The Women's Journal

Battle Of The Bulge

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By Nadiv Shapira, MD, FACS, FACPh,

Medical Director, First State Med-Spa

Both SmartLipo® and CoolSculpting® remove fat permanently. The results are long lasting, as long as you maintain a healthy lifestyle. However, these procedures differ in many other aspects. If you are considering a fat removal procedure, weigh the pros and cons of each, so you can decide which one is best for you.

Smartlipo Triplex®

This procedure is the newest laser-based liposuction available. It is a minimally invasive procedure in which a very small laser fiber is inserted under the skin. With the energy delivered through the laser, the fat is liquefied and the skin is tightened. Towards the end of the procedure, the fat is removed. The procedure is carried out in the office under local anesthesia and patients are able to go back to their normal routines in 1-3 days.


This procedure destroys fat cells by freezing them. CoolSculpting® removes about 20% -25% of the fat cells, so multiple treatments on multiple areas are usually needed. Each area is measured by the size of one hand and it is priced this way, as well. Each treatment takes a few hours and you are required to come back multiple times to see any results on each area. 


⭐️⭐️⭐️⭐️⭐️  “Dr. Shapira is very skilled and knowledgeable. He also took the time to explain the procedure and made me feel at ease. From the schedulers to medical staff, everyone was professional and kind. I’m definitely coming back to First State MedSpa, as my experience has been excellent.”  ~ Ashley S.

⭐️⭐️⭐️⭐️⭐️ “Dr. Shapira and his team are some of the most humble, compassionate, skilled people I have ever met! I have had vein treatments as well as Liposuction procedures and I don’t think I could find another surgeon with the talent, skill, and concern that Dr. Shapira has!”  ~ Janet H.

Dr. Nadiv Shapira is an expert in fat disorder diseases. He is one of just a handful of surgeons in the U.S. that performs a specialized liposuction procedure for Lipedema. Before founding First State Med-Spa, Dr. Shapira was a practicing cardiothoracic surgeon for over 20 years.