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FAQ – Smartlipo

Read more about Smartlipo laser assisted liposuction

From the concept of laser lipolysis to laser assisted liposuction (LAL)

Smartlipo was the result of a concept that combines all the new generation laser technology with the advantages of compactness and reliability.

This advanced revolutionary laser technology was originally developed in Italy in 2000 (after 12 years of extensive research and clinical studies). The Smartlipo – laser lipolysis technique began to be used successfully in Italy, Japan and Brazil.

Smartlipo was introduced by Dr Ayham Al-Ayoubi into the UK in June 2006. One year later he pioneered the revolutionary laser assisted liposuction technique.

Smartlipo – Laserlipolysis is an innovative and major advancement in the field of body sculpting which evolved to laser assisted liposuction – an advanced technique for removing excess fatty tissue from areas of the body that are resistant to dieting and exercise.

The Smartlipo is a laser system that can reach extremely high frequencies for very brief periods, even several millionths of a second, using electronic control for the emission of power and laser pulses.

These specific features of Smartlipo mean that the laser emission can be considered as minimally thermal due to the energy being concentrated in very brief pulses.

Smartlipo is considered to be a safe, minimally invasive laser liposuction surgical procedure using an advanced laser to reduce unwanted stubborn fat from most areas of the body. The procedure is carried out under local anaesthetic, light IV sedation or general anaesthetic, eliminating the need for aggressive surgery and without leaving any marks.

This advanced technique allows for reducing the localized adipose tissue without the need to aspirate the fat, as it is destroyed inside the tissue itself due to the specific effect of the laser.

The Nd-YAG laser has a selective wavelength for fatty tissue producing a thermal and mechanical effect that provokes the rupturing of the membrane adipose cells, transforming them into an oily emulsion which is then absorbed and eliminated by the body.

This technique produces less bruising and less blood loss, ensuring an easier, faster, and more comfortable recovery. It also offers better results than the more traditional liposuction.

Using this technology, which delivers a specifically calibrated laser beam to act on the cells that contain fat, the surgeon artistically sculpts the body into a new shape.

Smartlipo revolutionized liposuction and has become the gold standard of laser lipolysis.

Due to success and demand, Dr Ayham Al-Ayoubi pioneered the revolutionary laser assisted liposuction technique (LAL) in 2007. This technique facilitates liposuction, enhances skin tightening, reduces bleeding, bruising and patient downtime. It is based on lasering the fat tissue using Smartlipo laser energy, followed by skin tightening (taking advantage of the thermal effect of the laser energy). The suction machine or the bodyjet liposuction technique is then used to suck out the liquefied fat.

Dr Al-Ayoubi revolutionized the Smartlipo treatment, being the first surgeon to combine the gentle liposuction with Smartlipo for more rapid results without relying on the traditional laser lipolysis alone.

This technique has now been adopted by numerous plastic surgeons and cosmetic doctors worldwide.

The revolutionary Smartlipo MPX  was developed in the USA and was the first dual-wavelength laser system for body sculpting. (This Smartlipo machine has two different lasers working simultaneously at the same time.)

As with the original Smartlipo workstation, Smartlipo MPX is a minimally invasive laser lipolysis system. The Smartlipo laser energy also coagulates the tissue, thereby sculpting body contours and tightening the skin. The Smartlipo laser liposuction procedure generally causes less bleeding, swelling and bruising than traditional liposuction, resulting in fewer complications and more rapid recovery time.

The Smartlipo MPX was introduced from the USA into the UK and Europe by Dr Ayham Al-Ayoubi in 2008.

For more information about Smartlipo MPX, click here.

The evolutionary third generation SmartLipo Triplex offers greater fat reduction and skin tightening. It is the first laser lipolysis technology that uses three wavelengths which are well absorbed by fat. Smartlipo Triplex adds a new wavelength to the MPX generation of the laser. The three wavelengths are combined in one laser output. The wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation and blood vessel coagulation.

Smartlipo Triplex was introduced from the USA by Dr Ayoubi into the UK and Europe in 2010.

Dr Ayham Al-Ayoubi’s view on Smartlipo treatment

‘The first time I came across Smartlipo was when I read an article in 2002 by Dr Alberto Goldman, a plastic surgeon in Brazil; it was entitled Smartlipo/Laser lipolysis. This treatment fascinated me as an ENT, Facial Plastic and Laser Surgeon.

I tried to bring Smartlipo into the UK but at that time there wasn’t enough clinical studies available for it to be approved in this country. Approval was finally given and I was the first surgeon to introduce the new laser technique from Italy into the UK in 2006.

Speaking specifically about Smartlipo/Laser lipolysis, fat reduction and body sculpting, we have to understand the anatomy and physiology of the fat structure in the human body, where we have deep loose fat and superficial fat which sits just beneath the skin. This superficial fat is extremely vascular and the fat cells are positioned very closely together.

Prior to launching Smartlipo into the UK, we were using traditional liposuction to achieve fat reduction. Traditional liposuction is performed by making an incision into the skin to suction out the deep fat in a safe way, with very good results in the majority of cases. However, it is not possible to suck out the superficial fat because of the high risk of bleeding and the damage that could happen to the skin from the inside when we remove that fat.

With some patients (approximately 20 per cent of cases) it can result in a “collapsed banana skin effect” whereby the skin isn’t supported any longer.

As surgeons, another problem we have found with traditional liposuction is that we are restricted in the areas that we can perform the procedure i.e… under arm liposuction surgery could result in numbness in the hands if the nerves have been damaged by the powerful suction. Also, under the chin, which is an extremely vascular area, the bleeding could be severe during surgery.

The principle is that instead of only sucking the fat out, during Smartlipo treatment, the laser targets the fat cell membrane and punctures it. Like a balloon filled with water, we pierce the fat cells and the fat leaks out and gets absorbed and drained through the lymphatic system.

I started doing Smartlipo procedures with the first generation Smartlipo machine (Deka System) which had great results in small areas, particularly in terms of skin tightening. The skin tightening effect is due to the heat of the laser increasing up to 38 – 40o and it produces an inflammation which tightens the skin.

I must stress here that Smartlipo is not a lunch break fat removal treatment. Proper techniques are required to perform the treatment.

Smartlipo – Laser-guided liposuction is not just placing a cannula under the skin for a short time and then saying: “we did the procedure!” Physicians can spend a whole day just learning how to enhance the results of liposuction. It is an exacting and time-consuming process that requires attention to detail and consistency throughout the operating area.

Most importantly, it is the delivery of a significant amount of energy to the deep layer and a complete heating of the dermal layer to a temperature at or close to 40oC.  A typical lower abdomen would require between 50 and 80 thousand joules of energy to achieve the desired results of fat reduction.

The Smartlipo treatment was a revolution in the philosophy, principles and technique of fat reduction and body sculpting and the Smartlipo MPX is the evolution of this revolutionary technique.

As an expert surgeon in Smartlipo laser treatments, I am impressed with the quality, safety and speed of the evolutionary Smartlipo MPX which allows the surgeon to carry out the Smartlipo treatment, in a safer and faster way, compared with the traditional Smartlipo system. From the patient’s point of view, they are seeing faster and better results especially in skin tightening with a shorter recovery time.

Following on from the Smartlipo MPX was the evolutionary third generation Smartlipo Triplex . This was a further development in Laser Assisted Liposuction, which offers greater fat reduction and skin tightening and uses lasers which are well absorbed by fat. Three wavelengths are combined in one laser output. The wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation and blood vessel coagulation.’

Different types of Smartlipo

Smartlipo First Generation –  since 2000

Smartlipo First MachineThe Smart Lipo Nd:YAG (Smartlipo DEKA Laser System) was introduced into the UK from Italy by Dr Ayham Al-Ayoubi in June 2006.

It was the result of a concept that combines all the new generation laser technology with the advantages of compactness and reliability.

Smartlipo possesses the outstanding features necessary for exalting its operating performance.

The Smartlipo is a laser system that can reach extremely high frequencies for very brief periods, even several millionths of a second. It electronically controls the emission of power and laser pulses.

These specific features of Smartlipo mean that the laser emission can be considered as minimally thermal due to the energy being concentrated in very brief pulses.


Laser Assisted Liposuction (LAL) – since 2007

(Smartlipo with suction) 

Dr Ayham Al-Ayoubi pioneered the revolutionary Laser Assisted Liposuction technique (LAL). It is based on lasering the fat tissue using Smartlipo laser energy, followed by skin tightening (taking advantage of the thermal effect of the laser energy). The suction machine or the bodyjet liposuction technique is then used to suck out the liquefied fat.

