You can get SmartLipo done by many different specialties and anyone can purchase these machines unfortunately. The main difference between recovery, however, is if you have the tumescent method performed in addition. This is typically performed by dermatologists, although some plastic surgeons are now using it. The way that you can tell if you are getting the tumescent method is if you are awake during the surgery (there is little, if any, pain with the tumescent method) and if you are able to go back to work within a day or two. All other methods create more pain, more bruising and more recovery time. I echo what the other plastic surgeons have stated here: beware of quacks who have recently purchased a laser and now are 'experts' on SmartLipo. Believe me, the laser is the least significant part of this procedure. While it does help and can improve results, the finesse is all about the method of suctioning the fat, the preparation of the fat and the technique. The laser can cause problems if not performed correctly or if too much power is used and that is another reason to go to someone who knows what they are doing, but the most important thing is to know that your surgeon is truly an expert and not someone who just started to do this to escape being in another specialty with low reimbursements.