Laserliposuction (Smartlipo™)

Laser lipolysis, commonly known as ‘laser lipo’, is a non-invasive liposculpture procedure for the removal of stubborn pockets of fat such as saddlebags, love handles and double chins. It can effectively reduce areas of fat resistant to diet or exercise with fewer side effects than traditional procedures such as liposuction. The procedure uses a laser to effectively ‘melt’ unwanted fat on the face and body, and then either allows to body to metabolise the melted fat or uses ‘aspiration’, a form of suction that allows the practitioner to remove greater quantities of fat.

Visible results are seen immediately with suction. 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.

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.

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.

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 effects of Laserlipolysis are permanent as this method not only destroys the fat, but also the “blisters” in which the fat accumulates.

As the organism does not have the capacity to produce new cells of this type, the areas treated are not able to re-expand again.

If the person puts on weight after the procedure, the excess fat will be distributed throughout the other areas and it will find its way back into the treated areas.

No new adipose cells will be generated in the sites where this Laserlipolysis treatment has been carried out.

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 lose weight. A person with obesity, who requests Laserlipolysis, is always recommended to try losing weight by other means first.

Yes, the setting of the laser can be used in such a way to treat loose skin with very effective results.

Smartlipo (treatment) 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.

No, it is the other way round. After the Smartlipo treatment the patient usually has a significant skin tightening effect. 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.

The patient’s age is no limit for carrying out this technique. Patients of any age can feel safe to undergo laserlipolysis.

People aged from 18 to 80 have benefited from laserlipolysis. The obtaining of positive results depends more on a good skin tone and the level of physical activity than the biological age of the person undergoing this treatment.

Laserlipolysis dissolves the fatty cells and it is not possible for them to reproduce themselves. Your new, more harmonious, and attractive silhouette is permanent. If the patient puts on weight again the increase will tend to be distributed proportionally over the entire body. The same applies for a weight loss.

The total number of fat cells in the body of an adult after adolescence is constant. The greater number of adipose cells located in a specific site, the more difficult it will be to reduce this area by dieting alone. The increase in weight is due to the increase in the size of the existing cells, not the creation of new cells.

This is why dieting reduces the size of all the cells in a proportional manner, leaving the body without any significant changes.

Even though the results of laserlipolysis can be quite spectacular, it is not realistic to hope for perfection.

Laserlipolysis enhances the body with a new contour thanks to the reducing of centimetres in localised areas; however it is not sufficient for achieving a harmonic figure. The tonicity of the skin and muscles also play an extremely important role in the appearance of people.

On some occasions it is necessary to surgically extract the excess skin and fat in order to complete the results of the laserlipolysis.

The problem known as “cellulite” or the flabby and wrinkled appearance of the skin, very frequent in women, can also be improved with laserlipolysis.

Minor bleeding and a reduced formation of haematomas have also been observed with respect to the old type of liposuction. Normally it is only necessary to take an analgesic to overcome any post-op discomfort after laserlipolysis combined with the tumescent and peristaltic technique.

To sum up, laserlipolysis with the tumescent technique has demonstrated that it is capable of producing more harmonious results even in large areas of fat, minimising haematomas and swelling, and all of this with a local anaesthetic.

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 expected results within 30 to 90 days.

The skin is an elastic structure. Laserlipolysis respects these properties and to a certain extent stimulates them, provoking a re-adapting of the casing (skin) around the contents (fat). Pregnancy is a perfect example. The abdominal skin in the majority of women contracts after childbirth.

Pre-operative tests

Before deciding on laserlipolysis, as with any type of plastic surgery, various blood tests might be needed in some cases where it is medically indicated and this will be decided during the consultation.

The patient should not take aspirin or ibuprofen for 1 week prior to the treatment.

Informed consent

As with any other surgical operation you will be required to sign a document that indicates that you have read and understood what the procedure known as laserlipolysis consists of. The aim of this book is to inform you about everything that takes place with this type of surgery as there is no better patient than the patient who is aware of what is going to happen.

Preoperative instructions

  • Try to stop smoking, as cigarettes reduce the blood circulation and make the healing of wounds more difficult.

  • Do not take aspirin or Ibuprofen as they may interfere with the coagulation.

  • Limit any supplementary intake of vitamin E tablets.

  • If you are taking any prescribed medicine, do not interrupt the therapy without first talking with us.

The day before

  • Check the time of your operation. One of our assistants will call you to confirm
    the exact time. If for any reason you do not receive a call from us, please call us to confirm the time.

  • Personal cleanliness: you are advised to have a shower in the morning and to wash the areas to be operated on.

  • Meals: have a light breakfast, avoiding heavy or spicy foods.

On the day of your operation

At the time of fixing the date of the operation, you will receive all the necessary material containing the instructions to be followed prior to the surgery which will help you prepare for the laserlipolysis.

What we explain to you following however, will give you a better idea of the actual surgical laserlipolysis experience and describe in detail the results you can expect.

  • Don’t forget to take your prescribed medicines with the exception of aspirin.

  • Take these with a sip of water.

  • If you usually wear contact lenses remove them.

  • Do not wear any makeup, creams, perfume or nail polish.

  • Wear loose clothing and comfortable shoes.

  • Do not put on any jewellery or valuable items.

  • Bring the girdle or elasticised garments that you will wear after the operation.

  • If you are underage please come accompanied by an adult.

  • Do not forget that you must have someone drive you home and that you will not be able to drive by yourself.

  • We always ask the patient to arrive at our clinic at least half an hour minutes before the time fixed for the operation.

Post-operative instructions

After the surgery you are invited to follow these recommendations.

  • Relative relaxation is recommended, preferably sitting up, during the first day after the operation. Do not remove the dressings or girdle until after the first medical check-up.

  • Take all medication at the specified times.

  • Once you get home you can start drinking again, and after the first twenty-four hours you can return to your normal diet.

  • Replace the specific dressings which carry out an absorbing function.

When can I return to work and my normal activities?

One of the main benefits of laserlipolysis with the tumescent technique is its prompt recovery attained thanks to the use of a local anaesthetic.

We advise the patient to start walking again as soon as possible after the surgery, especially the day after, and the majority of patients actually feel well enough to walk. In fact, patients report feeling better if they start moving about. Light exercise should be carried out a week after the surgery, and occasionally even before, nevertheless we strongly recommend that patients refrain from carrying out vigorous exercise for two weeks after the operation. The activities that require excessive effort in the areas treated could give rise to haematomas or other disorders.

Experience has demonstrated that the majority of patients return to work and their normal routine a couple of days after the operation.