Liposuction Vs. SmartLipo - Which is Better?

Hi there-

Your outcome and safety depend on finding a Board Certified Plastic Surgeon- NOT on the machine used...

There is an abundance of information on this question already available on RealSelf, and I highly recommend you read as much of it as you can. A pattern will quickly appear to you.

In general, you should be very worried when any professional spends their time and energy telling you why the machine they are going to use is so important to your outcome.

Think about how silly this is... If you went to see an architect or lawyer and they told you they were your best choice because they had the best book or computer program, or a hair stylist who told you they were the best because they had great scissors, you would probably laugh... just before leaving.

This is really no different- please do not allow yourself to believe that the machine is what is going to keep you safe or give you the beautiful outcome you dream of.

Here's the low-down:

Tumescent liposuction, VASER Lipo, Smart Lipo, Cool lipo, Pro Lipo, Slim Lipo, Water Jet lipo...

What does this all mean? If I don't get Smart lipo does that mean I'm dumb? If my surgeon recommends Slim Lipo does that mean he/she isn't a "Pro"? It truly is a ridiculous situation we have come to with regard to liposuction and the number of people trying to cash in on America's desire to be rid of its collective fat.

In well motivated patients, body contour improvement can be a very healthy endeavor, but how is an otherwise intelligent and well-adjusted person to know the difference between a responsible provider of aesthetic services offering them safe options for help with their body contour and a poorly trained and inexperienced provider more interested in their wallet than in your outcome and safety?

It is first important to realize that all of these devices will require you to undergo a liposuction procedure. The only difference is the approach to the treatment of the fat prior to its removal.

Because they all involve liposuction, and this is in fact a surgical procedure, it is very important that you "do your homework" and find a surgeon certified by The American Board of Plastic Surgery who has the years of training in liposuction necessary to give you the safe experience and superior outcome you deserve and desire. Behind the amazing number of machines now available to remove your fat, there has followed an army of their sales representatives and an equally impressive number of providers marketing themselves as "liposuction experts".

What has made them "liposuction experts"? In almost all cases, a few days or weekends training with the salesman for the device or with someone more experienced in the procedure. It is their promise that if you have the device in their possession brought to bear on your behalf, your fat will be gone, your skin will miraculously shrink away, you won't need any anesthesia because the device allows painless removal of the fat, and it can be done on your lunch hour. The only thing I am surprised by at this point is that they don't promise you'll get rich and be more sexually alluring after the procedure too.

Selling the particular device to patients is not unlike someone saying to you that because they will give you access to Tony Stewart's racing car that you will be able to win this weekend's race and make a million dollars. Tony Stewart wins races because he is a great racing car driver AND he has a great car...This is no different.

Getting the best outcome from a body contouring procedure depends most on finding a well-qualified and experienced surgeon, and much less on the device used.

Most of these people are so aggressive in their marketing of these questionable devices because they are, in fact, not trained plastic surgeons but rather are either not physicians at all, or they are doctors with core training which would not have prepared them to do liposuction. Many have read recently about a death in my home state of Florida after a healthy 40ish year old mother had liposuction performed by a rehabilitation medicine doctor. Amazingly, I know of eye doctors (!!) doing liposuction as well- and yes, they market themselves as "liposuction experts".

The particular device used can affect the overall experience, however.

Despite the claims of the manufacturer and the practitioners who plunked down the large sum the device costs, Smartlipo has never been proven to shrink skin better than tumescent liposuction. SmartLipo, SlimLipo, Prolipo, and Coolipo all use a laser to destroy the fat cells, allowing them to be removed by liposuction. My problem with these is that, first of all, as a scientist and doctor I am offended when false claims of benefit are made, and that because the lasers will burn whatever you point them at, I worry that your nerves, blood vessels, muscles, and skin may be injured by the laser.

Bottom line (and in my opinion) -- there is no benefit to these devices, they are expensive (meaning that the cost to you, the patient, will be higher as well), and the risks are higher.

Tumescent liposuction is the gold standard to which all other techniques must be compared. It has been proven to be safe and effective over many years (provided that it is performed by a well-trained surgeon). It involves the injection of a fluid into the fatty tissue layer that causes blood vessels to shrink and the fat to expand, making it easier to remove and lowering the risk of a complication.

VASER lipo involves an additional step, in which the fat (after injection of fluid but before suction is applied) is treated with ultrasound energy. Unlike the laser filaments used in SmartLipo and the other devices mentioned above, the VASER probe is blunt and the ultrasound energy it uses is much more specific for fat, so that the risk of injury to the blood vessels and nerves, as well as the muscles and skin are much lower. This is seen in the patient experience of reduced swelling and bruising.

Each time a new (revolutionary!) liposuction machine comes out, I think the most important questions to ask are not "Does it work?", but rather, "Does it work better than what is already available, is it less expensive (not more), and is it safer than what is already available?"

