Very dissatisfied with liposuction/smart lipo on upper arms. They are still the same circumference almost a year later. I experienced no skin tightening as promised by the advertisements for Smart Lipo, my arms are stil just as big, but now they look worse because the fullness has been reduced but the circumference is the same. I still can't fit my arms into shirts that fit me elsewhere, and my upper arms look like soft balloons when they are relaxed at my side. He said he looks at results based on the arms being held outward, but who walks around with their arms outstretched? Also, when I told him they were the same circumference, he said he never said they would be smaller, only that the fat would be reduced by 50-75%. Tell me, why would I undergo liposuction if it wouldn't make the area smaller? I was very specific about why I wanted the lipo done (size reduction) and at my consult he never said I shouldn't expect that. Plus, he's a really nice man when you first meet him, and if you are pleased with your results he's probably even nicer, but as soon as you make it clear you are not satisfied he gets very difficult to talk to and he will try to sell you additional procedures (Thermage or some laser procedure) to "enhance" the results. He gets rude and impatient. He has shown no interest in appeasing me, or in my obvious dissatisfaction, or even in my well-being as I am upset to have spent so much money and now I can't even wear tank tops without embarrassment. My arms look awful and he doesn't even care. He is only interested in himself and his ego. He had a MySpace page where he listed himself as his hero, but I mentioned how pornographic it was on another board and, lo and behold, I can't find him on MySpace anymore! He should be ashamed of himself. He's a doctor, not board certified in Plastic Surgery or Cosmetic Surgery, but a DO who does cosmetic surgery. He advertises himself all over the place and it seems everyone is so happy with his results, but if you look at www.doctorscorecard.com you'll see the other side of him.