The Women's Journal

Yes, It’s Very Difficult to Lose Weight . . . That’s Why We Have SmartLipo!

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By Nadiv Shapira, MD, FACS, FACPh,

Medical Director, First State Med-Spa

“No matter how much I diet and exercise, I cannot get rid of this!” I hear this lament day in and day out from people pinching a pocket of fat on their bodies when they come to our Med Spa for a consult. When they hear me reply that we CAN get rid of that stubborn fat with a one-time, mini-invasive procedure called SmartLipo, they practically hug me. Before learning about this new, superior solution to fat removal, they were worried that they would have to go through a traditional surgical Liposuction or a painful Tummy Tuck.

We use a laser technology called, SmartLipo Triplex™ to remove unwanted fat and tighten skin. Under local anesthesia, we will insert a tiny cannula into the area. The energy from the laser canula will liquefy the fat and then, with a different laser energy, your skin will be tightened. This is done in our office in just a few hours. You will rest at home for a day or two and you will be back to your normal routine in a few days! Temporary tenderness, bruising and swelling is normal and usually lasts for only a few days to a week or two.

No other fat removal procedure can tighten the skin that remains after liposuction. Therefore, patients have much smoother and better results than traditional liposuction. Another benefit is that there is no limit to the amount of fat that can be removed.

Benefits Of Having Smartlipo Triplex™

  1. We only use local anesthesia
  2. It’s an in-office procedure
  3. The results are permanent 
  4. Increases your body’s natural collagen
  5. Loose skin is tightened
  6. You are soon back to your normal routine
  7. It substantially reduces cellulite

We Can Treat All These Areas With SmartLipo Triplex™

  1. Abdomen
  2. Arms
  3. Neck
  4. Thighs
  5. Back
  6. Bra Overhang
  7. Waist (Love Handles)
  8. Hips 

Results You Want!

Results from SmartLipo Triplex are immediate and permanent and continue to improve for six months to a year. As the skin is tightened by the laser treatment there is also an increase in collagen production, the protein in your body that begins to subside after age 25. Therefore, regardless of age, you will see a significant reduction in skin laxity or looseness. 

According to, a trusted, independent resource for all cosmetic procedures, 86% of those who had Smartlipo Triplex would do it again! This is in comparison, to only 69% of CoolSculpting patients who said that it was worth it. 


⭐️⭐️⭐️⭐️⭐️ “The entire staff are wonderful people. They always make me feel like I’m at home. Dr. Shapira has been amazing. With every procedure he will follow up with me during my recovery via Skype or text. He’s very attentive to my concerns and just compassionate.”  ~ Cathy S. (Patient since 2017)

⭐️⭐️⭐️⭐️⭐️ “I needed to skim some inches off before my wedding. Fitting in a dress you ordered a year before is hard! Dr. Shapira was able to sculpt my body in a way I never thought possible! The lower belly pouch and love handles were decreased in size a lot and my pants fit so much better!” ~ Danielle F. (Patient since 2016)

⭐️⭐️⭐️⭐️⭐️ “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 Med Spa, as my experience has been excellent.” ~ Ashley S. (Patient since 2016)




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.