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Read more about Smartlipo

From the concept of Smartlipo (Laser Lipolysis) to the revolutionary Laser Assisted Liposuction – Dr Ayham Al-Ayoubi has pioneered the way forward

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 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 Smart Lipo 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 Smart Lipo laser energy also coagulates the tissue, thereby sculpting body contours and tightening the skin.

The Smart Lipo 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 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 the Cadogan Clinic – London. The official training centre for Smartlipo MPX training in the UK in 2008.

The Cadogan clinic in central London was appointed the training centre for Smartlipo MPX in the UK in 2008. The clinic has been visited by numerous numbers of 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, which 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 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 an 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 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 is 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 Smartlipo be used to treat obesity?

No, person with obesity, who requests Laserlipolysis, is 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, 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 Ayham 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 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 results 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 smartsenese 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.


Possilbe 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 the fat, 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.


History of Liposuction and Smartlipo

The surgical option, from late 19th century

The removal of fat with a surgical technique has been performed for many years – the most common example being the tummy tucks 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 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 to Smartlipo:

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 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.


Cost of Smartlipo

The price for the Smartlipo treatment starts from, one area for £2000, two areas £3500, three areas £4500 and four areas for £5500. If you would wish to book for multiple areas then the price will be discussed in your consultation. These prices are just a guide for Smartlipo treatment (without suction). Please bear in mind each patient is seen as an individual and the price of Smartlipo treatment will be discussed during the consultation.

Most cases require one treatment. However some areas (like large areas or saggy skin) may require further treatment this option is available, (2-4 months apart) to achieve the desired results.

The consultation fee with the surgeon is £100; this fee will be deducted from the treatment cost.

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