Is Body Jet Liposuction As Effective As Smart Lipo?

Question

I know that Smart Lipo can tighten the skin; but does Body Jet Liposuction have the same benefits?

Alexander Aslani, MD · Answer

You cannot compare Bodyjet and Smartlipo, becuase there advantages are very different........but I think it is ideal to combine them.

	Body Jet has got a number of advantages: it allows some very precise sculpting of treated areas because no such massive injection of fluids like in tumescent liposuction is necessary.

	In my practice, this has significantly improved our outcomes, and it has dramatically decreased revision rates.

	The even more important advantage that the jet harvest technique does not damage the fat cells, and the fat harvested in this way is ideal for fat transfer, especially for natural fat transfer breast augmentation and buttock sculpting (Brazilian butt lift).

	Body Jet does really not do anything to the skin, so in certain areas like inner arms and inner thighs, skin sagginess may be a problem.

	Smartlipo , in contrast, effects a very good skin retraction, and prevents flobby skin after fat removal.

	However,Smartlipo is fairly slow and not so good for large quantities of fat. It also kills the removed fat,which renders the removed fat unsuitable for any use elsewhere.

	In the vast majority of cases I find that the combination of both techniques is a somewhat perfect match. First, I remove the larger quantity of deep fat with Body Jet, and many of my patients opt to have at least some of this fat as a natural filler, in breast,face or buttocks.

	When the bulk of undesired fat has been removed, I enter with the Smartlipo cannula, to treat superficial fat and tighten the skin.

	The results are very good , and I think the combination is ideal.

Ajaya Kashyap, MD · Answer

Thank you for your question.Both techniques are effective depending on the surgeon and your requirements. I have found less blood loss and pain after body jet liposuction and the fat is also superior for autologous injections. Smart Lipo offers an advantage in terms of less skin laxity following liposuction. Ultimately it is the experience and comfort of your surgeon who can evaluate you and offer you the best technology. All The Best !

Rigo J. Mendoza, MD · Answer

We use both Smart Lipo and Body Jet in our practice. Both methods are very effective in removing fat. We call our procedure Aqualipo. We combine both technologies on many of our cases. The Smart Lipo has the advantage of stimulating collagen cell cells to reproduce and thus tighten the skin. The body Jet then washes out the disrupted fat cells and excess tumescent fluid.

Daryl K. Hoffman, MD · Answer

I am a board certified Plastic Surgeon and I use both Bodyjet and Smartlipo. Both are useful tools but for different purposes. I find Smartlipo better for more precise scuplting of small areas of excess and for tightening skin, especially in delicate areas like the neck. Alternatively, I like bodyjet for removal of larger fatty deposits and for collecting fat for transfer, such as into the buttocks.

Armando Soto, MD, FACS · Answer

Hi there-

	The Body Jet (like Smart lipo before it) is a gimmicky new device being used by unscrupulous eye doctors, gynecologists, and others to attract patients and draw media attention.

	They are largely successful in doing so because many people, and almost all of the media seem more interested in "New" than in "Safe" or "Better".

	These unscrupulous non-plastic surgeons hope to distract otherwise smart people like yourself from the fact that they did not complete residency training in plastic surgery by making you think that the machine is more important than who is using it on you.

	Beware snake oil salesmen. There are now many of them offering liposuction.

	I do not know a SINGLE plastic surgeon certified by The American Board of Plastic Surgery who believes in, or uses this device. That should say a lot.

	When liposuction was first described and then refined, there was a reason that saline solution was used to wet the tissues before suctioning the fat. The body is mostly saline solution, and this is more physiologic than using water. Using water is actually a knuckle-headed step back in the refinement of this procedure!

	Indeed, with administration of larger volumes of water under the skin, I would be concerned that electrolyte disturbances may arise, and that sooner or later we are reading about someone dying as a result.

	Please find a surgeon certified by The American Board of Plastic Surgery, and visit for a consultation. The machine he or she chooses to use on you will be infinitely less important in your safety, outcome, and recovery than their education, training, and years of experience in liposuction surgery.

John Rosdeutscher, MD · Answer

In reality what modality used to break up fat (water-jet, laser, ultrasound, brute-force) has not really been shown to be superior to any others. They all assist in surgeon fatigue (so making your surgeon more effective) & all have more or less degrees of skin-tightening. Rather than technique, I feel you should focus on the surgeon's qualifications & go with what they may feel most successful in their hands.

Joel B. Singer, MD · Answer

New technology is not necessarily better than the traditional method but in the case of "Body Jet" liposuction we have a new technology that improves upon the old traditional liposuction method. Body Jet combined with Slim Lipo gives the best results that I have ever seen.

	Utilizing a power assisted spray of dilute anesthetic solution the Body Jet helps to gently dislodge the fat just prior to suctioning. The suctioning procedure takes place at the same time that the anesthetic spray is introduced. One major benefit of this new procedure is that there is much less likelihood of lidocaine absorption since the solution is immediately removed. Also the tumescent solution is suctioned out so that the actual contour is visible at the time of surgery. The anesthetic device is very precise and can be varied and the suction device is much more precise that the traditional liposuction machines. Obviously the procedure is dependent upon the skill of the surgeon. As a board certified plastic surgeon with thousands of lipo procedures under my belt, Body Jet is a real advance. My own clinical experience trumps any study that I know of.

	Combining Body Jet with Slim Lipo gives the best results especially when there may be a problem with skin laxity. Treating the skin with Slim Lipo will tighten the tissues significantly.

	Another major advantage of Body Jet is in fat harvesting for re-injection.

	Stay tuned.

Steven Wallach, MD · Answer

Smartlipo may tighten the skin. I am not overly convinced that it is any better than more traditional forms of liposuction. Body jet uses a misting jet of water as it is infused and performs liposuction. It may help get rid of loose tissue, but there is no scientific evidence yet that I know of to support the theories.

Theodore Katz, MD, FACS (retired) · Answer

The one theoretical advantage of SmartLipo (or even Pro Lipo, Cool Lip, Slim Lipo - all laser assisted liposculpture devices) is that the heat generate on the undersurface of the skin will cause collagen regeneration and repair and thus add some skin tightening. More importantly you should seek out a board certified plastic surgeon who performs all techniques of liposculpture - traditional, tumescent, laser assisted, ultrasonic. After a thorough examination and discussion with you about your goals and expectations he/she should let you know which technique would best accomplish your goals.

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