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Smart Lipo Vs. Liposuction on Upper Arms and Love Handles

I'm 5'2", 110 lbs, and Asian. I had Liposuction on my upper arms in 2004 and never really saw the results I was looking for. Will Smart Lipo on this area and love handles be any better, in results and downtime? I remember awful downtime before and would like to avoid it.

Doctor Answers 16

Both should give good results

Smart lipo uses a laser to liquefy the fat, which is then suctioned out. Skin tightening is often the biggest issue with lipo of the upper arms. Proponents of smart lipo claim that it produces better skin tightening but this has never been proven in any published study, so either technique should be satisfactory.

Seattle Plastic Surgeon
5.0 out of 5 stars 36 reviews

6100 219th St SW
Mountlake Terrace, WA 98043

Smart Lipo will add more skin contraction

In terms of fat removal, I agree that laser and traditional lipo should get you to the similar place. However, the laser will stimulate cells in the skin to create increased collagen and elastin production which should show better contour not seen immediately, but with improvement over the next several months.

Barry E. DiBernardo, MD
Montclair Plastic Surgeon
4.0 out of 5 stars 39 reviews

29 Park Street
Montclair, NJ 07042

Consider Radiofrequency (RF) Devices instead of Invasive Treatments

You have options here that change over time as new technology emerges in the aesthetic space. There is no question that Smart Lipo is good for the upper arms and for the love handles — and skilled, board-certified dermatologists and plastic surgeons know how to use the device to give the results you want. And in the upper arms, the faster skin tightening that we know as a result of the laser makes this an attractive area to treat.New radiofrequency (RF) devices are now being used on the upper arms with good success — Venus Freeze, Pelleve, Accent or VShape, EndyMed 3Deep, Exilis, and others. Also, some have used Ultherapy here — ultrasound with good results. Consult your doctor for the best options.As for the love handles, you can use Smart Lipo — it works. You can also use any of the RF devices I mentioned above with some nice results. And you can use CoolSculpting or UltraShape — these are working very well as well.So you have options and need to discuss with the proper doctors to make the most informed choice or choices.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 11 reviews

2000 Richard Jones Rd.
Nashville, TN 37215

The results of liposuction are more dependent on the skill of the surgeon and not the device used.

The discomfort following surgery can be controlled well with anti-inflammatories.  Arnica helps decrease the bruising.  Based on the pictures you have sent, you would be a good candidate for a repeat attempt at liposuction.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 46 reviews

1243 Islington Ave
Toronto, Ontario M8X 1Y9

Smart lipo giving improved results in previous areas of traditional lipo

Good and interesting question. It depends on the layer of fat that was left from the previous lipo and what is now causing the fullness. Many people think that anything remaining that is full and wiggled is always fat. But it may be looser muscle or skin. While the most important thing is the surgeon and how complete or aggressive they are choosing to be I do feel that the smart lipo laser can be more complete it emulsification of the fat before extraction and has the potential to thermally get more skin retraction. BUT!!! Be be very careful because it also has the potential to cause more problems in the wrong hands or without the proper judgement about whether the patient should or can benefit from it. It is possible that the previous surgeon took out exactly the right amount and got the correct amount of skin tightening and what is remaining should not be approached with trying to get more out or more skin retraction. One of the worst mistakes is to be too aggressive.

David Amron, MD
Beverly Hills Dermatologic Surgeon
4.5 out of 5 stars 53 reviews

120 S. Spalding Dr.
Beverly Hills, CA 90212

Upper arms

I think that laser lipo will get you a better result. In my opinion traditional lipo cannot get as much fat nor can it contour as well. Skin tightening will happen to some degree with the use of the laser and of course, it is performed under sedation only. Be aware that a repeat procedure is difficult because of the scar tissue. Flanks are hugely successful.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

3711 Lomita Blvd.
Torrance, CA 90505

There is another technology

There is also VASER Lipo. This technology uses ultrasound to break up the fat cells. This is a safe alternative for eliminating unwanted fat, revealing a smooth new shape with fast recovery. This technology helps to gently reshape your body. There has been great results especially when VASER Lipo is used on arms.

You might want to find a plastic surgeon who performs VASER lipo.

Good luck!

Andrew Y. Kleinman, MD
Westchester Plastic Surgeon
5.0 out of 5 stars 2 reviews

800 Westchester Ave.
Rye Brook, NY 10573

Smart Lipo only as smart as your surgeon

The truth is that all current available techniques of liposuction are comparable and can deliver comparable results. I have used several systems and can get good results with all. The key is experience and good judgment with proper patient selection.

The data we have to review at the present time does not demonstrate the clear advantage with the Smart Lipo system or other available laser lipo systems. To some surgeons the tool may help them acheive their personal best results, but we cannot assume that laser lipo is right for all.

The contouring you seek may be possible with any liposuction technique. Keep your focus on a surgeon whom you can trust.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 36 reviews

8901 West Golf Road
Des Plaines, IL 60016

Smart Lipo is just a gimmick.

To picky82,

Hi! You look like you should do great with tumescent liposuction using very small cannulas.

I don't know why you did not do well the first time. But the machine is ALMOST NEVER the problem. It's who is using the machine. Liposuction is really sculpture. You have to have a good eye and not quit until the result is right.

You can expect very little pain and some bruising for up to 3 weeks.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

875 Park Ave at 78th Street
New York, NY 10075

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.