The Women's Journal

Minimally Invasive Laser Liposuction

By  |  0 Comments

By Nadiv Shapira, MD, FACS, FACPh,

Medical Director, First State Med-Spa

What is Smartlipo Triplex®?

Smartlipo Triplex® is a revolutionary procedure that uses a laser system for minimally invasive liposuction. The laser energy is introduced into the fat through a tiny catheter placed under the skin. Smartlipo Triplex® uses three different laser beams; one melts the fat, one tightens and thickens the skin, and one minimizes bruising. 

Who is a candidate for Smartlipo?

The ideal candidate is not substantially overweight. She or he will have deposits of unwanted fat that have been resistant to diet and exercise. Body areas for treatment are the abdomen, outer or inner thighs, love handles, knees, arms, bra-line, waist or neck.

How is the procedure done?

The procedure is done in our office and there is surprisingly little discomfort. One to three body areas can be treated during one procedure. The procedure is performed under local anesthesia and oral sedation is not necessary for most people. First, the area is numbed with a diluted lidocaine solution through a few tiny skin incisions. Next, a laser cannula is inserted into the fat through the same hole to melt the fat and to tighten the skin. Finally, the treated fat is removed with a small suction tube.

Benefits of having Smartlipo Triplex

  • The results are immediate and permanent 
  • We can remove all the fat you want gone
  • It tightens loose skin 
  • We only use local anesthesia
  • It is a comfortable and safe procedure
  • Back to your normal routine after 2 days 
  • It substantially reduces cellulite
  • SmartLipo Triplex is the only Liposuction procedure that provides all of the above!

Does it hurt? What is the down time?

The procedure is done at the end of the work week and most patients are back to their normal schedules on Monday. Most people carry on their usual routine without interruption. There is very little bruising, but the treated area tends to be swollen for several days. Local tenderness is treated with Tylenol or Motrin.

How does Smartlipo Triplex® differ from traditional 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.

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

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

Are the results of Smartlipo Triplex® permanent?

Yes! The fat cells are removed permanently, 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 must live a healthy lifestyle with a proper diet and exercise plan. 

For more information call 302-294-0700 or visit


⭐️⭐️⭐️⭐️⭐️ The care I received was beyond expectation. Dr. Shapira is an amazing doctor. He helped put me at ease the entire time. I am beyond grateful for the compassion and for the attention. At no time did I ever feel rushed. Everyone in the office made me feel that I was important. LOVE them and highly recommend them!!!”  ~ Cathy C., Frederick, MD

⭐️⭐️⭐️⭐️⭐️ I’ve been seeing Dr. Shapira for years and was always curious about Smartlipo. I decided to have it done on my inner and outer thighs. I couldn’t be happier with the results! My thighs had been a frustration for me all my life and now they are slimmer and help me maintain my athletic build.”~ Andrea R., Middletown, DE



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 MedSpa, Dr. Shapira was a board certified practicing Cardiothoracic Surgeon for over 20 years.