I have a metal heart stent. Is Smart Lipo out for me?

When it comes to any surgery your health is the #1 factor before we consider doing any procedure. We would definitely request a history and physical from your primary care physician and a cardiac clearance from your cardiologist. Consider consulting with a board certified plastic surgeon for further details. 

Ischemic heart disease is a significant risk factor for surgery. You're lucky to have a heart that still works. You should limit yourself only to surgeries that are necessary to preserve your health. Smart lipo or any lipo would be an unnecessary risk.

Liposuction can be done with only local anesthetic in the office. It's less invasive and relatively easy, but this might not be appropriate for a history of heart disease. At the very least, inform your primary care doctor and cardiologist of the procedure. They may be able to provide clearance if your heart disease is optimized and stable. If you do decide to go forward, consider having the procedure with a surgeon that provides monitoring and anesthesia services.