Can Smart Lipo Be Used if You Are Overweight?

Liposuction and SmartLipo typically won't result in any weight loss. In the patients I have performed this on who were overweight to begin with and were using it to 'jump start' their program, I have had dismal results. The problem is that if they aren't motivated prior to surgery, they probably won't be after surgery.
My recommendation is to go back to the diet and exercise and make sure that you can end up losing weight on your own (no crutches like phentiramine/etc) and if you can get to within 10% of your goal weight and still have areas that are needing improvement, then SmartLipo is an option. Good luck.

Smart Lipo is good for stubborn areas of fat, but lacks body contouring and shaping. For best results, I recommend a hi-definition procedure like VASER liposuction, which can be performed at the same time as a tummy tuck, if there is skin laxity. I use VASER HI-DEF with ThermiRF, Renuvion (J Plasma), InMode BodyTite, and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi-definition physique expert. Best, Dr. Emer

You should try to maintain your healthy diet for several months, or even a year or so, before considering liposuction. You may find that diet alone can help reduce your fat. 

Two points:
1. I believe that people are preprogrammed to lose weight from certain areas before others. If your "problem area" is your abdomen, you could likely lose 30 or 40 lbs without seeing much change in this area. You would see it in your thighs, hips, buttocks and even breasts. This often leads to frustration and abandoned diet and weight loss plans. Levelling the "playing field" by doing liposuction on your problem area might allow you to continue to see the changes you seek and encourage you to continue diet and exercise.
2. I don't think smartlipo does anything that traditional liposuction doesn't do. The side by side comparison of patients treated on one side by smartlipo and the other by traditional tumescent lipo show no difference in bruising, swelling, recovery or ultimate result. Like so many other things in plastic surgery its as good as the person on the other end of the cannula.

Thank you for the question.

It is hard to give you good advice without direct examination  or viewing pictures.

I think you have a good understanding already that liposuction surgery is not meant as a weight loss “program” and is ideally done for patients who have isolated diet and exercise resistant adipose tissue in specific areas. The overlying skin of these areas ideally demonstrate good skin elasticity. In other words, these procedures are best done when patients are close to their long-term stable weight.

I would respectfully suggest that you continue your healthy lifestyle and  relatively slow weight loss;  see a well trained board-certified plastic surgeon when you are closer to your long-term stable weight.

Best wishes.