Lipomas can be removed with any type of liposuction and SmartLipo is no exception. However, the chance of the lipoma returning is high if the entire mass is not removed. The only way to assure this is to do a surgical excision. This can be done through a small incision but a scar will result. Ask your plastic surgeon exactly where he would put the scar and how inconspicuous it will be.
Web reference: http://www.pasadenacosmeticsurgery.com/smart-lipo.html