This technique has been adopted by numerous plastic surgeons and cosmetic doctors worldwide.

In addition, Dr Ayham Al-Ayoubi has been traveling worldwide, teaching this revolutionary advanced laser liposuction technique.  He performs this procedure at the Cadagon Clinic in central London, which is the official training centre in the UK for Smartlipo laser assisted liposuction.


Evolutionary Smartlipo MPX – since 2008

Evolutionary Smartlipo MPXSmartlipo MPX is the first dual-wavelength laser system for body sculpting. (This Smartlipo machine has two different lasers working simultaneously at the same time.)

As with the original Smartlipo workstation, Smart Lipo MPX is a minimally invasive laser lipolysis system. The system’s proprietary pulsing format delivers laser energy through a cannula to liquefy fat, which is then removed from the body.

The Smartlipo laser energy also coagulates the tissue, thereby sculpting body contours and tightening the skin.

The Smartlipo laser liposuction procedure generally causes less bleeding, swelling and bruising than traditional liposuction, resulting in fewer complications and a more rapid recovery time.

Smartlipo MPX is equipped with a feature known as ThermaGuide which constantly measures the temperature under the skin and controls the output of energy, ensuring that the treatment area stays within a safe range so that it is hot enough to work efficiently, but not too hot as to cause harm to the patient.

Smartlipo MPX is also equipped with a feature known as SmartSense.

The SmartSense delivery system contains an advanced microchip called the Accelerometer, which is inserted into the intelligent hand piece. Based on the setting you choose (high, medium, or low) and the motion of the intelligent hand piece, the precise laser power is metered and delivered.

Smartlipo MPX – the first laser body sculpting platform to:

  • Give safe and consistent distribution of thermal energy supported by extensive clinical studies and research
  • Reduce treatment time by blending the clinical benefits of the two wavelengths
  • Combine the properties of two wavelengths for effective lipolysis and tissue coagulation resulting in tissue tightening
  • Feature a unique intelligent delivery system (SmartSense device) for safe and uniform energy delivery

To read the FDA Approval for Smartlipo MPX, click here

In 2008, Dr Ayham Al-Ayoubi led the way once again by introducing the Smartlipo MPX  from the USA into the UK and Europe.  He was appointed the UK’s leading trainer surgeon in Smartlipo.


SmartLipo Triplex – since 2010

Smartlipo TriplexA new member to the laser lipolysis field, the SmartLipo Triplex, offers greater fat reduction and skin tightening. The SmartLipo Triplex Laser has developed the SmartLipo MPX series even further.

The Triplex adds another benefit to the original Smartlipo system with an additional wavelength. It is the first laser lipolysis technology that uses three wavelengths which are well absorbed by fat.

SmartLipo Triplex adds a 1440 nm wavelength to the MPX generation of the laser. The three wavelengths are combined in one laser output. The wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation.

The 1064 and 1440 wavelengths combine for fat liquefaction and the 1064 and 1320 wavelengths combine for collagen stimulation and blood vessel coagulation.

This combination provides both fat reduction and skin tightening, therefore patients can often avoid additional procedures to remove the loose skin people often experience after liposuction.

Smartlipo Triplex is also equipped with a feature known as ThermaGuide which constantly measures the temperature under the skin and controls the output of energy, ensuring that the treatment area stays within a safe range so that it is hot enough to work efficiently, but not too hot as to cause harm to the patient.

To read the FDA Approval for Smartlipo Triplex, click here

Dr Ayham Al-Ayoubi of London Medical and Aesthetic Clinic led the way yet again in 2010 by introducing the very first evolutionary SmartLipo Triplex from the USA into the UK and Europe.

Who can benefit from Smartlipo?

Smartlipo – laser lipolysis is safe for anyone of any age. Positive results depend more on good skin tone and level of physical activity than biological age.

The ideal person for Smartlipo-Laserlipolysis is someone with generally good health, who carries out regular exercise, has good eating habits and whose weight does not exceed 25% – 30% more than their ideal body weight.

Some medical conditions may limit the use of this treatment option. Those with heart, kidney and liver disorders or on anticoagulants are not recommended to be treated with Smartlipo – laser lipolysis.

Patients who want Smartlipo but be unsuitable

Over the past few years there has been on average a 15% annual growth in body shaping treatments. Patients are more aware of the increasing number of non-invasive, semi-invasive and combination procedures.

The Smartlipo system has become the fastest growing treatment for body sculpting in the world. However, not every patient is suitable for Smartlipo treatment .i.e. those who are overweight and do not have a healthy life style or do not exercise enough or patients who have very large areas of fat.

Those patients are usually referred to dieticians or nutritionists who can help them lose weight and improve their life style and dieting habits. Also, in some cases alternative treatments are recommended to the patients such as traditional liposuction or surgical techniques for fat reduction.

Equally important are patients who do not have realistic expectations of the end results. Therefore patient selection is extremely important during the initial consultation. We strongly believe that the consultation must be carried out by the surgeon himself who will perform the Smartlipo treatment.

To help the patient to envisage the end results with Smartlipo, Dr Ayham Al-Ayoubi has developed a simple chart where he measures each area to be treated in cm and then measure the areas again in each follow up visit to see how much reduction has been made.

Any technique, whether it is surgery, traditional liposuction, or Smartlipo, will only have the optimum outcome if the patient is committed to being fit and healthy to maintain the results. Realistic expectations of the final result will usually take up to three or four months post-treatment.

Smartlipo Treatment Areas

Due to the Smartlipo cannula being very small, Smartlipo can be performed on the stomach, love handles, legs, thighs, saddle bags, neck, arms, calves and other trouble areas.

Smartlipo can be used anywhere traditional liposuction is used. Body regions that can benefit from the Smartlipo procedure include:

  • Face
  • Back
  • Bra strap
  • Mons pubis
  • Breasts (gynecomastia)
  • Thighs (saddle bags)
  • Hips
  • Buttocks
  • Knees
  • Upper arms
  • Chin
  • Cheeks
  • Neck
  • Areas of loose and flabby skin

Smartlipo Treatment Areas

What can be expected?

Even though Smartlipo – laser lipolysis by itself is capable of remodelling extensive areas with excess fat, it is not capable of altering the basic structures of the skeleton and muscles.

Nearly all the areas of the body can be improved with Smatrlipo Laser lipolysis. During the initial consultation, we will describe the results you can expect, and the order in which these areas should be treated. In this way, we can discuss a treatment plan to achieve the best body shape to suit you.

How effective is the treatment?

Visible results are seen immediately with suction 9 Smartlipo Laser Assisted Liposuction . However, it will take 1-2 months post-treatment to start seeing significant results of the treatment. If large amounts of fat are to be removed, a stepped programme will probably be advised to allow for gradual reshaping. Fat can be removed from almost any part of the body.

Side effects of Smartlipo

Smartlipo – laser assisted liposuction – LAL is minimally invasive surgical laser procedure to remove excess fat, and to tighten the skin to improve the look of the treated areas. It is not a weight reducing technique. It will not give you the look on the treated areas that you had when you were younger, or before you had children.

The operation is usually performed under a local anaesthetic, IV sedation or genral anaesthia. The duration of the procedure is 1-3 hours.

Dr Ayham Al-Ayoubi explains that Smartlipo is a laser surgical procedure and like any other laser surgical treatments it could have some side effects and complications and it’s the duty of the surgeon to minimize the side effects, possible risks and complications of the procedure; even so they cannot be eliminated.

The following lists of side effects and complications has been reported (even so they are rare) but the patients has to be aware of them.

During the Smartlipo consultation with Dr Ayham Al-Ayoubi, patients will have the chance to have a full discussion about the possible risks or side effects in more details.

  1.  Haematoma – Small haematomas are usually reabsorbed. A large one very rarely may need further surgery.
  2. Seroma – A collection of fluid in the treated areas (extremely rare to happen) which may need aspiration.
  3.  Infection – Bacterial or fungal infection may occur, which may require antibiotics. It may lead to abscess information. (very rare)
  4.  Scarring – a very small 1-3 mm scar will be made along the treated areas – those could be a permanent mark, but will improve in time. Sometimes the scars go.
  5.  Diminished or altered sensation – the nerves to the skin are interrupted during procedure; you may have numbness or less feeling over the treated areas. The sensation returns over several months. Some diminished sensation may last indefinitely.
  6.  Swelling – may last few days to month, but it may take up to 2 months to improve.
  7.  Pigmentation – can occur either hypo pigmentation or hyper pigmentation. Avoid sun exposure, including sun beds, for at least 2 months.
  8.  Bruising and discolouration will last for a few days/weeks.
  9.  Pain and discomfort – will be experienced. The amount varies with the individual’s tolerance. Take analgesia as required.
  10.  Poor healing – can occur in some areas.
  11.  Asymmetry – pre-operative asymmetry cannot be guaranteed to be corrected during procedure.
  12.  Excessive tightness and bloating – is common after surgery and is usually temporary.
  13.  Temporary lumps under the skin – these will resolve in time.

