The Women's Journal

A New Body With SmartLipo!

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By Nadiv Shapira, MD, FAC, FACPh  

What is SmartLipo?

Smartlipo Triplex® is a revolutionary procedure that uses Cynosure’s state of the art system for minimally invasive laser assisted liposuction. The laser energy is introduced into the fat through a tiny catheter placed under the skin.

How It Works

Smartlipo Triplex® uses three different laser beams; one melts the fat, one tightens and thickens the skin, and one minimizes bruising. 

Is Smartlipo For Me?

The ideal candidate is not substantially overweight. She or he will have deposits of unwanted fat that have been resistant to diet and exercise. The abdomen, thighs, love handles, knees, arms, bra-line, waist or neck can be treated with Smartlipo.

What To Expect?

The procedure is done in our office under local anesthesia, so there is little to no discomfort. One to three body areas can be treated during one procedure. The area is numbed with a diluted lidocaine solution. Next, a laser cannula is inserted into the skin to melt the fat and to tighten the skin. Finally, the treated fat is removed with a small suction tube.

Very Little Down Time

The procedure is done at the end of the work week and most patients are back to their normal routines on Monday. There is very little bruising, but the treated area tends to be swollen for several days. Local tenderness is treated with Tylenol or Motrin.

Smartlipo® Vs. Liposuction

 Traditional liposuction uses a cannula and physical manipulation to suction fat from beneath the skin. SmartLipo Triplex® utilizes laser energy to liquefy the fat, making it easier to remove with the cannula, typically resulting in less bruising for the patient. 

Tightens The Skin

Smartlipo Triplex® has an added benefit of tightening the skin. Liposuction alone or CoolSculpting® do not provide any skin tightening and often leave dimpling or sagging skin, particularly with older patients who have lost more of their skin elasticity. Many times, after traditional liposuction, a Tummy Tuck is required to remove excess skin.

Short Recovery Time

Traditional liposuction requires a longer recovery time while SmartLipo Triplex® patients can return to work in a couple of days.

Permanent Results

Fat cells are removed permanently in Smartlipo, so if you gain weight after the procedure, it will not concentrate in areas that were treated. However, Smartlipo Triplex® will not prevent you from regaining weight. To keep your new shape and new weight after Smartlipo Triplex® you should have a healthy lifestyle including a good diet and exercise plan. 



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

⭐️⭐️⭐️⭐️⭐️ “After going through two highly invasive liposuction procedures, I finally found a better option. Smartlipo performed by Dr. Shapira, at First State Med Spa is the way to go. No down-time and the results are amazing!” ~  Chris W.   


Dr. Nadiv Shapira is an expert in fat disorder disease and is one of 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 board certified practicing Cardiothoracic Surgeon for over 20 years.