How Much Does Smart Lipo Cost?

Is there a flat Smart Lipo price or do you pay per area? Does the amount of fat you have taken out affect the cost of SmartLipo?

Doctor Answers 48

Smart lipo cost in Miami

Seems none of the answers address the question. "How much does Smart Lipo cost?"

Since I've been using the Smart Lipo from its' initial FDA approval in Dec. of 2006, having done over 1500 cases of Smart Lipo, seeing the new generations of each Smart Lipo advance I will answer the question on costs.

I charge per area with a set up fee. I also do most (90%) of my Smart Lipos under local + deep sedation or LMA general anesthesia. The set up fees include the Smart lipo fiber, staff, supplies, anesthesia fees, girdles. This set up fee runs $800 to $1200 depending on the time of surgery. Than I charge per area either $500, if small, to $1000, if larger.

For example: a Complete abdomen (upper + lower or over 8 grids) is 2 areas at $1000 each or $2000. Plus hips (1 area) + back (1 area) = another $2000. Plus set up of $800. Gives a total of $4800. In this example I would liposuction out 2 to 3 liters of melted fat, as a second part to the operation. This resolves the free fatty acids issue.

Post operative lymphatic massages are a separate fee of 5 sessions for $375 to $500.

I hope this gives the questioners an outlook to the fees.

I also after reading the posting responses much give a thanks to Dr Petti in LA for a very detailed description of Smart Lipo. Though not exactly how I do it, her description is very informative.

Thanks for reading.

Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

"$martLipo" machine costs about $100,000

I posted an answer on 14 months ago, reviewing "Cool Lipo and Smart Lipo from a surgeon's view." In this answer, I reviewed the Plastic and Reconstructive Surgery scientific journal article noted in Dr. Brzowski's article, and appreciate his pointing out his take on this as well. Interestingly, this answer received 20 votes of "helpful" out of 23.

In terms of cost, these fancy "machines" that doctors use commonly go for around 100K, and the SmartLipo machines are in this range. The money to pay for this comes from fees charged to the patient. So, a physician has no choice but to hope that such a machine drives in a lot more business, or else the only way to make up the cost is purely through higher fees. I have taken care of patients that have had burns requiring surgical procedures to repair from these "better" technologies of laser lipolysis and ultrasonic liposuction.

Bottom Line: Judge for yourself. There are numerous patient reports on this website, both pro and con, regarding SmartLipo and other technologies. In my mind, the public does seem to have a love affair with anything that says or rhymes with "Laser." But try to get beyond the marketing stuff as best you can. is a valuable tool to help you do just that. Hope this helps.

Nick Slenkovich, MD
Denver Plastic Surgeon
4.9 out of 5 stars 101 reviews

SmartLipo is a gimmick. Don't go for it.

Hi! I don't know a single board certified plastic surgeon in Manhattan who uses SmartLipo. So you can draw your own conclusions. It does not produce better results and it is more expensive than tumescent liposuction. In general, avoid any operation tnat has a brand name or a catchy title.

As with all operations, it is the surgeon and not the machine that produces the result. Go to a plastic surgeon and ask to see a lot of before and after pictures.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Smartlipo surgeon's fees for fat melting

Smartlipo is laser-assisted liposuction. The Smartlipo MULTIPLEX (MPX) utilizes a blend of 2 laser wavelengths that have different qualities and functions in terms of both fat melting and skin tightening. I have been performing Smartlipo for over 1 year and the results have been very satisfying for both the patients and for me. There have been 2 upgrades in the computer technology of Smartlipo since my purchase of the Smartlipo machine. The upgrades have permitted the use of more energy, a blend of 2 laser wavelenghts for more effective melting of the fat and more directed and precise treatment patterns for skin tightening.

In my practice, when I perform Smartlipo MPX, the first Phase of every Smartlipo procedure involves melting the fat with a special blend of the 2 laser wavelenghts (after infiltration of tumescent salt water solution with Lidocaine as the anesthetic and epinephrine as the vasoconstricting agent to decreasing bleeding and bruising). The second Phase of the Smartlipo procedure involves very specific skin tightening using 5 x 5 cm grids over areas where the skin requires tightening. The skin is heated to temperatures that cause skin to tighten through interactions with dermal collagen. This is what separates Smartlipo from other methods of liposuction.

The fiberoptic cable that permits the laser light to specifically heat the fatty tissues, is changed to wavelenghts of light that heat the dermis and the amount of heat delivered is not only measured, but the heat rise in the skin is also measured directly in the cable. This temperature elevation in the dermis is what assist the skin shrinkage, and it is important that the temperature guidelines be closely monitored throughout the procedure, not only to get an improved outcome over tradtional and other types of liposuction, but also to prevent over-heating of the skin.

This second phase is what takes time, and not all Smartlipo surgeons take the time to effect the result of skin tightening. I focus on this, as I want my patients to have the best chance possible for skin tightening, since this has always been the rate-limiting step in liposuction, since its inception decades ago. I perform the skin tightening portion of the procedure methodically and scientifically, recording temperatures in each section of the grid pattern.

This is why in my practice, Smartlipo has a higher base cost, as it takes longer and uses technology based on specific laser effects on fatty tissue and skin. Higher technology in any field, has higher price tags. It costs more to fly in a high speed jetliner, like a Concord, than an airbus. The very good news is that Smartlipo uses a very thin fiberoptic cable that is almost imperceptible in terms of being "felt" by the patient, so 1 or 2 anatomical areas of the body, for instance, the common combinations of abdomen and hips, the arms and underarm area, the back and flanks, can be treated under local anesthesia.