Life threatening complications are rare – they may include: Deep vein thrombosis, pulmonary embolism, and respiratory decompensation.

Smartlipo is a minimally invasive surgical procedure and is administered under a local anaesthetic, iv sedation or genral anaesthia.

Smartlip is a very effective treatment. However, Smartlipo like any weight loss programme needs a sensible diet and a healthy lifestyle to maintain peak condition and efficacy.

Smartlipo laser lipolysis is not designed to treat obesity. However, Smartlipo with suction can be used to treat two or more large areas in a person who is overweight and who finds it quite difficult to lose weight. A person with obesity, who requests laser lipolysis, is always recommended to try losing weight by other means first.

Smartlipo can be used for skin tightening aloneespecially with the Smartlipo MPX system which has 2 laser wavelengths. The setting of the laser can be used in such a way to treat loose skin with very effective results.

Smartlipo (treatment) and specifically Smartlipo MPX system has the ability not only to reduce fat and tighten the skin but has the ability to treat cellulite. The laser energy can be set up in such a way that it is designed to tighten the skin and improve cellulite appearance by giving significant skin tightening effects. As regards to stretch mark improvement, there is so far no proven clinical study. However there are some patients who have noticed some improvement regarding their stretch marks after Smartlipo treatment.

After the Smartlipo treatment the patient usually has a significant skin tightening effect especially if the surgeon uses the Smartlipo MPX system or Smartlipo Triplex. These systems have the ability to introduce an adequate amount of laser energy, heating the dermis (skin) and the fat within safe parameters, which will give the skin tightening effect.

How does Smartlipo work?

 

Smartlipo’s pulsating laser beam has a photo-mechanical effect rupturing the fat cells’ membrane. Also it has a thermal effect which melts the fractured fat cells and coagulates small blood vessels which reduce the bleeding to minimum. Both effects together (Photo-dynamic and Thermal) will give the skin tightening results.

 

The areas to be treated are marked with a special pencil and each is divided into segments of 5x5cm. A small incision 1-2mm is made with a micro-scalpel in which the local anaesthetic is injected. The local anaesthesia is carried out via longitudinal infiltration of the subcutaneous fatty tissue in anything from ten to twenty directions in order to form a network.

 


1- Melting the loose fat

The optical fibre of the laser is inserted into the same incision created for the infiltration of the anaesthetic solution. Its transit through the skin is monitored by means of the guiding light on the laser device itself. The actual treatment begins by slowly moving forwards lengthwise following the lines traced on the skin and trying to constantly maintain the same speed of movement.

 


Figure 1 – Smartlipo laser treatment melting the deep loose fat.

2- Lasering the superficial fat and tightening the skin at the same time

 


Figure 2 – Smartlipo laser treatment, lasers the superficial fat.

Over the last two years Dr Ayham Al-Ayoubi has taken the Smartlipo treatment further and developed his own technique for patients with much larger areas of fat. This combines Smartlipo and gentle suction at the same time.

The deep fat is lasered first followed by the superficial fat and finally the fat is suctioned out. This produces great results and is relatively painless. Dr Ayham Al-Ayoubi always reminds his patients that it is not possible to have any procedure without some discomfort, but this is a very good and safe procedure.

The skin tightening in some areas like hips is immediate, patients often like to see results straightaway, they don’t like to be told that it can take many months. It is also done under local anaesthetic so there is no need for a general anaesthetic or to stay overnight which also means that it can be done on patients who aren’t suitable for a general. There are no stitches, just a very small incisions that heal very well and quickly. By three or so months the patients can see the final result.

Does it require admission to hospital?

No, the laser lipolysis treatment does not require hospitalisation or even a general anaesthetic as it is carried out in the clinic. The post-treatment marks like haematomas and inflammation – common to other methods of surgical body modelling – are considerably reduced.

Method

  • Treatment is carried out in a sterile environment.
  • The areas to be treated are marked with a special pencil, and lines are traced outwards from one single point in which the local anaesthetic is injected.
  • The local anaesthesia is carried out with a peristaltic B&S bottle via longitudinal infiltration of the subcutaneous fatty tissue in anything from ten to twenty directions in order to form a network.
  • The optical fibre of the laser is inserted into the same incision created for the infiltration of the anaesthetic solution.
  • In order to facilitate the insertion of the cannula, a small incision must be made with a micro-scalpel.
  • The laser is then turned on and the optical fibre is inserted into the adiposity. Its transit through the skin is monitored by means of the guiding light on the laser device itself.
  • The actual treatment begins by slowly moving forwards lengthwise following the lines traced on the skin and trying to constantly maintain the same speed of movement.

Results

At the end of the treatment the fatty tissue will be more compact and have greater tone without any surface irregularities. Due to the lipolysis effect produced by the laser, the body contours improve day by day, providing the results within 1 to 2 months post-treatment. However, it usually takes between 3 to 4 months to see the final results, which vary individually between clients.

Laser lipolysis allows for recovery and the patient can return to a normal lifestyle after treatment.

How many treatments will I need?

This very much depends on the amount of fat to be removed from each area. More often than not one treatment will achieve the desired effect. The recommended amount of fat removed from one area is approximately 250/300cc.

How long does a treatment take?

Treatment takes 1-2 hours depending on the number of areas. Most patients can return to work the following day after treatment.

Could I have an even result with Smartlipo treatment after fat reduction?

NO, it is actually the Smartlipo treatment that can be used to treat asymmetrical shaping, as the surgeon can apply differing amounts of varying laser energy to different areas so he can sculpture the body shape with the laser.

SmartLipo Laser beam targeting fat cells membrane only

Below graphics are courtesy of DEKA Laser System, Italy.


SmartLipo Laser beam targeting fat cells membrane only

1- The laser beam, inserted into the hypoderma by means of the cannula, affects the adipocytes and surrounding tissues.

2- – Thanks to the photo-mechanical effect, part of the laser energy ruptures the membrane of the adipocytes closest to the end of the fibre.

3- In some cases the adipocytes are not destroyed immediately. Nevertheless, the laser energy still manages to alter the permeability of their membrane causing them to swell which leads to their destruction within a month or two.


SmartLipo Laser beam targeting fat cells membrane only
The final result is produced by the reduction in the number of fatty cells, with a reduced blood loss thanks to the coagulation of the small blood cells during the operation.

 

Skin Retraction and Tightening Split Abdomen using Smartlipo


Skin Retraction and Tightening Split Abdomen using Smartlipo
As the above control study shows, the left lower abdomen area lasered with the Smartlipo MPX system has a significant skin tightening effect.

 

SmartSense and Thermal Guide(in Smartlipo MPX and Triplex ONLY)

  • Control and precision
  • Safety
  • Consistent outcomes

Smartsense Advantages

“Smartsense ensures that my patients are getting the precise level of energy that’s required based on how I personally perform the procedure and not on a predetermined setting on a machine”, states Dr Ayham Al-Ayoubi.

How Smartsense works

The SmartSense delivery system contains an advanced microchip called the Accelerometer, which is inserted into the intelligent handpiece.

  • Based on the setting you choose (high, medium or low) and the motion of the intelligent handpiece, the precise laser power is metered and delivered.

Smartlipo Vs traditional liposuction

All types of Smartlipo
  • Local anaesthesia, IV sedation or general anesthesia
  • Laser-equipped 1-2mm probe
  • Liquefies fat
  • Promotes tissue tightening
  • No sutures
  • Little or no scarring with proper care
  • Downtime – approximately 1-2 days
  • Compression garments for one week only
Liposuction
  • General anesthesia or IV sedation
  • Larger suctioning cannula
  • Suctions fat
  • Sagging skin sometimes necessitates additional surgical procedures
  • Suture closure
  • Longer scars
  • Downtime – about 7-10 days
  • Requires use of compression garments for 2 weeks

Smartlipo compared with other similar systems

Dr Ayham Al-Ayoubi has been using the Smartlipo since 2006 and invented and devolped the conset of Laser Assisted Liposuction in 2007.

