Smartlipo / Smartlipo MPX / SmartLipo Triplex -
Laser Body Sculpting

We pride ourselves as being one of the leading clinics in Smartlipo Laser Liposuction treatment, which was introduced by Dr Ayham Al-Ayoubi from Italy (Smartlipo DEKA Laser System) into the UK in June 2006.

Dr A Al-Ayoubi has also introduced the evolutionary new Smartlipo MPX from the USA into the UK and Europe in August 2008.

Smartlipo is a safe, minimally invasive laser liposuction surgical procedure using an advanced laser to reduce unwanted stubborn fat from most areas of the body under local anaesthetic without the need for aggressive surgery, general anaesthetic and without leaving any marks.

Smartlipo revolutionized liposuction and has become the gold standard of laser lipolysis. Using thermal energy, the tissue selective laser melts the fat before it is aspirated, allowing for easier patient recovery and greater sculpting control for the surgeon.

Patients have much less downtime than with traditional liposuction and typically avoid the compression garments and uncomfortable drainage tubes.

At our clinic the Smartlipo procedure is carried out by Dr Ayham Al-Ayoubi, the leading Smartlipo surgeon in the UK. Dr Al-Ayoubi can suck-out the fat after the Smartlipo in appropriate clients who need more rapid results or they need a combination of Smartlipo and a gentle laser liposuction treatment at the same time.

Dr Al-Ayoubi can suck-out the lasered material called "lysate." In some areas such as the chin, the lysate might not be sucked-out. In these areas, the body is able to clear it itself quite fast.

Smartlipo has been available in Italy, Japan, Germany and Brazil since the year 2000 and in the UK since 2006. Smartlipo was approved by the Medicines and Health Care Products Regulatory Agency (MHRA) – UK, June 2006 and the Food and Drug Administration (FDA) – USA, December 2006.
This endorsement recognizes the excellent safety and aesthetic profile of Smartlipo.

Smartlipo Laser Liposuction is an innovative and major advancement in the field of body contouring, body sculpting and liposuction. Smartlipo

• Offers the best body-contouring results
• Is performed by the renowned Dr Ayham Al-Ayoubi
• Permanently zaps away fat
• Affords you smoother results
• Tightens loose skin, cellulite, and stretch marks.
• Uses laser light technology, only local anaesthetic and a faster recovery period is experienced
• Can be performed on the face, neck, arms, back, abdomen, hips, thighs and knees.

Who performs Smartlipo in our clinic?

Dr Ayham Al-Ayoubi, at 1 Harley Street, London is the leading Smartlipo Surgeon in the UK and he is an internationally recognised expert in the procedure.

Patients travel from throughout the UK and from all around the world to have Dr Al-Ayoubi perform Smartlipo Laser Liposuction at the Hurlingham Clinic, London. Hurlingham Clinic is one of the leading training centres for Smartlipo treatment in the UK and Europe.

Smartlipo/Laser Body Sculpting - Body Area Procedures

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

Smart Lipo works best on small areas of fat that can be quickly liquefied and easily removed.

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Frequently Asked Questions

• What is SmartLipo - Laser Body Sculpting?
• Smartlipo compared to other similar systems
• Step-by-step Smartlipo treatment
• Patients who want Smartlipo but be unsuitable
• Does it require admission to hospital?
• Method
• Results
• Who is Laserlipolysis for?
• What can be expected?
• Can Laserlipolysis be used to treat obesity?
• How effective is the treatment?
• How many treatments will I need?
• How long does a treatment take?
• Are there any side or after effects?
• Does it hurt?
• Are the results permanent?
• Prices
• The difference between Smartlipo and Smartlipo MPX
• Can Smartlipo be used for skin tightening alone?
• Could I have an even result with Smartlipo treatment after fat reduction?
• Can Smartlipo work on cellulite and stretch marks?
• Will I have saggy skin after the Smartlipo treatment?
• Download our Smartlipo E-Book by D Ayham Al-Ayoubi

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Download Smartlipo E-Book	Before & After Smartlipo Photos	Videos of Smartlipo	Frequently Asked Questions

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First Revolutionary Smartlipo Machine

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.

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

For more detail about Smartlipo - DEKA Laser System, please click here

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Evolutionary Smartlipo MPX

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 anda 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. 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 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

For more information about Smartlipo MPX, click here

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SmartLipo Triplex

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 to the laser lipolysis field, the SmartLipo Triplex, offers 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.