Therefore, the operating room charges are much less than liposuction under general anesthesia. There is a saving her in terms of the OR fee. If patients want to have more than 2 large areas of liposuction, then general anesthesia is required, as the amount of lidocaine needed will surpass the safe dosage limits for the patient's weight. Anesthesiology fees and higher operating room fees are associated with large volume liposuction of larger areas or combined anatomical areas being done in a single operation.

I base the Smartlipo fees under local anesthesia, on the number of anatomic areas, usually 2, and also the amount of fat that requires treatment and the amount of skin that requires tightening.

Patients are under the impression that Smartlipo in less expensive in terms of the surgeon's fee, however, if a surgeon, like me, focuses a large portion of the procedure on skin tightening in a gird pattern to get the best outcome using the best technology, then the cost may be higher. An individual that has less fat, needs a smaller area of tightening and therefore the OR time may have a lower cost than a patient that has more fat in the 2 anatomic areas, as the fat melting and skin tightening will take longer.

I hope this is a good explanatiion for the potential patient who is considering Smartlipo, so that they understand that there is a price for the laser technology (it is not a gimmick and there is science backing the results of Smartlipo), and the increased time that I spend on heating the skin after melting the fat, to effect skin tightening. The skin tightening portion of the Smartlipo procedure- to be effective takes time -and I am willing to spend the time for the patient to try to give them the best outcome, using what I have found to be the best technology in my liposuction experience of over 20 years.

Christine A. Petti, MD
Los Angeles Plastic Surgeon
4.2 out of 5 stars 19 reviews

Cost of Smart Lipo (or any lipo procedure) varies

The price for any liposuction will vary depending on the area and the amount of time required to perform the procedure.

I perform quite a lot of liposuction, but I do not perform SmartLipo and I have no plans to incorporate this procedure into my practice. I have seen absolutely no published medical studies that show any advantage of Smart Lipo to traditional liposuction, but there is a possibility of addtional complications with "Smart Lipo."

When selecting a physician to perform liposuction, be sure to look for a board certified plastic surgeon with admitting privileges to a local hospital. As crazy as this sounds, most physicians performing liposuction are not board certified plastic surgeons, and in many cases, the doctors have absolutely no formal surgical training whatsoever. For some, a weekend course may be the extent of their training.

Even if a physician performs surgery in an accredited O.R. rather than a hospital, hospital admitting privileges are imperative. Be safe, and take your time researching your doctor. Start by asking if they are certified by the American Board of Plastic Surgery.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

SmartLipo Cost

Smartlipo is priced by the areas needed to be treated.  A rough estimate of an area is what is covered by 2 hands. An abdomen for example, is 3 areas: upper, lower abdomen and love handles.  Of course, some people have more fat and loose skin than others.  So the cost per area will vary among individuals.  If performed safely under local anesthesia, the smartlipo cost should be much less as the expense of general anesthesia is avoided.

Lawrence Broder, MD
Cedar Park Family Physician
4.7 out of 5 stars 23 reviews

SmartLipo cost & questions to ask

SmartLipo is laser assisted liposuction. Its probably better to research who is doing your procedure. One of my patients recently had SmartLipo but had poor results and was burned! She said "I didn't know that my cosmetic surgeon was not a Plastic Surgeon" We had to fix her abdomen and other areas damaged by the laser. Cost should not be the only criteria for selecting your Plastic Surgeon. Experience and training matters a lot. Non Plastic surgeons (cosmetic surgeons) tend to charge less than Plastic Surgeon. Below are other criteria to use when selecting a Plastic surgeon.

Questions to ask (Answering NO is a big red flag)
1) Are you a plastic surgeon? (Do you know difference between cosmetic surgeon & plastic surgeon)
2) Are you board certified in Plastic Surgery?
3) Will the procedure be performed at a fully accredited procedure room or ambulatory surgery center
4) Do you have hospital privilege to perform liposuction or SmartLipo?
5) Do you offer complication insurance (it does happen, it better to be safe)

The most important decision is to do your homework well. Any doctor can offer SmartLipo. Its our duty to know who is doing your procedure. Good luck.

Stanley Okoro, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 160 reviews


Laser Liposuction ranges in price based on provider and location.  In the NY/NJ area, it can run between $4,000-$8,000 per area.

David Goldberg, MD
New York Dermatologic Surgeon
3.3 out of 5 stars 4 reviews

I charge for time spent in the procedure.

I charge my patients based on the time that I will spend in the procedure.  I think this is the most equitable way to charge for all patients.  I have  a lot of patients that are personal trainers and just need small areas treated and that should be billed differently than some of my other patients that have larger amounts of fat that need removal even if it is in the same anatomic area.

My charges are also based on whether you will need general anesthesia (typically much larger, more extensive cases) or whether you will need only local numbing medicine in my procedure room.

Regional differences in cost are also common.  Utah typically has much lower overhead costs and therefore lower procedure fees.  That's one of the reasons why Utah has become a plastic surgery "tourist attraction".

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
4.9 out of 5 stars 271 reviews

Smartlipo Cost

The cost of Smartlipo or any type of liposuction is determined by the amount of fat to be removed, the body shape of the patient and the areas to be treated. Smartlipo is generally more expensive per area because it takes longer, but you are avoiding hospital and anesthesia fees, so the price usually ends up being very similar to traditional liposuction. Not all patients are candidates for SmartLipo. If you are looking to treat a small area, the SmartLipo might be right for you. If you are looking for total body liposuciton or major liposuction, then the traditional procedure combined with power-assisted liposuction will likely be the best procedure.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.