In 2008, he introduced the Smartlipo MPX, the second new generation of Smartlipo systems from the USA into the UK and Europe. Like its predecessors, the Smartlipo MPX enhances the breakdown of fat, reduces bruising through the coagulation of blood vessels and enhances the skin tightening effect by stimulating fibroblasts and collagen production. The difference is that the speed and efficacy are enhanced with the new Smartlipo MPX system.

With its entirely different platform, Smartlipo MPX features 20w for the 1064 nm wavelength and 12w for the 1320 nm wavelength. The 1064 nm wavelength concentrates on the blood vessels and fat cells and this laser beam fired under the skin improves skin tone and acts on collagen fibres, all without causing much damage. Whereas the 1320 nm wavelength has a higher affinity for fat and this laser energy melts the fat by bursting the cells, making the fat easier to suck out.

This procedure increases the efficiency of not only the heating, but the entire process. This means we can destroy more fat cells in a shorter period of time, so not only is the patient having a much faster treatment but we can do much bigger areas and multiple areas within the same treatment.

The two lasers work both at the same time but we can change the settings which gives us a greater degree of flexibility in what we can offer to the patients.

Smartlipo MPX also utilizes SmartSense safety features which regulate the level of laser energy being delivered in relation to the speed at which the headpiece is being moved, thus providing constant and uniform energy delivery throughout the treatment. SmartSense prevents laser discharges if the headpiece stops moving but resumes when it starts to move again.

In terms of practice positioning, Smartlipo has been used as a stand-alone treatment as well as an adjunctive procedure to enhance the results of traditional liposuction.

Major surgical techniques for fat reduction leave a noticeable scar, involves hospitalization and requires at least ten days of downtime.

Traditional liposuction is an imprecise tool because it is limited to the deep fatty layers around the muscle.

With the previous original Smartlipo or ultrasound, the surgery would be time consuming. The two wavelengths of the MPX model also provide the capacity for debunking, unlike single wavelength devices. These two wavelengths act synergistically.

Smartlipo has become very popular in the UK because downtime is reduced and results are of a high quality. Dr Ayham Al-Ayoubi is expecting on-going improved results and the ability to treat difficult cases, as well as both large and small anatomical areas, with the Smartlipo MPX and Smartlipo Triplex.

In 2010 Dr Ayham Al-Ayoubi itroduced the The Smartlipo Triplex from The USA into the UK and Europe.

The SmartLipo Triplex, offers greater fat reduction and skin tightening.The SmartLipo Triplex Laser is an improvement upon the SmartLipo MPX series.The Triplex adds another benefit to the original Smartlipo system with an additional wavelength. It is the first laser lipolysis technology that uses three wavelengths which are well absorbed by fat and can be used to treat large areas of fat.

SmartLipo Triplex adds a 1440 nm wavelength to the MPX generation of the laser. The three wavelengths are combined in one laser output. Two wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation.The 1064 and 1440 wavelengths combine for fat liquefaction and the 1064 and 1320 wavelengths combine for collagen stimulation and blood vessel coagulation.

The skin tightening is immediate with Smartlipo MPX and Smartlipo Triplex. However it takes about three or so months for the patients to see the final results. What is important to remember is that this procedure is not designed to lose weight but it is for body reshaping and sculpting.

History of Liposuction

The surgical option, from late 19th century

The surgical technique to remove fat has been performed for many years – the most common example being the tummy tuck – and it works in a very simple way.

You cut the skin, remove the fat and then re-drape the skin.

There are some advantages: you can remove a lot of fat, it is good for the surgeon because they can see what they are doing and you can achieve skin tightening at the same time by removing any loose skin.

The downsides though often outweigh the advantages: it is performed under general anaesthetic, entails a lengthy period of downtime and you are left with a very obvious scar.

Traditional liposuction, early 1980s

Traditional liposuction was introduced in the early 1980s and became the standard technique for the next twenty years,

It works by making a small incision in the skin and sucking out the fat with the liposuction device, but the problem lies in the fact that we have two different types of fat: deep, loose fat and superficial fat.

Liposuction tackles the deep fat but can’t remove the superficial fat because it is very vascular. If you attempt to remove it with liposuction you risk too much bleeding and damage to the skin.

It was obvious; we needed to find a solution to the superficial fat.

Other alternatives, the 1990s

All research at the time was dedicated to finding ways to tackle the superficial fat. The first approach was applying heat to the surface of the skin in an attempt to emulsify the superficial fat underneath – not through an incision – and lots of different forms of energy were experimented with, including laser, radiofrequency and ultrasound.

These techniques were often combined with traditional liposuction but they didn’t have the desired result because the more energy you apply through the dermis, the more you risk damaging or burning the skin before you even have an impact on the fat underneath.

Smartlipo since year 2000

Finally, we had a breakthrough; Smartlipo works by making a tiny incision, under local anaesthetic, and then emulsifying the fat by rupturing the membrane of the fat cell using the light, not the heat, of the laser. The contents of the fat cell leak out and the cell itself no longer has a function so is removed by the body.

The first machine had six watt energy and was fantastic in small areas such as under the chin, and for small amounts of tummy or thigh fat but I had many patients wanting much larger areas dealt with. The machine wasn’t producing the results wanted and the length of the procedures meant discomfort for the patients.

Smartlipo MPX, since year 2008

The company was introducing more and more powerful machines which were producing better results and more comfortable patient experiences, then their sister company in the US, Cynosure, developed Smartlipo MPX.

MPX stands for multiple lasers and the machine employs two lasers. One targets fat membrane and the other targets blood vessels.

The current Smartlipo MPX is also so much more powerful than the original machine from six watts to 46 watts and that increase in power means you go through tissue easier and tackle larger areas in less time. It also means increased skin tightening which is crucial when you’re tackling larger areas of fat.

Smartlipo Triplex, since year 2010

The SmartLipo Triplex, offers greater fat reduction and skin tightening.The SmartLipo Triplex Laser is an improvement upon the SmartLipo MPX series.The Triplex adds another benefit to the original Smartlipo system with an additional wavelength. It is the first laser lipolysis technology that uses three wavelengths which are well absorbed by fat and can be used to treat large areas of fat.

Other alternatives:

Bodytite. Introduced into the UK in 2009 by Dr Ayham Al-Ayoubi. This uses radiofrequency and, at 75 watts, is very powerful. It is suitable for large areas but doesn’t produce the same skin tightening as Smartlipo MPX or Smartlipo Triplex , nor does it have the flexibility when dealing with rounded areas such as the inner thigh. It doesn’t have the same range of safety features as Smartlipo MPX, which is invaluable even for an experienced surgeon.

Vaser. Reliant on ultrasound, this is good for small areas but doesn’t give the skin tightening of Smartlipo. It works by vibrating the fat cells and damaging them but it can also damage the tissue around it causing pain and bruising. It can also cause irregularities. It has its place but has pros and cons as all systems do.

Other lasers. Targeting the fat cells not the membrane, they can produce unwanted dead tissue under the skin.

History of liposuction and Smartlipo

History of liposuction and Smartlipo

The surgical option, from the late19th century

The removal of fat with a surgical technique has been performed for many years – the most common example being the tummy tuck,  also called abdominoplasty – and it works in a very simple way.

Remove excess fat, pull down the skin and trim off the excess. Your belly button will be repositioned.

The main advantages are that you can remove a lot of fat and that it is good for the surgeon because they can see what they are doing , thus achieving skin tightening at the same time by removing any loose skin.

The disadvantages often outweigh the advantages, it is performed under general anaesthetic, and that means a lengthy period of downtime and you are left with a very large noticeable scar around your belly button and a curved scar along your bikini line.

Traditional liposuction, early 1980s

Traditional liposuction was introduced in the early 1980s and became the standard technique for the next twenty years; liposuction is a procedure in which localised deposits of fat are removed to re-contour one or more areas of the body. Through a tiny incision, a narrow tube (cannula) is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pulled and pushed through the fat layer, breaking up the fat cells and sucking them out by a vacuum pump or a large syringe, but the problem lies in the fact that we have different types of fat: deep, loose fat and superficial fat.

Liposuction can tackle the deep fat but cannot remove superficial fat as it is very vascular and if attempted to remove it with liposuction you risk too much bleeding and damage to the skin.

It was obvious a solution was needed to remove the superficial fat.

Other alternatives, the 1990s

All research at the time was dedicated to finding ways to tackle the superficial fat. The first approach was to apply heat to the surface of the skin attempting to emulsify the superficial fat underneath and not through the incision also lots of different forms of energy were experimented with, including laser, radiofrequency and ultrasound.

