Smartlipo Triplix Laser-assisted “Absolute” Body Contouring

There is increasing public and medical awareness regarding excess body fat as a cause of health problems and dissatisfaction with body shape. Frequently, people seek procedures with excellent outcomes and less recovery time, downtime pain, and complications. Recent advances in the technology of fat removal have allowed for safer and more effective procedures, with the possibility of body contouring or shaping in ways never anticipated.


The development of tumescent technique has revolutionized the field of liposuction and almost guarantees an easy and quality aspirate with reduced blood loss and minor associated risk. It has allowed the surgical procedure to become an outpatient procedure with minimal downtime.


Newer technologies have shown the most benefit in areas of firm fat (such as breast or flank), in areas of prior surgery, or in areas where smoother contours or definition is wanted.


Traditionally, fat removal has focused on techniques that facilitate removal while limiting complications and patient dissatisfaction, but this sometimes fails to achieve the aesthetic goal of creating harmonious body contours and/or muscular detail. A trend in the modern era of liposuction is the idea of “sculpting,” which takes into consideration the body’s natural contours and the concept of what exemplifies an attractive body shape.


Rather than focusing on localized areas of excess fat, the surgeon must now have an artistic approach to the concept of fat removal. Adequate patient results now require a surgeon with a more precise knowledge of the surface anatomy, the underlying musculature or bony architecture, and their connection to body shapes or silhouettes. As opposed to simply using large cannulas that create large tunnels for fat removal with a subsequent decrease in body size, the trend is for the modern lipo-surgeon to use differing techniques to highlight a patient’s natural features. Many times, this may require only a small volume of aspirate, requiring differing cannula sizes and shapes and/or newer technologies, such as power-, ultrasound-, and laser-assisted devices.


Many practitioners support laser-assisted devices for skin tightening when used at shallow levels beneath the dermis.


There is a trend toward fine aesthetic aspiration of fat, requiring the surgeon to be an artist who balances the quality of creating an aesthetically pleasing body form with patient safety – rather than simply performing a volume-reducing procedure.


Patients who primarily request these procedures are focused on changing their body shape with contouring, particularly in the abdominals, arms, legs, thighs, and gluteal areas. These patients diet and exercise, but still have fat (usually love handles or saddlebags) that is resistant to activity.


The ideal candidate for a contouring procedure should be near ideal body weight and have isolated focal areas of fatty deposits, as well as be motivated by the procedure to continue or improve their nutritionist and exercise regimens when healed.


Liposculpting is technically more difficult and requires both deep and superficial infiltration of tumescent fluid followed by cannual aspiration. Many advocates of “abdominal etching” or liposuction for muscular enhancement use laser- or ultrasound-assisted techniques as a secondary step to debulk and emulsify prior to aspiration.


Traditional methods with solely deep fat aspiration and a wet technique will not accomplish the aesthetic goals requested by our modern patients. Since the standards of beauty are much higher than seen previously, we are seeing a trend of patients who we may have never previously considered for body contouring and can now offer results that were previously unattainable or nearly impossible due to strenuous diet and exercise requirements.