Advanced Lipedema Treatment
is Proudly Performed at
The Roxbury Institute


Lipedema Clinical Team

Dr. David Amron Advanced Lipedema Treatment Surgeon Bio
Board-Certified Dermatologic Surgeon
World-Renowned Lipedema Specialist
Founder and Medical Director of The Roxbury Institute

Dr. David Amron, a leading board-certified dermatologic surgeon, specializes in advanced lipedema treatments, liposculpture, and revision liposuction surgery.

With a wealth of experience gained from performing over 12,000 liposuction surgeries throughout his 25-year career, Dr. Amron has developed breakthrough lipedema treatments. His Advanced Lipedema Treatment is now peer-adopted, medically acclaimed, and taught by surgeons worldwide as a highly effective and refined approach to lipedema care...

Board-Certified EndocrinologistInternationally Recognized Lipedema ExpertHead of Research, Director of Diagnostic and Preventative Medicine at The Roxbury Institute

Dr. Karen L. Herbst, a prominent board-certified endocrinologist, serves as the Head of Research and Director of Diagnostic and Preventative Medicine at The Roxbury Institute, home to the Advanced Lipedema Treatment (ALT) program. In this role, Dr. Herbst collaborates closely with Dr. David Amron to redefine care for patients by mapping and creatively addressing gaps in research, accelerating the development of novel therapies, and broadening access to clinical breakthroughs. Her innovative approach not only pushes the boundaries of human investigation but also empowers ALT providers to apply the latest insights directly to patient care, enhancing treatment options for both new and existing patients...

Harvard Fellowship-Trained Dermatologic Surgeon
Advanced Lipedema Treatment Team
Board-Certified Dermatologist

Dr. Aria Vazirnia, MD, MAS, FAAD, a Harvard-trained, double board-certified dermatologic surgeon, is warmly regarded by his Lipedema patients as "Dr. Aria."

Building on his esteemed Harvard fellowship, Dr. Aria has established himself as a leading Lipedema Surgeon with the Advanced Lipedema Treatment (ALT) Program at The Roxbury Institute, treating patients in Beverly Hills, CA, and Salt Lake City, Utah...

Dr. Aria Vazirnia ALT bio headshot Advanced Lipedema Treatment Board-Certified Dermatologic Surgeon
Board-Certified Dermatologic Surgeon
Lipedema Liposuction Surgeon
Adjunct Faculty, University of Utah School of Medicine

Dr. David Smart is a distinguished board-certified dermatologic surgeon bringing exceptional expertise to the Advanced Lipedema Treatment (ALT) program at The Roxbury Institute in Salt Lake City. He is honored to be treating Lipedema patients in his home state of Utah. His passion for innovative surgical approaches is rooted in his vast professional background.

After graduating with honors from Brigham Young University, Dr. Smart earned his medical degree from the Medical College of Wisconsin as a member of the Alpha Omega Alpha honor society. He completed his dermatology residency at the University of Illinois Chicago....

Dr. David Smart Bio Photo - Board-Certified Dermatologic Surgeon & Lipedema Liposuction Surgeon at Advanced Lipedema Treatment at The Roxbury Institute in Salt Lake City, Utah and Adjunct Faculty, University of Utah School of Medicine.
Director of Plastic Surgery at The Roxbury Institute in Beverly Hills, California
Stanford-Trained & Board-Certified Plastic and Reconstructive Surgeon

Dr. Shawn Moshrefi, Director of Plastic Surgery at The Roxbury Institute in Beverly Hills, California, is a Stanford-trained, board-certified plastic and reconstructive surgeon with a distinguished background.

Known for his proficiency in performing lymphatic surgeries - a key concern for Lipedema patients -  Dr. Moshrefi was handpicked by Dr. David Amron to join the Advanced Lipedema Treatment (ALT) program. Together, they collaborate to design tailored protocols, ensuring the safest and most effective approach for patients requiring both Lipedema reduction surgery and surgical tightening procedures, such as arm and thigh lifts, abdominoplasty, and breast surgery...

