my next procedure scheduled for the 28th of October and I am really excited to get some more fat transferred to my breasts and arm and back liposuction for fat harvesting. The doctor will be adding more to the bottom of my right side (left side in pics) to help even out the bottom with the other side and add more upper pole fullness. I am posting a few pictures of my progress which will also be my before (pics) before this next procedure. I am excited to show you all how this all turns out! I will be adding some pictures later of my back and arms to compare with after the liposuction.

Updated on 4 Nov 2015:
So surgery went well on the 29th and I am pretty sore from neck to waist. The doctor 405 in the left with lift and 390 in right. 3 liters out total and almost 800 ml back in. 2.2 pounds in each liter, 6.6 lbs out, 1.7ish back in, about 5 out total.50 to 60 percent retention. My husband asked all these questions while I was out of it because I wanted to make sure I got all the figures right for on here. The reasoning behind only so much back in is that the revolve system he used separates out the bad fat from the good viable fat. He took fat from my arms back and flanks and a little from between my breasts to even out a ripple from the first surgery. I have posted some before arm pictures but will have to get my husband to help me with the arm and back pictures. I have some pretty ugly bruises and swelling but I think once all that goes down everything is going to look great! The pictures I posted are from 5 days after. Taking off the compression vest has been a painful challenge and I was in no mood for pictures until now. I see the doctor this coming Thursday the 5th for my stitches out and I am excited to see how he feels I am doing :-)

Updated on 6 Nov 2015:
So these are finally the pictures of my arms and back a week after surgery. I had my stitches taken out yesterday and now I just have to wait for the bruising and swelling to go down and take it easy :-)

I've wanted a TT for several years, the time and cost factors were finally obtainable and so my journey began..... I tried a less invasive approach just over 1 yr ago and had the BodyTite surgical procedure done by my PS. I loved the results, looked great I thought, however......the results became the BodyLoose because it was all temporary and only lasted about 9mo. Proof to the old adage "never enough time to do it right......" so guess what, here I am doing it over the RIGHT permanent way.


Updated on 14 Feb 2011:
Used my grandcat for my profile pix because this is exactly how I look and feel being off my hormones for the past week :)



Updated on 14 Feb 2011:
My profile pix is a fantastic expression of my dynamic personality after being off my hormones for the past week :)

Updated on 15 Feb 2011:
Posting these pre-op pictures tonight on the eve of my surgery. Thank you to everyone on this site who has sent your support & understanding as I begin my journey. Strange, today I kept pinching the love handles and thinking tomorrow at this time these will be gone! Still hard to believe that the time has truly arrived after all these years of wishing for it. Don't imagine I will sleep much tonight but its time I give it a try....I'm a stomach sleeper so this is my last chance for awhile. I'll post soon as I'm able.