Admittedly, the after pictures represent an early surgical result with bruising and swelling.  However, these pictures also show that the results of the liposuction are dramatic despite the great deal of swelling.  Dr. Hughes frequently takes pictures of patients a few days after surgery, because many of his patients fly in for surgery and only stay in town for a short period of time.  Thus, sometimes these are the best pictures that can be obtained.  Ideally, Dr. Hughes would like to see all of this patients in the office for follow-up throughout the entire follow-up process, but that may not be realistic in many cases.