As a thriving cosmetic surgery expert, Dr. Gregory Smith is well known for his surgical skills, delicate touch, and ability to connect with patients. A constant pursuit of perfection helps him achieve amazing and long lasting results. Offering liposuction, tummy tuck surgery, thigh lift surgery, arm lift surgery, and much more.


The modern technique of blunt cannula liposuction was invented by Yves Gerard Illouz, an OB-GYN surgeon in Paris in the early 1980’s. Later, a California dermatologist, Jeffery Klein, invented tumescent liposuction, a technique that used large volumes of very dilute local anesthetic solution during the procedure to dramatically reduce the blood loss with this operation to negligible amounts. This modification to the technique allowed greater amounts of fat to be removed safely and painlessly at one sitting.
Ideal candidates are individuals who are following a reasonable program of diet and exercise, are less than thirty pounds over their ideal body weight and who have localized fat deposits that are resistant to both diet and exercise. People who are up to fifty pounds over their ideal body weight may be candidates, however, each individual must be evaluated on a case by case basis. Liposuction is not a weight loss technique and it is not a substitute for reasonable diet and exercise. When and individual maintains their body weight after liposuction, the areas that have been treated with liposuction are permanently reduced. Overeating will cause generalized increase in body fat and weight gain. Many patients are encouraged to go on a carbohydrate limiting diet such as the Atkins diet or South Beach diet to help maintain their result, since many patients seem to be carbohydrate intolerant.
The procedure is usually performed under oral or Intravenous sedation with tumescent local anesthetic solution or Klein’s solution. The recommended safe level of fat removal at one sitting in the State of Florida is the planned removal of 4 liters (about one gallon) of pure fat. Individuals commonly have more than one site treated at one time, i.e. abdomen and love handles or inner and outer thighs, arms, male breasts or the upper and lower back. The recommended procedure(s) can only be arrived at after a thorough consultation with your surgeon. This is usually accomplished through physical examination, photos and comparison with photos of other patients who have had similar procedures.
After surgery, a light compression garment is worn for one to three weeks depending on the areas treated. The procedure is relatively painless and discomfort is likened to muscle soreness after a hard work out. Most individuals return to normal daily activities in one to two days and to normal exercise in one to three weeks. The subtle swelling and slight numbness of the areas treated will normally take one to three months to totally resolve.


Many factors such as pregnancy, localized fat deposits, hormones and previous surgeries contribute to protuberance or pooching out of the belly. In the past, many of these problems were treated with just one operation, the full tummy tuck or abdominoplasty. In this operation the belly button was reset after the abdominal skin was undermined or freed up so it could be brought down to an incision hidden in the swimsuit line to rid the patient of excess skin and fat.
Today’s modern approach to belly deformities is much different. Each individual patient is studied to see which of a series of tummy tuck procedures might be right for them. In fact, in many cases, the only thing that is required is abdominal liposuction to rid the patient of excess fat with no need to remove any skin. In others, a mini tummy tuck is recommended, where only a small incision is hidden at the top of the pubic hair to allow a small amount of skin to be removed with access to the lower abdominal muscles which need tightening. This is frequently combined with liposuction to achieve a better result by reducing fatty deposits at the same time.
In some individuals, the only deformity is letting go of the abdominal muscles. This is quite common in thin individuals who have been pregnant. In these individuals, two very small incisions are used at the level of the pubic hair and around the belly button which are almost invisible. Through these two small incisions, an endoscope, or lighted tube attached to a camera is used to allow the surgeon to retighten the loose muscles. Recovery time is much shorter.
Finally, only the patients with significant excess of skin, excess fat and looseness of muscles need undergo a full tummy tuck or abdominoplasty. However, if indicated, this operation can give dramatic improvement of form, with flattening of the belly, removal of old scars and stretch marks in appropriate candidates.


Sometimes with pregnancy and weight gain/loss the inner part of the thigh can develop unsightly exess skin which makes it difficult to wear clothes or a bathing suit. This area is one area of the body which requires some excess skin to allow free movement of the legs outward. When there is too much of an excess it becomes quite noticeable. In these cases a thigh lift with or without liposuction may be recommended to tighten the area. The scar is usually hidden in the thigh crease and may be extended toward the buttock crease if needed in more severe cases. In mild cases of fullness of the tissues, liposuction alone may be all that is indicated.
Thigh lifts are normally performed under light oral sedation and local anesthesia and the recovery time to return to "normal activities" is approximately two to three weeks. Vigorous sporting activities should be avoided for at least six weeks.
If you think you are a candidate for the thigh lifting procedure, we invite you to schedule a consultation to see if this procedure is right for you.


Cosmetic Vulvo-Vaginoplasty Surgery is a set of procedures which are performed to rejuvenate the labia and the vagina from changes which have taken place due to childbirth, development and aging. The labia minora and labia majora may require recontouring to present a better cosmetic external appearance as well as reduce overly large structures which have become irritated from clothing, sexual intercourse or even sporting activities. The vaginal area may be tightened by removing exess mucosa and tightening the vaginal muscles which are often torn during childbirth or from unrepaired episiotomy incisions. In some cases the mons pubis becomes ptotic or fallen and sturctures loose the fat fill they once had. In these cases a mons lifting and fat augmentation may be recommended.
Most procedures are peformed under local anesthesia and mild oral sedation. Recovery time is as little as one week up to six weeks. Normal daily activities are resumed very quickly.
If you think that you may benefit from this type of surgery and are interested in discussing your options for Cosmetic Vulvo-Vaginoplasty, we invite you to call our office today for a thorough consultation.