Liposuction vs. Smart Lipo

Raffy Karamanoukian, MD answers: Liposuction vs. SmartLipo - which is better?

I have been to two doctors, one wants to do smart lipo and one is a plastic surgeon and said smart lipo is not as good and performs only traditional liposuctions. How can I decide which is the best choice?


Raffy Karamanoukian, MD
3 months ago

Thankfully, there are many options available for liposuction. Although tumescent liposuction is tried and true, some patients may require additional procedures with laser energy or ultrasound energy to emulsify and destroy fat cells during the procedure. I employ all three methods in my practice based on individual characteristics. All three procedures can acheive outstanding results.

2 of 2 found this helpful
Helpful?

Request info from Dr. Karamanoukian

50 words maximum (0 words entered)
Your info is protected by our privacy policy

A: Expert or lease holder ?

Brent Moelleken, MD
5 months ago

People practicing proprietary techniques such as Smart Lipo are lease holders.  They have leased or bought a machine from a company.  There are extravagant claims about the effectiveness about this technique (skin tightening, less recovery, greater fat removal).  

I have reviewed the data of skin tightening with representatives of the company, and remain thoroughly unconvinced of unpublished "studies" performed by doctors with a financial relationship with the company.  

I challenge doctors who are touting a procedure on this forum to indicate their financial interest in the company they are touting.  That is the requirement of the ASPS and ASAPS before presenting material.  That way patients will know they are hearing an opinion from a doctor who has a financial interest in the company, and make their decisions accordingly.  Many of the physicians doing research for laser companies have received honorariums for speaking, subsidized rates on the machines they use, and have received patient referrals from the company. 

Objective studies or hype?  You decide.

16 of 16 found this helpful
Helpful?

A: Tumescent Liposculpture with Microcanulas will beat them any day of the week!

David Hansen, MD
13 months ago

dear dscheffter,

Any doctor can be good at any procedure if they do enough of them.  Tumescent liposculpture with microcanulas is the golden standard now days.  Smart lipo can do fine  but can also cause some unwanted puckering of the skin or permanent nerve or skin damage.  The amount of skin contraction from the microcanulas verses laser liposuction would be a good study to see if there is one which is better than the other.   I suspect not.   Traditional liposuction with the medium to larger canulas  and under general anesthesia is no longer done by those of us who have extensive experience.  It had its day back 20 years ago. 

Expect to pay more for the tumescent technique liposculpture with the microcanulas since it is more time consuming and technique dependent.   It definitely is worth the extra money though for better results. Not only is it safer but recovery is quicker and less painful.  Expect to pay about $5000 -7000 for abdomen and hips as an example.

13 of 15 found this helpful
Helpful?
Post your question

Liposuction before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.