These techniques were often tried and tested with traditional liposuction. They were found not to have the desired result because we found out that the more energy you apply through the dermis, the more you risk damaging or burning to the skin before you even have an impact on the fat underneath.

Smartlipo 2000

Finally, we had a breakthrough; Smartlipo works by making a tiny incision, under local anaesthetic, Smart Lipo breaks down the superficial fat cells and reduces them to an oily substance which can be easily absorbed and expelled naturally by the patient’s body. The fat cells leak out and the cell itself no longer has a purpose so is removed by the body

The first machine had six watt energy and was fantastic in small areas such as under the chin, and for small amounts of tummy or thigh fat but it still wasn’t great for the patients who wanted much larger areas dealt with. The machine was not producing the results needed and the length of the procedures meant some discomfort for the patients

Smartlipo MPX, 2008

More and more powerful machines were introduced which were producing better results and it was a more comfortable experience for patients but then their sister company in the US, Cynosure, developed the Smartlipo MPX.

MPX stands for multiple lasers. One targets blood vessels and the other targets fat membrane

The Smartlipo MPX that is current is also so much more powerful than the original machine from six watts to 46 watts and. The increase in power means that you are able to go through the tissue easier and tackle larger areas in less time, and it also means increased skin tightening which is crucial when you are tackling larger areas of fat.

SmartLipo Triplex, 2010

A new member of the laser lipolysis field, – SmartLipo Triplex is able to offer greater fat reduction and skin tightening.

The SmartLipo Triplex Laser was recently released and is an improvement upon the SmartLipo MPX series.

The Triplex adds another benefit to the original Smartlipo system with an additional wavelength. It is the first laser lipolysis technology that uses three wavelengths which are well absorbed by fat.

SmartLipo Triplex adds a 1440 nm wavelength to the MPX generation of the laser. The three wavelengths are combined in one laser output. Two wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation.

The 1064 and 1440 wavelengths combine for fat liquefaction and the 1064 and 1320 wavelengths combine for collagen stimulation and blood vessel coagulation.

This combination provides both fat reduction and skin tightening so that patients can often avoid additional procedures to remove the loose skin people often experience after liposuction.

Smartlipo Triplex is also equipped with a feature known as ThermaGuide which constantly measures the temperature under the skin and controls the output of energy, ensuring that the treatment area stays within a safe range so that it is hot enough to work efficiently, but not so hot as to cause the patient harm.

Other alternatives:

Bodytite. Introduced into the UK last year, this uses radiofrequency and, at 75 watts, is very powerful. It is suitable for large areas but doesn’t produce the same skin tightening as the Smartlipo MPX, nor does it have the flexibility when dealing with rounded areas such as the inner thigh. It doesn’t have the same range of safety features as the Smartlipo MPX, which is invaluable even for an experienced surgeon.

Vaser. Reliant on ultrasound, this is good for small areas but doesn’t give the skin the tightening that is achieved when using the Smartlipo MPX. It works by vibrating the fat cells and damaging them but this can also damage the tissue around it causing pain and bruising. It can also cause irregularities. It has its place but has pros and cons as all systems do.

Other lasers targeting the fat cells not the membrane, they can produce unwanted dead tissue under the skin.

Laserlipolysis is an advanced technique that is used for removing excess fatty tissue from areas of the body that patients find are resistant to dieting and exercise. So using sophisticated laser like Smartlipo, we can target the fat cells membrane only.

Using SmartLipo laser artistically (by the surgeon) sculpts the body into a new shape, the laser technology that delivers a specifically calibrated laser beam can act on the cells that contain fat.

The Smartlipo laser technique not only produces less bruising and less blood loss but ensures an easier, faster, and more comfortable recovery, which SmartLipo also offers better results than the more traditional liposuction.

The advanced laser technique using Smartlipo allows surgeons to reduce the localised adipose tissue without the need to aspirate the fat so it is then destroyed inside the tissue itself due to the effect of the laser which is specific. The SmartLipo Nd-YAG laser has a selective wavelength for fatty tissue and by producing a thermal and mechanical effect that will provoke the rupturing of the membrane adipose cells and transform them into an oily emulsion allowing it to be absorbed and eliminated by the body.

Brief Information about Smartlipo Laser Body Sculpting 

The success we experienced with the original Smartlipo device which was invented by DEKA Laser Company in year 2000 after 12 years of extensive studies, was greater than we thought it would be.

Cosmetic and plastic surgeons recognise patient’s demands for less invasive cosmetic procedures. It has been realised by everyone that having a clinic based only on plastic surgery is not enough, as these patients are going to clinics that offer Smartlipo treatments because Smartlipo provides good results and is less invasive than previous more invasive treatments.

Smartlipo is not a lunch break fat removal treatment and Dr Ayham Al-Ayoubi stresses this. Experienced techniques are required.

Smartlipo, also Laser-guided liposuction is not just about placing a cannula under the skin for a short amount of time and saying: “The procedure is done!” Surgeons and physicians can spend a whole day alone just learning how to enhance the results of liposuction. It is a time-consuming process that requires attention to detail and importantly consistency throughout the whole procedure.

More and probably most importantly, Smartlipo laserlipolysis delivers a significant amount of energy to the deep layer completing the heating of the dermal layer to a temperature almost to 40o C. A average abdomen (lower) would require anything from 50 and 80000 joules of energy to achieve the desired fat reduction result.

The Smartlipo treatment was a revolution in the technique of fat reduction and body sculpting and then the Smartlipo MPX is the evolution of this revolutionary technique as instead of one it uses two different laser wavelengths both targeting the fat cell membranes and the blood vessels and water which gives the skin a tightening effect in addition to fracturing the fat cells. The SmartLipo MPX system by Cynosure from the USA was introduced into the UK and Europe by Dr Ayham Al-Ayoubi in 2008.

The third generation of SmartLipo known as Smartlipo triplex was introduced into the UK and Europe by Dr Ayham Al-Ayoubi in 2010 this machine uses 3 different wavelengths of laser energy.

Dr Ayham Al-Ayoubi in year 2007 invented and developed the revolutionary technique of laser assisted liposuction and then when on to becoming the very first surgeon who pioneered this technique by using the very original SmartLipo machine known as the first generation Smartlipo  DEKA system with suction of the liquefied fat. The Smartlipo DEKA system has a laser energy of 6 Watts, 10 Watts and goes up to 18 Watts

In the year 2008 the evolution of laser treatment came with the 2nd generation Smartlipo MPX which was also introduced by Dr Ayham Al-Ayoubi who furthermore evolved his laser assisted liposuction technique by using the Smartlipo MPX (which has 32 watts and 46 Watts laser energy) which allows him to perform Smart Lipo with suction in multiple areas in addition with the skin tightening effect.

The latest generation Smartlipo Triplex introduced by Dr Ayham Al-Ayoubi has taken the laser assisted liposuction technique to a different level. This now allows the plastic surgeon to perform Smartlipo with suction on multiple and large areas giving skin tightening effect with no surgical scars and with no down time.

All the above Smartlipo treatments (with or without suction) can be performed under local anaesthetic or light IV sedation which in comparison with the traditional surgical techniques for fat reduction including liposuction makes the Smartlipo and the laser assisted liposuction treatments far more superior.

To read more on Smartlipo treatments, laser assisted liposuction and other laser body sculpting techniques, please download Smartlipo E-book (written by Dr Ayham Al-Ayoubi) from our website.

All generations of Smartlipo

By Dr Ayham Al-Ayoubi – 2006

The Smart Lipo Nd:YAG (Smartlipo DEKA Laser System) was introduced into the UK from Italy by Dr Ayham Al-Ayoubi in June 2006.

It was the result of a concept that combines all the new generation laser technology with the advantages of compactness and reliability.

Smartlipo possesses the outstanding features necessary for exalting its operating performance.

The Smartlipo is a laser system that can reach extremely high frequencies for very brief periods, even several millionths of a second, plus it has electronic control of the emitted power and the laser pulses.

The features of Smartlipo, means that the laser emission can be considered as minimal thermal heat due to the energy being concentrated in very brief pulses.


Evolutionary Smartlipo MPX

By Dr Ayham Al-Ayoubi – 2008

We pride ourselves for introducing the first evolutionary Smartlipo MPX system from the USA into the UK and Europe in August 2008. 

Dr Ayham Al-Ayoubi led the way yet again by introducing the Smartlipo MPX and has been appointed the leading trainer surgeon in the UK. Smartlipo MPX is the first dual-wavelengths laser system (this Smartlipo machine has two different lasers working at the same time) for body sculpting.