The VASER (in my opinion) passes this test, while the laser based devices do not.

Having said all of that, I would emphasize that it is the education, training, experience, and skill of the surgeon at the end of the liposuction device that will make the greatest difference in your outcome and safety. There is not substitute for the years of training Board Certified Plastic Surgeons receive in liposuction, directly supervised by other Board Certified Plastic Surgeons. A well trained and Board Certified Plastic Surgeon would be more than capable of achieving a better outcome through tumescent liposuction than any eye doctor with a Water Jet. As in the analogy of Tony Stewart above- a great professional with a great tool (like the VASER) would only make those results and their safety even greater.

Please know that I have no financial relationship with any of these companies and have personally tried each of the discussed technologies myself on patients.

You will hear it over and over again: the most important factor in  making your decision for body contouring is your surgeon and their experience. More about that later!When considering traditional liposuction versus smart  lipo, I feel that they both independently have some advantages but the combination is best.  The reality is there are a lot of semantic/name differences among many procedures. I think the best way is using traditional liposuction with very small then cannulas and adding smart Lipo to help break up the fat and shrink down the skin.In many cases liposuction by itself can be effective. I will add that smart lipo independently does not work well to  shrink down appreciable areas of fullness.  You've got to use lipo to suck the fat out!But put these things together, and the results are exceptional.It is also so important to understand that smart lipo is marketed by the company to many doctors who are NOT well trained plastic surgeons. This is why you see many nontraditional doctors offering the procedure. They often do not perform extensive liposuction with smart Lipo because they do not have the proper training. What I'm getting at: make sure that your surgeon is certified by the American Board of plastic surgery and has extensive experience with the procedure. Why would you trust your body to anybody else?

This is a great question and I'm sure many people are curious to know what is best for them.It's not so simple sometimes, so let's break it down.Liposuction: Long thin cannulas (narrow metal tubes) are used to suction fat out of unwanted areas using small incisions.SmartLipo: Smaller laser cannulas (looks like a thin plastic stick) are used to "melt" fat and tighten skin. I generally add regular liposuction to suction out the "melted" fat.
Which is better? I personally think it just depends on the patient. The main concern when talking about the aesthetics of liposuction, is not so much how much fat can be removed, but HOW THE SKIN WILL REACT AFTER! It is very important for the skin to shrink down over those areas where liposuction was performed.If a patient has large amounts of fat that has significantly stretched the skin, you risk "emptying" out the fat and leaving loose skin over top. This is where SmartLipo may be helpful. SmartLipo may give you additional skin tightening than liposuction alone.
So, back to the original question: Which is better?If you have healthy, elastic skin, with a modest excess of fat, LIPOSUCTION ALONE will likely achieve excellent results without needing to combine with other methods.If the skin is a little loose, with some excess fat, SmartLipo may be a better option, as it can give modest skin tightening effect. If the skin is REALLY loose, with excess fat, you may be better off with a different type of procedure altogether (like a tummy tuck for example).The last thing I should mention, is that some areas of the body are more difficult to liposuction, because of the anatomy of the fat in those areas. In the back, for example, many surgeons will use SmartLipo or VASER, to facilitate liposuction and get better results.

Hello and thank you for your question.
Both procedures Liposuction and Smart lipo are related and they can both deliver great results. For younger subjects with excellent skin tone and smaller amounts of fat to be removed liposuction is as good as Smart Lipo.
Smart Lipo Triplex adds a higher index of skin tightening, and less bruising compared to classical liposuction or earlier generation Smart Lipo or Smart Lipo MPX. 
Good luck with your procedure from Westchester County, NY,

Oxana Popescu MD
 

Thanks for your question!  It depends on a number of factors.  I perform both and have reasoning for when and why I do either.  For patients looking to treat a large number of areas, I'm inclined to do traditional liposuction.  If it's a more concentrated area (like the lower abdomen) and the patient is concerned about downtime, recovery or anesthesia, then I may recommend SmartLipo.  Go with the surgeon that you feel more confident and comfortable with.  Good luck!

Thank you for your question.  I actually have a smart lipo device; however, I am not the biggest fan.  I have not found any evidence showing it tightens skin except in very high joules that in my opinion cause scar contracture that is not aesthetically pretty.  By using a laser, you are melting fat.  There will always be fat left behind in one form or the other.  The fat that is left behind is now dead, burnt fat which will cause more internal scar tissue, and in my experience, more lumps and bumps.  I prefer the SAFE liposuction technique which emulsifies the fat prior to sucking the fat out.  The small amount of fat that is left behind is more like a smoothie and evens out to give. a smoother, even result.  I still do perform some Smart lipo for certain areas, and patient request, but in the end, it is the surgeon, not necessarily the best device which will give the best result.  All the best,