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SmartLipo

Home » Procedures » Body Plastic Surgery » High Definition Liposuction » SmartLipo

SmartLipo technology was designed to improve skin tightening after liposuction. SmartLipo is a surgical method that users lasers to dissolve fat before removing it from the patient’s body.

Workout

SmartLipo also can create a high definition sculpting outcome. It allows for the possibility of sculpting the patient’s body by moving beyond simple fat removal and into the realm of muscle definition. SmartLipo can be accomplished using oral sedation and a wetting solution of local anesthesia, where the patient is awake yet sedated with minimal discomfort. This increasing the safety and lowers the anesthetic complications. SmartLipo may provide for less bruising, more skin tightening, more fat removal and may allow for a faster recovery.

Unfortunately for some many patients, the ideal body cannot be attained with diet and exercise alone. Exercise can facilitate weight loss as well as augment the size of one’s muscle mass, further improving the bodies appearance. If you have a stubborn area of fat that is resistant to vigorous activity, Liposuction might be a great option for you.

Machine

There are currently numerous medical technologies marketed as adjuvant therapies in liposuction procedures. Dr. Robert J Troell, FACS, FAAFPRS, FAACS, FAAOHNS, FAASM is performing the first study designed to directly compare two laser lipolysis technologies of different wavelengths known as SmartLipo and SlimLipo.

The two laser technologies are SmartLipo (Cyanosure) using an end light fiber at 1064 nm, 1320 nm and 1440 nm wavelengths of LASER energy (Multiplex). This is a pulse laser wave form and the temperature at the laser tip can reach 850 degrees C.

Alternatively, SlimLipo (Palomar Medical Technologies) uses an end light fiber at 924 nm and 975 nm wavelengths of LASER energy. This is a continuous laser wave form and the laser tip temperature reaches about 70 degrees C.

 

Laser Procedure Technique

The history and physical examination including appropriate laboratory and cardiac testing are updated and the patient fully consented prior to the procedure. On the day of surgery photographs are taken. The skin of the area to undergo liposuction surgery is marked with a sharpie marking pen noting areas of excess fatty tissue and areas where there are indentations using different colors with circles for excess fat and lines for areas of indentations. The area is marked in grids of 4 x 10 cm to assist in laser energy delivery.

Patients are offered preoperative oral sedating and pain medication (usually intravenous Tylenol) and received oral antibiotics. Team members and the subject were protected by special eyeglasses. A small incision is made near each zone permitting access for treatment. Each of the 4×10 cm target zones is treated with the manufacturer recommended laser energy levels.

Deep and shallow sub-dermal temperatures, as well as surface skin temperatures, were recorded simultaneously in each panel by the manufacturers temperature control software. After the surgical procedure is completed, each incision was approximated with a single suture. Subjects were dressed with super absorbant pads over the incisions and a compression garment for at least 2-3 weeks.

The patient is prepped with a prep solution, such as chlorhexidene, and sterile drapes applied. Anesthesia was delivered in the form of a wetting solution prepared in a one liter normal saline bag combined with between 80-100 cc of 1% lidocaine, 1.0 – 1.5 mg of 1:1,000 epinephrine and 10 cc of 8.4% sodium bicarbonate. The wetting solution is administered by an infiltration cannula to each of treatment areas using a superwet technique.

Laser energy needed to treat each area is determined by the surgeon with the amount of energy per treatment area of 5000-7000 Joules (J) with a treatment duration of about ten minutes for a 20 x 20 cm area. The skin target temperature is between 37-40 degrees C.

Diagram

Liposuction is usually performed after the laser treatment, although some physicians will perform the laser after the removal of fat to optimize skin tightening with more LASER energy absorbed by the skin.

 

What can be expected during the recovery from SmartLipo?

Diagram

Postoperative antibiotic and pain medications are prescribed. A compression garment is worn for three weeks to assist in providing a smooth skin contour and lower the risk of post-treatment fluid collection (seroma). Many of our patients undergoing Liposuction on one to three areas of their body return to work within a 2-4 days after their procedure.

 

What are the aesthetic outcomes of Laser Lipolysis?

Before and After
Before and After

 


 

What are the Liposuction Results Comparing SmartLipo to Slim Lipo?

