WHICH TREATMENT APPROACH IS RIGHT FOR YOU?
Dr. David Smart offers specialized care across two premier clinical settings. Choose the pathway below that best matches your health goals, medical needs, and preferred care experience.
Smart Skin Dermatology
- Lehi, Utah
ELECTIVE LIPOSUCTION & SCULPTING
For individuals seeking streamlined, out-of-pocket body contouring and targeted fat reduction in a boutique outpatient setting.
Roxbury Institute
- Murray, Utah
Advanced Lipodema Treatment (ALT)
For individuals seeking comprehensive medical evaluation, multi-stage surgical care, or insurance-supported Lipedema treatment
Still Not Sure Which Option Is Right for You?
Answer 5 quick questions to find out whether Smart Skin Dermatology or The Roxbury Institute is the ideal fit for your goals and care needs.
Meet Dr. David Smart
Dr. David Smart is a board-certified dermatologist and dermatologic surgeon specializing in advanced cosmetic body sculpting, tumescent liposuction, and specialized surgical procedures.
After serving as an assistant professor at the University of Utah—where he helped expand the department's laser, cosmetic, and tumescent liposuction services—Dr. Smart completed specialized fellowship training in Lipedema liposuction surgery with Dr. David Amron through the Advanced Lipedema Treatment program at The Roxbury Institute in Beverly Hills.
Today, Dr. Smart performs elective tumescent liposuction and aesthetic body contouring at Smart Skin Dermatology, while directing advanced surgical Lipedema care (ALT) through The Roxbury Institute. This dual-practice approach ensures every patient receives care in the exact clinical setting best suited to their medical needs, safety profile, and procedure goals.
Understanding Lipedema & Your Symptoms
Lipedema is a chronic, progressive adipose condition characterized by disproportionate, painful tissue accumulation—most commonly in the legs and arms. Often mistaken for standard weight gain, Lipedema tissue is biologically distinct and typically resistant to traditional diet and exercise.
Symmetrical Accumulation
Heavy, disproportionate tissue affecting both legs or arms equally.
Pain & Tenderness
Noticeable aching, hypersensitivity, or feeling bruised to light touch.
Easy Bruising & Heaviness
Bruises appear with minimal trauma; legs feel fatigued or dense.
Diet & Gym Resistance
Tissue volume stays unchanged despite caloric deficit or workouts.
Where should you direct your care?
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For Elective Body Sculpting & Cash-Pay Contouring:
Targeted aesthetic fat reduction, mild isolated areas, and skin tightening are performed in our boutique outpatient setting at Smart Skin Dermatology.
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For Medical Lipedema Evaluation & Insurance Support:
Comprehensive diagnostic workups, high-volume circumferential surgical plans (ALT), and insurance prior-authorization navigation are managed through The Roxbury Institute.
LIPEDEMA TREATMENT ISN'T ONE-SIZE-FITS-ALL
Every patient's experience with Lipedema is different. Treatment recommendations may depend on your symptoms, the progression of the condition, your medical history, and your individual goals.
That's why finding the right treatment starts with understanding your individual needs.
Lipedema FAQ
How do I know if I have Lipedema?
Common signs include disproportionate fat buildup in the legs or arms, tenderness, easy bruising, swelling, and a feeling of heaviness. A medical evaluation is the best way to determine whether your symptoms may be caused by Lipedema.