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Example photos for Smartlipo - Laser Body Sculpting For more BEFORE and AFTER photos, please click here.
Before1	Before	Before
After	After	After
For more BEFORE and AFTER photos, please click here.

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What the media says about Smartlipo by Dr Ayham Al-Ayoubi

MRA Laser Journal May 2010 The latest lipo-laser knee sculpting by Dr Ayham Al-Ayoubi	Paris Match October 2009 Smart Lipo par Dr A Al-Ayoubi	Cosmetic News Magazine April 2010 Dr Ayham Al-Ayoubi Known as the 'King of Smartlipo'
For more articles about Smartlipo by Dr Ayham Al-Ayoubi in the media, click here

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How does the Smartlipo - Laser Body Sculpting work?

Smartlipo’s pulsating laser beam has a photo-mechanical effect rupturing the fat cells’ membrane. Also it has 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.

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SmartLipo Laser beam targeting fat cells membrane only

Below graphics are courtesy of DEKA Laser System, Italy.

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.

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.

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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.

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What is SmartLipo?

Laserlipolysis is an advanced technique for removing excess fatty tissue from areas of the body that are resistant to dieting and exercise.

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

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

This advanced technique allows for reducing the localised 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.

Smartlipo compared with other similar systems

Dr Ayham Al-Ayoubi has been using the Smartlipo MPX since September 2008 when he introduced this 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.

Conversely, traditional liposuction can supplement Smartlipo. You melt the fat, the fat stays behind and then you remove the fat with small cannulas. Dr Al-Ayoubi has noticed that patients who would not consider liposuction would definitely consider Smartlipo. There is no question about it, patients avoid liposuction because it involves hospitalization, requires at least seven days of downtime and can leave saggy skin. At the same time, major surgical techniques for fat reduction leave a noticeable scar, involves hospitalization and requires at least ten days of downtime. We do not have these problems with Smartlipo.

Dr Al-Ayoubi got a great result when he treated a woman with floppy saddle bags. Traditional liposuction would leave the patient with thin, floppy thighs. When he treated her with the Smartlipo MPX, the result was thin, non-floppy thighs.

Traditional liposuction is an imprecise tool because it is limited to the deep fatty layers around the muscle. With Smartlipo we can treat the superficial fatty layer and get underneath the dermis with the very small (2 mm) cannula.

When we do this we can get the skin to shrink because we release it from the fatty layer. Then, if we heat the skin to about 38-40°, 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.

With the previous original Smartlipo or ultrasound, the surgery would be very 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 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. Also, with this advanced new device we are having very impressive results in terms of cellulite improvement.

The skin tightening is immediate with Smartlipo MPX. Patients often like to see results straight away; they do not like to be told that it can take a few 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 are not suitable for a general anaesthetic. There are no stitches, just a very small incision that heals very well.

By three or so months the patient can see the final results. What is important to remember is that this procedure is not designed to lose weight. We can take out a litre or more of fat but this is about body reshaping and sculpting, not 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."

Step-by-step Smartlipo treatment

Stages of Smartlipo - Laser Lipolysis

1- Melting the loose fat Figure 1 - Smartlipo MPX laser melting the loose deep fat. (30 Watts)

2- Lasering the superficial fat and tightening the skin at the same time Figure 2 - Smartlipo MPX laser, lasers the superficial fat. (20 Watts)

The above illustration shows the 2 different wavelengths of the Smartlipo MPX system. The system can be adjusted so the deep loose fat can be melted quickly as in Figure 1 and then the superficial vascular fat (very rich with the blood supply) can be lasered with a skin tightening effect being seen immediately.

Treatment is carried out in a sterile environment .

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.

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.

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.

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 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 incision that heals very well and quickly. By three or so months the patients can see the final result.

Does it require admission to a hospital?

No, the Laserlipolysis 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 2 to 3 months post-treatment. However, it usually takes between 4 to 9 months to see the final results, which vary individually between clients.

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

Who is Laserlipolysis for?

Laserlipolysis is safe for anyone of any age. People aged 18 to 60 years have benefited from Laserlipolysis. Positive results depend more on good skin tone and level of physical activity than biological age.

The ideal person for Laserlipolysis is someone with generally good health, who carries out regular exercise, has good eating habits and whose weight does not exceed 25% 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 Laserlipolysis.

What can be expected?

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.

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.

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.

Can Laserlipolysis be used to treat obesity?