As with the original Smartlipo workstation, Smart Lipo MPX is a minimally invasive laser lipolysis system. The system’s proprietary pulsing format delivers laser energy through a cannula to liquefy the fat, which is then removed from the body.

The Smartlipo laser energy also coagulates the tissue, thereby sculpting body contours and tightening the skin.

The Smartlipo laser liposuction procedure generally causes less bleeding, swelling and bruising than traditional liposuction, resulting in fewer complications and a more rapid recovery time.

Smartlipo MPX is equipped with a feature known as ThermaGuide which constantly measures the temperature under the skin and controls the output of energy, ensuring that the treatment area stays within a safe range so that it is hot enough to work efficiently, but not so hot as to cause the patient harm.

Smartlipo MPX is also equipped with a feature known as SmartSense.

The SmartSense delivery system contains an advanced microchip called the Accelerometer, which is inserted into the intelligent handpiece, dependent on the setting that is chose (high, medium, or low) and the motion of the intelligent handpiece, the precise laser power is delivered.

Smartlipo MPX – the first Laser Body Sculpting platform to:

  • Give safe and consistent distribution of thermal energy supported with extensive clinical studies and research
  • Reduce treatment time by blending the clinical benefits of the two wavelengths
  • Combine the properties of two wavelengths for effective lipolysis and tissue coagulation resulting in tissue tightening
  • Feature a unique intelligent delivery system (SmartSense device) for safe and uniform energy delivery

Dr Ayham Al-Ayoubi performing and teaching the very first Smartlipo MPX cases in the UK and Europe to plastic surgeons at Hurlingham Clinic – London (the official training centre for Smartlipo MPX training in the UK) click here.

To read the FDA Approval for Smartlipo MPX, click here

SmartLipo Triplex

By Dr Ayham Al-Ayoubi – 2010

Dr Ayham Al-Ayoubi of London Medical and Aesthetic Clinic has led the way yet again by introducing the very first evolutionary SmartLipo Triplex from the USA into the UK and Europe in 2010. 

A new member of the laser lipolysis field, – SmartLipo Triplex is able to offer greater fat reduction and skin tightening.

The SmartLipo Triplex Laser was recently released and is an improvement upon the SmartLipo MPX series.

The Triplex adds another benefit to the original Smartlipo system with an additional wavelength. It is the first laser lipolysis technology that uses three wavelengths which are well absorbed by fat.

SmartLipo Triplex adds a 1440 nm wavelength to the MPX generation of the laser. The three wavelengths are combined in one laser output. Two wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation.

The 1064 and 1440 wavelengths combine for fat liquefaction and the 1064 and 1320 wavelengths combine for collagen stimulation and blood vessel coagulation.

This combination provides both fat reduction and skin tightening so that patients can often avoid additional procedures to remove the loose skin people often experience after liposuction.

Smartlipo Triplex is also equipped with a feature known as ThermaGuide which constantly measures the temperature under the skin and controls the output of energy, ensuring that the treatment area stays within a safe range so that it is hot enough to work efficiently, but not so hot as to cause the patient harm.

Smartlipo training centre in the UK

Mr Ayoubi performing and teaching the first Smartlipo MPX cases in the UK and Europe to plastic surgeons at our Cclinic – London (the official training centre for Smartlipo MPX and Smartlipo Trpilex training in the UK).

The clinic has been visited by plastic surgeons from all around the world to be trained by Dr Ayham Al-Ayoubi (the official Smartlipo leading surgeon in the UK) on Smartlipo treatments and laser assisted liposuction technique.

Who is suitable for Smartlipo

Laserlipolysis is popular for people aged 18 to 60 years as it is suitable for any age. Many have benefited from laserlipolysis. Positive results are not affected by age but depend more on good skin tone and level of physical activity.

The ideal candidate for laserlipolysis is generally in good health, who carries out regular exercise, as well as having good eating habits and whose excess weight does not exceed 25% more than their ideal body weight.

Those with heart, kidney and liver disorders or on anticoagulants are not recommended to be treated with laserlipolysis. These medical conditions may limit the use of this treatment option.

Patients who want Smartlipo but may be unsuitable 

Over the past seven years since Smartlipo was introduced, there has been on average a 15% annual growth in body shaping treatments. Patients are more aware of the options for non-invasive, semi-invasive and combination procedures due to the media and internet.

The Smartlipo system has become the fastest growing treatment for body sculpting in the world. However, not every patient is suitable for Smartlipo treatment .i.e. those who are overweight and do not have a healthy life style or do not exercise enough or patients who have very large areas of fat.

To overcome this or to prepare unsuitable patients for the Smartlipo treatment, those patients are usually referred to dieticians or nutritionists who can help them lose weight and improve their life style and dieting habits. Also, in some cases alternative treatments are recommended to the patients such as traditional liposuction or surgical techniques for fat reduction.

Equally important patients must have a realistic expectation of the results from the Smartlipo treatment; therefore the initial consultation is very important for patient selection. We strongly believe that the consultation should be carried out by the physician himself who will perform the Smartlipo treatment.

During the consultation, and each follow up visit, to help the patient to envisage the end results initially and then to see how much reduction has been achieved with Smartlipo, Dr Ayham Ayoubi has developed a simple but important chart where he measures each area to be treated in cm and then measure the areas again, allowing the patient to follow the results they have from the Smartlipo or laserlipolysis treatment.

The patient being fit and healthy to maintain the results and have the optimum outcome is important with any technique, whether it is surgery, traditional liposuction, or Smartlipo. Realistic expectations of the final result will usually take up to three or four months post-treatment.

Where can Smartlipo be used?

Thanks to the advanced Smartlipo, the cannula is very small, allowing the Smartlipo to be performed on the stomach, love handles, legs, thighs, saddle bags, neck, arms, calves and other trouble areas.

As well as the small areas, Smartlipo can also be used anywhere traditional liposuction is used. Body regions that can benefit from the Smartlipo procedure include:

  • Face
  • Back
  • Bra strap
  • Mons pubis
  • Breasts (gynecomastia)
  • Thighs (saddle bags)
  • Hips
  • Buttocks
  • Knees
  • Upper arms
  • Chin
  • Cheeks
  • Neck

Smartlipo step by step

Smartlipo has a photo-mechanical laser beam effect which ruptures the fat cells’ membrane. Also it has thermal effect which melts the fractured fat cells and coagulates small blood vessels which reduces the bleeding to minimum. Working together (Photo-dynamic and Thermal) will give the skin tightening results.

When we know the areas to be treated, they are marked with a special pencil and each is divided into segments of 5x5cm. A small incision 1-2mm is made with a micro-scalpel in which the local anaesthetic is injected. The local anaesthesia is carried out via longitudinal infiltration of the subcutaneous fatty tissue in anything from ten to twenty directions in order to form a network.

From the same incision that is made for the infiltration of the anaesthetic solution the optical fibre of the laser is inserted with its transit through the skin monitored by the light on the laser itself. The actual treatment begins by slowly moving forwards lengthwise following the lines traced on the skin and trying to constantly maintain the same speed of movement.

Over the last two years Dr Aham Al-Ayoubi has taken the Smartlipo treatment further and developed his own technique for patients with much larger areas of fat. This combines Smartlipo and gentle suction at the same time and works by having the deep fat lasered first followed by the superficial fat and finally the fat is suctioned out. Dr Ayham Al-Ayoubi always reminds his patients that it is not possible to have any procedure without some discomfort, but this is a very good and safe procedure that is relatively painless.

Some areas like hips show immediate results, patients often like to see results straightaway, they don’t like to be told that it can take many months. It is also done under local anaesthetic or a light IV sedation so there is no need for a general anaesthetic or to stay overnight which also means that it is suitable for patients that cannot go under general. There are no stitches, just a very small incision that heals very well and quickly. The patient will see the results in 3-4 months.

Method of treatment

The treatment is carried out in a sterile environment and the areas to be treated are marked with a special pencil, and lines are traced outwards from a single point with the local anaesthetic is injected. The local anaesthesia is carried out with a peristaltic B&S bottle via longitudinal infiltration of the subcutaneous fatty tissue in anything from ten to twenty directions in order to form a network into the same incision created for the infiltration of the anaesthetic solution the optical fibre of the laser is inserted. A small incision is then made to facilitate the insertion of the cannula. The actual treatment begins by slowly moving forwards lengthwise following the lines traced on the skin and trying to constantly maintain the same speed of movement.

