The first thing to understand is that BodyTite is NOT a laser procedure; I think you're confusing different terminologies. Your doctor is right, a laser would be safe; BodyTite, however would not be safe. Sometimes the terminology and technology we use are quite confusing, and I see every device used to perform some kind of procedure being called a "laser" - (think of Dr. Evil in the Austin Powers movie with his fingers making quotation mark signs as he says "laser!"). A laser is a very specific device that creates heat in the tissues using light. In fact, the "L" in laser stands for "light". The word "LASER" is an acronnym that stands for "Light Amplification by Stimulated Emission of Radiation." Thus, if the device doesn't use light for its effects, it's definitely not a laser. All of this is very important in your case because with a pacemaker it definitely matters what type of energy is being used to create heat in your tissues to achieve the desired effect. Pacemakers are affected specifically by magnetic and electrical energy, and BodyTite uses a very controlled electrical current passed through the tissues to create the effects through heat. Because of this, I would not recommend a BodyTite, FaceTite, NeckTite, Thermi, or any other kind of procedure that uses electrical current or radiofrequency energy to achieve its result to a person with a pacemaker. The risk is still pretty small, but it could be catastrophic if something occurred, and in my opinion it just wouldn't be worth it. You might be a candidate for a laser mediated procedure however, so you may wish to undergo consultation with a board certified plastic surgeon who has skill and experience with such a device to see if it is a possibility for you. Good luck!