No, 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 loose weight. A person with obesity, who requests Laserlipolysis, is always recommended to try losing weight by other means first.

How effective is the treatment?

Visible results are seen immediately with suction. However, it will take 2-3 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.

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 an area is approximately 250cc.

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.

Are there any side or after effects?

No, the majority of cases there are no side effects. 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 surgical procedure and is administered under a local anaesthetic. There may be a sensation of tugging and some minor stinging but this is very tolerable.

Are the results permanent?

Yes, it 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.

The difference between Smartlipo and Smartlipo MPX

The first machine of Smartlipo laser techinique uses 6w, 10w and 18w laser energy with a single laser wavelength Nd:YAG (1064) which is able to fracture the fat cell membrane under local anaesthetic and usually the fat will be left to be absorbed and drain through the linfatic system and takes about 3-9 months to see the final results. This gives some skin tightening effect if the surgeon has significant experience using this machine.

Smartlipo MPX is the second generation of Smartlipo machines. It has two wavelengths which can be used with suction. It allows use of 1064- and 1320-nm wavelengths either alone or in Multiplex (MPX) mode.

The Smartlipo MPX system has the power of using 32w compared to 6w, 10w or 18w (First generation Smartlipo system) and we at the London Medical and Aesthetic Clinic have proudly upgraded our Smartlipo MPX to 46w. Once again being the leading clinic in the UK and Europe to introduce the latest technology in Laser Body sculpting.

Smartlipo MPX is ideal for disrupting unwanted fat and treating fat irregularities and it promotes tissue coagulation resulting in tissue tightening.

It has SmartSense which is an intelligent delivery system that administers a precise distribution of energy that allows for safe, consistent patient outcomes. It detects movement within the handpiece and calculates laser energy to provide even distribution of energy according to the speed of movement.

Will I have saggy skin after the Smartlipo treatment?

NO,it is the other way round. After the Smartlipo treatment the patient usually has a significant skin tightening effect especially if the surgeon uses the Smartlipo MPX system. This system has 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.

Skin Retraction and Tightening Split Abdomen using Smartlipo

As the above control study shows, the left lower abdomen area which was lasered with the Smartlipo MPX system has a significant skin tightening effect.

Can Smartlipo be used for skin tightening alone?

Yes, especially 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.

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.

Can Smartlipo works 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.

Smartsense

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.

Patients who want Smartlipo but are not suitable

Over the past seven 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 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.

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 should be carried out by the physician himself who will perform the Smartlipo treatment.

To help the patient to envisage the end results with Smartlipo, Dr 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.

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Smartlipo/Smartlipo MPX vs. Liposuction

Smartlipo/Smartlipo MPX Local anaesthesia Laser-equipped 1-2mm probe Liquefies fat Promotes tissue tightening No sutures Little or no scarring with proper care Downtime - approximately 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.

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History of Fat Reduction and Body Sculpting

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 t 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 outweiign the advantages: it is performed under genera 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 cant 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 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, 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.

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 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 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.

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Dr Ayoubi's view about Smartlipo treatment

"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."

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Dr Ayoubi's Smartlipo Philosophy

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 38-40° and it produces an inflammation which tightens the skin.

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Brief information about Laser Body Sculpting Dr Ayoubi

The success we experienced with the original Smartlipo device was greater than I thought it would be.

Plastic Surgeons recognize the demand for less invasive cosmetic procedures. Every one has realised that no longer having a clinic based only on plastic surgery is enough, as patients are going to clinics offering Smartlipo treatments because Smartlipo provides good results and is less invasive.

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 40° C. 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.

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Smartlipo E-Book by Dr Ayham Al-Ayoubi

 To download our smartlipo e-book,
 please click here.

 [1.70 MB]

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Download Smartlipo E-Book	Before & After Smartlipo Photos	Videos of Smartlipo	Frequently Asked Questions

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Smartlipo Prices

Smartlipo prices are indicative. A price for your specific needs will be quoted at your consultation.

Smartlipo treatments are priced per area treated. An area being upper abdomen, lower abdomen, flanks (love handles), hips/outer thighs, inner thighs, chin/jowls/neck, knees, calves etc.

Smartlipo	Price
One area	£2000
Two areas	£3500
Three areas	£4500
Four areas	£5500
Multi-area course of treatments	POC

POC: Price on consultation.

**Most cases need only one treatment. However, if large areas require further treatment there is an option to have 2-3 treatments, 4-6 months apart to achieve the desired results.