Results 

At the end of the treatment the fatty tissue will be more compact and have greater tone without any surface irregularities. Due to the lipolysis effect produced by the laser, the body contours improve day by day, providing the results within 1 to 2 months post-treatment.

How many treatments will I need? 

This very much depends on the amount of fat to be removed from each area. More often than not one treatment will achieve the desired effect.

How long does a treatment take? 

1-2 hours depending on the number of areas.

Could I have an even result with Smartlipo treatment after fat reduction? 

No, it is actually the Smartlipo treatment that can be used to treat asymmetrical shaping, as the surgeon can apply differing amounts of varying laser energy to different areas so he can sculpture the body shape with the laser.

Smartlipo expectations

Nearly all the areas of the body can be improved with laserlipolysis. You have the option of treating one or more areas at the same time, but even though laserplipolysis by itself is capable of remodelling extensive areas with excess fat, it is not capable of altering the basic structures of the skeleton and muscles.

During the initial consultation, we will describe the results you can expect, and the order in which these areas should be treated and this will allow us together to discuss a treatment plan to achieve the best body shape to suit you.

How effective is the treatment? 

Fat can be removed from almost any part of the body and visible results are seen immediately with suction. However, it can take up to 2-3 months post-treatment to start seeing significant results of the treatment.

In some instances a stepped programme will probably be advised to allow for gradual reshaping if large amounts of fat are to be removed.

Are the results permanent? 

Yes, however, with Smartlipo and any weight loss programme a sensible diet and a healthy lifestyle is needed to be maintained at peak condition and efficacy making it permanent and a very effective treatment.

Can laserlipolysis be used to treat obesity?

No, people with obesity, who request laserlipolysis, are always recommended to try losing weight by other means first as laserlipolysis is not designed to treat obesity. However, Smartlipo with suction can be used to treat two or more large areas in a person who is overweight and who finds it quite difficult to lose weight, making it that first step.

Can Smartlipo be used for skin tightening alone?

Yes, especially with the Smartlipo MPX system this has 2 laser wavelengths. The setting of the laser can be used in such a way to treat loose skin with very effective results.

Can Smartlipo work on cellulite and stretch marks? 

Smartlipo (treatment) and specifically Smartlipo MPX system has the ability not only to reduce fat and tighten the skin but has the ability to treat cellulite. The laser energy can be set up in such a way that it is designed to tighten the skin and improve cellulite appearance by giving significant skin tightening effects. As regards to stretch mark improvement, there is so far no proven clinical study. However there are some patients who have noticed some improvement regarding their stretch marks after Smartlipo treatment.

Will I have saggy skin after the Smartlipo treatment? 

No, with the Smartlipo treatment the patient usually has significant skin tightening especially if the surgeon uses the Smartlipo MPX system. This system has the ability to introduce enough laser energy, heating the skin (dermis) and the fat within safe parameters, which will give the skin a tightening effect.

Smartlipo vs. other laser techniques

Since introducing the second new generation of Smartlipo systems from the USA into the UK and Europe, Dr Ayham Al-Ayoubi has been using the Smartlipo MPX since September 2008 when like its predecessors, the Smartlipo MPX also enhances the breakdown of fat, reduces bruising through the coagulation of blood vessels and enhances the skin tightening effect by stimulating fibroblasts and collagen production. The difference between the Smartlipo MPX and previous systems is that the speed and efficiency are enhanced with the new Smartlipo MPX system.

The 1064 nm wave length concentrates on blood vessels and fat cells and this laser beam fires under the skin and improves the skin tone and acts on the collagen fibres, and it does all without causing much damage. The 1064 nm wave length concentrates on blood vessels and fat cells and this laser beam fires under the skin and improves the skin tone and acts on the collagen fibres, and it does all without causing much damage. The 1320 nm wave length has a better affinity for the fat and then the laser energy melts the fat doing this by bursting the cells thus making the fat easier to remove.

This allows the procedure to increase the efficiency of the heating and the entire process. Meaning fat cells are destroyed in a shorter period of time, so the patient is able to leave the clinic much sooner and we can do larger and multiple areas within the same time

Both lasers work at the same time but the settings can be changed which gives us a greater degree of flexibility so we can offer this to the patients.

Smartlipo MPX has Smart Sense safety features which are able to regulate the level of laser energy being administered in relation to the speed at which the hand piece is being moved, so this is providing constant and uniform energy delivery throughout the entire treatment. Smart sense safety features prevents laser discharges if the hand piece was to stop moving but restarts when it starts to remove.

Smartlipo can be used as a stand-alone treatment as well as an procedure to enhance the results of traditional liposuction.

Traditional liposuction can also supplement Smartlipo, it does this by melting the fat, then the fat stays behind and then you remove the fat with small cannulas. Dr Al-Ayoubi has noticed that patients that will not consider liposuction because, it involves hospitalization, a minimum of at least seven days of downtime and can leave saggy skin find that they prefer to opt for Smartlipo as there is no hospitalisation and no downtime. Another important factor why patients may prefer to go for the Smartlipo MPX instead of traditional liposuction is the scar reduction that is with Smartlipo than with traditional liposuction

A patient with loose saddle bags (thighs) had a super result by Dr Al-Ayoubi when he used the Smartlipo MPX. The patient would be left with thin floppy thighs after traditional liposuction. When she was treated with the Smartlipo MPX, the result was slim and non-floppy thighs.

Traditional liposuction is not a precise tool as it is limited to the deep fat layers around the muscle. Smartlipo we can treat the superficial fat layers and get underneath the dermis with the small (2 mm) cannula.

When this is done the skin will shrink because we release it from the fatty layer. Then when we heat the skin to about 38-40oC, we can achieve additional shrinkage from reticular collagen stimulation and reformation. This can be done more quickly and precisely with Smartlipo MPX’s two wavelengths unlike the previous original Smartlipo or ultrasound, the surgery would be very time consuming.

Smartlipo has become very popular in the UK because downtime is reduced and results are of a high quality. Dr Ayham Al-Ayoubi is expecting ongoing improved results and to treat difficult cases such as both large and small areas, with the Smartlipo MPX. Also, with the advanced new device we are having very impressive results in cellulite improvement.

Skin tightening result is immediate with Smartlipo MPX. Patients like to see results straight away and do not like to be told that it can take a few weeks to months. It is done under local anaesthetic or under a light IV sedation meaning that there is no need for a general anaesthetic or hospitalization. There are no stitches just a very small incision that heals very well, meaning no scarring.

It is important to remember that even though we can take out a litre and maybe more of fat this procedure is all about body reshaping and sculpting, not so much about weight loss.

“As a surgeon who specialises in laser surgery, I find that I am increasingly doing less aggressive procedures and am getting very good results by combining Smartlipo with gentle suction. That is the wonderful thing with the continuing advances in technology; we can get the results without aggressive invasive surgery.”

 

What is smartsense and thermal guide?

SmartSense and Thermal guide is able to offer control and precision, safety and consistent outcomes

” The advantages of Smartsense ensures that my patients are getting the precise level of energy that’s required based on how I personally perform the procedure and not on a predetermined setting on a machine”, Dr Ayham Al-Ayoubi.

How Smartsense works

The SmartSense works by delivery system that contains an advanced microchip called the Accelerometer, which is inserted into the intelligent headpiece. Based on one of the three settings that you choose and the motion of the intelligent handpiece, the laser power is metered and delivered.

Side effects of smartlipo

No, occasionally, however, there may be a temporary bruising of the skin around the area of treatment and slight discomfort usually lasting for a day or two.

Does it hurt? 

No, Smartlipo is a minimally invasive procedure and is administered under a local anaesthetic or IV sedation. There may be a sensation of tugging and some minor stinging but this is very tolerable.

Dr Ayoubi’s Smartlipo philosophy

“As an expert surgeon in Smartlipo laser treatments, I am impressed with the quality, safety and speed of the evolutionary Smartlipo MPX which allows the surgeon to carry out the Smartlipo treatment, in a safer and faster way, compared with the traditional Smartlipo system. From the patient’s point of view, they are seeing faster and better results especially in skin tightening with a shorter recovery time.” 

The first time I came across Smartlipo was when I read an article in 2002 about Smartlipo/Laser Lipolysis by Dr Alberto Goldman, a plastic surgeon in Brazil. This treatment fascinated me as an ENT, Facial Plastic and Laser Surgeon

I once tried to introduce Smartlipo into the UK but in 2002 there were not enough clinical studies available for it to be approved in this country at the time. When approval was finally given I was the first Surgeon to introduce the new Smartlipo/Laser Lipolysis laser from Italy into the UK in 2006.