Treatment Philosophy

At the core of Advanced Lipedema Treatment’s philosophy is the guiding principle that our surgeons are treating not simply a disease, but a person with a disease. Prior to even meeting a new patient, heart and empathy lead the way, holding a patient’s hand from the initial consultation through recovery. 

At the surface of our philosophy is beautiful artistry. Our elegant and skillful surgeons target disproportionate fat on the patient's body, so that the patient loses weight, but does so in a perfectly balanced way.  However, achieving this requires more than just removing the accumulated fat. Equally as important is the careful attention and skill employed through liposculpture to achieve aesthetically pleasing body contouring and cosmetic results, and to maximally decongest the tissues. For maximum improvement in each patient, liposuction and liposculpture should accomplish three main goals: reduction of pain and improvement of symptoms, prevention of disease progression, and the best cosmetic outcome.

State-of-the-Art Treatment facility and

fully accredited surgical center.

Dr. Amron and his team of lipedema specialists treat patients from around the globe.  For that reason, Dr. Amron wanted to create an exceptional lipedema treatment and surgical center. Today, Dr. Amron’s Advanced Lipedema Treatment is offered exclusively at the highly regarded Roxbury Institute, with locations in Los Angeles, California and Salt Lake City, Utah.  

The Roxbury Institute exceeds every standard of medical safety, and creates an idyllic environment for patients that promotes trust. With its elegant furnishings and well-equipped treatment rooms, you’ll rest easy knowing you’re receiving the highest standards of care and treatment.

The ALT Team

We believe that the best patient care is a collaborative effort. That's why we are proud to have a highly skilled and compassionate team of medical professionals, all dedicated to providing personalized and supportive Lipedema treatment to our patients. Led by esteemed Lipedema expert Dr.David Amron, our team works together to ensure that each patient receives the highest level of care. Whether you are seeking diagnosis or treatment, our team is here to hold your hand every step of the way. We are committed to helping our patients find relief fromLipedema and improve their quality of life.

The ALT team at The Roxbury Institute is comprised of hand-selected and dedicated individuals who provide service to our Lipedema patients with the highest standards of care. The ALT team consists of Dermatologic Surgeons, Plastic and Reconstructive Surgeons, Clinical Care NursePractitioners, Anesthesiologists, Nurse Anesthetists, Nurses, Patient Care and SurgicalCoordinators, Decongestive CLT Therapists, Surgical Technicians, and Insurance Specialists.

Patient Coordinator
Patient Coordinator
Insurance Coordinator
Surgical Coordinator
Nurse Practitioner
Certified Decongestive Therapist (CLT-CMT)
Los Angeles
Certified Decongestive Therapist (OTR, ORT/L, CLT-LANA)
Salt Lake CIty
Registered Nurse
Registered Nurse
Licensed Vocational Nurse
Surgical Tech
Surgical Tech
OR Manager
Salt Lake City
Director of Operations
Director of Patient and Clinical Relations

COVID-19 Safety


Under the guidance from the CDC and the California Department of Public Health

  • We are safely performing surgeries.
  • Rapid COVID-19 tests are available for out-of-state and international patients to ensure your safety during travel.

How we’re protecting our patients and staff:

  • Our staff will show proof of health and have negative COVID-19 results before returning to work, and also have daily temperature checks.
  • Staggered appointments to ensure social distancing.
  • Our entire team wears high-quality face masks that cover their mouth and nose.
  • Hand sanitizer is available throughout the facility, and sneeze guards have been installed.
  • Examination rooms are thoroughly sanitized and disinfected with medical-grade sanitizers and antibacterial agents after each patient visit.
  • Daily cleaning and disinfecting routines have been increased, including sanitation of all surfaces, doorknobs, etc. throughout the lobby, waiting, and clinical areas.

Arriving for your appointment:

  • To limit the number of non-essential people in our office, we are asking patients to come to their appointment alone, or if assistance is necessary, to limit guests to 1 person.
  • Physical contact, such as handshakes or hugs, will be avoided.
  • Please keep a social distance of 6 feet or more from other individuals when in the office.
  • Hand sanitizer is provided when you enter the facility and is located throughout the office.
  • Patients have the option to wear gloves and masks.

Schedule a