Speaking only about Smartlipo/Laser Lipolysis, fat reduction and body sculpting, we have to understand the anatomy and physiology of the fat structure in the human body, where we have deep loose fat and superficial fat which sits just beneath the skin. This superficial fat is extremely vascular and the fat cells are positioned very closely together.

Before introducing the Smartlipo into the UK, surgeons were using traditional liposuction to achieve fat reduction. Traditional liposuction is performed by making an incision to the skin to suck out the deep fat in a safe way, with very good results. Even so it is not possible to suck out any of the superficial fat because of the high risk of bleeding and the damage that could be caused to the skin from the inside when we remove that fat but now that has changed since the Smartlipo we can now safely suck out the superficial fat.

With about 20 per cent of cases of our patients traditional liposuction surgery can result in a collapsed banana skin effect where the skin is not able to be supported any longer.

As Surgeons, another problem we found with traditional liposuction is that we are restricted in the areas that we can perform the procedure i.e. liposuction for under the arm (bingo wings) surgery could result in numbness in the hands from where the nerves have been damaged by the powerful suction. Even under the chin, where it is an extremely vascular area, the bleeding could be severe during surgery so we tackled all of these problems by introducing the Smartlipo/Laser Lipolysis allowing us to target all areas including underarms and under the chin.

The principle is that instead of removing the fat with suction, during Smartlipo treatment, the laser will target the fat cells and then puncture them similar to water filled balloon, the fat cells are pierced and then the fat leaks out and gets absorbed and drained through the lymphatic system.

I started doing Smartlipo procedures with the first generation Smartlipo machine produced by the Deka System and it had great results in small areas, especially in terms of the skin tightening. The skin tightening effect is achieved because the heat of the laser goes up to 38-40oC and it produces an inflammation which tightens the skin.

The concept of Smartlipo laser assisted liposuction by Dr Ayoubi

Dr Ayham Al-Ayoubi explains: The first time I came across Smartlipo was when I read an article in 2002 about Smartlipo/Laser lipolysis by Dr Alberto Goldman, a plastic surgeon in Brazil. This treatment fascinated me as an ENT, Facial Plastic and Laser Surgeon.

I tried to get Smartlipo into the UK but at that time there wasn’t enough clinical studies available for it to be approved in this country. Approval was finally given and I was the first Surgeon to introduce the new laser technique from Italy into the UK in 2006.
Speaking specifically about Smartlipo/Laser lipolysis, fat reduction and body sculpting, we have to understand the anatomy and physiology of the fat structure in the human body, where we have deep loose fat and superficial fat which sits just beneath the skin. This superficial fat is extremely vascular and the fat cells are positioned very closely together.

Prior to launching Smartlipo into the UK, we were using traditional liposuction to achieve fat reduction. Traditional liposuction is performed by making an incision into the skin to suction out the deep fat in a safe way, with very good results in the majority of cases. However, it is not possible to suck out the superficial fat because of the high risk of bleeding and the damage that could happen to the skin from the inside when we remove that fat.

With some patients (about 20 per cent of cases) it can result in a “collapsed banana skin effect” whereby the skin isn’t supported any longer.

As Surgeons, another problem we found with traditional liposuction is that we are restricted in the areas that we can perform the procedure i.e… under arm liposuction surgery could result in numbness in the hands if the nerves have been damaged by the powerful suction. Also, under the chin, which is an extremely vascular area, the bleeding could be severe during surgery.

The principle is that instead of only sucking the fat out, during Smartlipo treatment, the laser targets the fat cells membrane and punctures it. Like a balloon filled with water, we pierce the fat cells and the fat leaks out and gets absorbed and drained through the lymphatic system.

I started doing Smartlipo procedures with the first generation Smartlipo machine (Deka System) which had great results in small areas, particularly in terms of skin tightening. The skin tightening effect is because the heat of the laser goes up to 38-40o and it produces an inflammation which tightens the skin.

I must stress here that Smartlipo is not a lunch break fat removal treatment. Proper techniques are required.

Smartlipo – Laser-guided liposuction is not just placing a cannula under the skin for a short time and then saying: “we did the procedure!” Physicians can spend a whole day just learning how to enhance the results of liposuction. It is an exacting and time-consuming process that requires attention to detail and consistency throughout the operating area.
Most importantly, it is the delivery of a significant amount of energy to the deep layer and a complete heating of the dermal layer to a temperature at or close to 40oC. A typical lower abdomen would require between 50 and 80 thousand joules of energy to achieve the desired results of fat reduction.

The Smartlipo treatment was a revolution in the philosophy, principles and technique of fat reduction and body sculpting and the Smartlipo MPX is the evolution of this revolutionary technique.

“As an expert surgeon in Smartlipo laser treatments, I am impressed with the quality, safety and speed of the evolutionary Smartlipo MPX which allows the surgeon to carry out the Smartlipo treatment, in a safer and faster way, compared with the traditional Smartlipo system. From the patient’s point of view, they are seeing faster and better results especially in skin tightening with a shorter recovery time.”

The evolutionary thrid generation SmartLipo Triplex was a further devolopment in Laser Assissted Liposctuon which offers greater fat reduction and skin tightening and uses laser which are well absorbed by fat. The three wavelengths are combined in one laser output. Two wavelengths fire sequentially, liquefying the fat and tightening the skin with collagen stimulation and blood vessel coagulation.

The success we experienced with the original Smartlipo device which was invented by DEKA Laser Company in year 2000 after 12 years of extensive studies, was greater than we thought it would be.

Cosmetic and plastic Surgeons recognise patient’s demands for less invasive cosmetic procedures. It has been realised by everyone that having a clinic based only on plastic surgery is not enough, as these patients are going to clinics that offer Smartlipo treatments because Smartlipo provides good results and is less invasive than previous more invasive treatments.

Smartlipo is not a lunch break fat removal treatment and Dr Ayham Al-Ayoubi stresses that. Experienced techniques are required.

Smartlipo, also Laser-guided liposuction is not just about placing a cannula under the skin for a short amount of time and saying: “The procedure is done!” “Surgeons and physicians can spend a whole day alone just learning how to enhance the results of liposuction It is a time-consuming process that requires attention to detail and importantly consistency throughout the whole procedure.

More and probably most importantly, Smartlipo laserlipolysis delivers a significant amount of energy to the deep layer completing the heating of the dermal layer to a temperature almost to 40o C. A average abdomen (lower) would require anything from 50 and 80000 joules of energy to achieve the desired fat reduction result.

The Smartlipo treatment was a revolution in the technique of fat reduction and body sculpting and then the Smartlipo MPX is the evolution of this revolutionary technique as instead of one it uses two different laser wavelengths both targeting the fat cell membranes and the blood vessels and water which gives the skin a tightening effect in addition to fracturing the fat cells. The SmartLipo MPX system by Cynosure from the USA was introduced into the UK and Europe by Dr Ayham Al-Ayoubi in 2008.

The third generation of SmartLipo known as Smartlipo triplex was introduced into the UK and Europe by Dr Ayham Al-Ayoubi in 2010 this machine uses 3 different wavelengths of laser energy.

Dr Ayham Al-Ayoubi in year 2007 invented and developed the revolutionary technique of laser assisted liposuction and then when on to becoming the very first surgeon who pioneered this technique by using the very original SmartLipo machine known as the first generation Smartlipo  DEKA system with suction of the liquefied fat. The Smartlipo DEKA system has a laser energy of 6 Watts, 10 Watts and goes up to 18 Watts

In the year 2008 the evolution of laser treatment came with the 2nd generation Smartlipo MPX which was also introduced by Dr Ayham Al-Ayoubi who furthermore evolved his laser assisted liposuction technique by using the Smartlipo MPX (which has 32 watts and 46 Watts laser energy) which allows him to perform Smart Lipo with suction in multiple areas in addition with the skin tightening effect.

The latest generation Smartlipo Triplex introduced by Dr Ayham Al-Ayoubi has taken the laser assisted liposuction technique to a different level this now allows the plastic surgeon to perform Smartlipo with suction on multiple and large areas giving skin tightening effect with no surgical scars and with no down time.

All the above Smartlipo treatments (with or without suction) can be performed under local anaesthetic or light IV sedation which in comparison with the traditional surgical techniques for fat reduction including liposuction makes the Smartlipo and the laser assisted liposuction treatments far more superior.

To read more on Smartlipo treatments, laser assisted liposuction and other laser body sculpting techniques, please download Smartlipo e-book (written by Dr Ayham Al-Ayoubi) from our website.

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