 

Study Overview:
Dr. Troell is completing an Investigational Review Board (IRB) randomized, prospective study evaluating the efficacy of FDA cleared medical devices for laser lipolysis, specifically Smart Lipo and Slim Lipo.

Study Subjects:
The study will include six (6) subjects in each arm of the study with the patient receiving one modality on one side of the body and a different modality on the opposite side.

 

Study Design:
A direct comparison of the efficacy of different laser wavelength technologies related to laser lipolysis.

It is known that the optimal fat absorption wavelength of energy is at 915 nm, 1208 nm, 1700 nm and 2300 nm. From previous in-vitro studies of porcine fat in an aqueous environment (water), the 924 nm wavelength was superior over the 980 nm or 1064 nm wavelengths. Because of this data, the hypothesize of the laser lipolysis study is that the Slim Lipo device (924 and 975 nm wavelengths) will yield superior results liposuction results as compared to Smart Lipo (1064, 1320 and 1440 nm wavelengths). Thereafter, the laser device with the best outcome will be directly compared to ultrasound (VASER) technology.

Ultrasound and laser based energy technologies are used in liposuction and in treating cellulite. Using these devices in a direct comparison on the same patient will determine the most efficacious methodology.

  1. Energy Based Adjuvant Technologies in Liposuction:
    1. SmartLipo vs. Slim Lipo
    2. Laser Lipolysis (best method) vs. VASER ultrasound Lipo

 

Outcome Measures:
Using the treatment protocol recommendations by each medical device manufacturer, the results of treatment are directly compared using patient questionnaires, external ultrasound measurements, body skin temperature measurements, circumference measurements, skin elasticity measurements (Elastometer), skin tightening measurements and photographic documentation.

Follow-up:
All subjects are followed at one week, two weeks, one month, three months, six months and one year post-treatment.

Study Results:
The results of the study are continually being acquired and the final data will take about 18 months from the start of the study to be completed.

 

View Laser Lipolysis Study

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Dr Robert Troell, FACS Plastic Surgery
Dr Robert Troell, FACS Plastic Surgery
4.7
Based on 38 reviews
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Feven Genovese
Feven Genovese
23:59 17 Jun 20
Dr.Troell gave me hope and made me feel very comfortable. I was extremely happy with the results. His price is really... fair👍🏼 I live far away and he always makes time with my schedule. I would definitely recommend him to everyone.read more
leyextremo2008
leyextremo2008
19:13 18 Mar 20
I had a great experience with my face fillers and I am so happy with the results. Definitely 5 stars!
Andrew Mendoza
Andrew Mendoza
17:17 18 Mar 20
For years my double chin was unsightly and weighed on me, After a 45 minute vaser lipo procedure with Dr Troell I feel... and look like a new person Friends and Family can't believe the difference. There was very minimal pain,bruising and swelling Dr Rob Troell and his staff are the bestread more
sessia KOA TV
sessia KOA TV
07:02 18 Mar 20
I have known Dr. Troell since 2017. I had 2 major surgeries (tummy tuck and breast augmentation from ruptured implants... from the previous another doctor in Beverly Hills about 15 years ago). I was very nervous everytime I went in surgery room. As I get older, I had fear what if... what if I won't be able to wake up from anesthesia, what if.. what if the surgery goes wrong and comes out bad results and so forth. I had a lot of "what if"s. Dr. Troell was very knowledgeable and wise enough to answer all my detailed questions. He always comfort me either before or after the surgery. Most of all, both my surgery days were Christmas time. No body wanted to come out during holiday seasons. However Dr. Troell was always prompted to answer my call and come out to check even though late hours like 11 PM. I am so thrilled about both my surgery results and really happy! Thank you Dr. Troell for always considering me like one of your family members, not just a patient.read more
M DH
M DH
23:59 17 Mar 20
Dr. Troell and his entire staff (particularly Jessie), have gone above and beyond before, during, and after my surgical... procedures. I recently had revision rhinoplasty and cheek/lip implants. I felt thoroughly prepped with information and am healing quite nicely. Dr. Troell has followed up every step of the way, and continues to monitor my healing during this process. I feel blessed to have had such an amazing experience with Dr. Troell and his staff. I’m looking forward to my final results, and know I’m in good hands throughout this aesthetic journey!read more
Susana Williams
Susana Williams
21:22 17 Mar 20
I've been getting Botox for my wrinkles and lines with great results for 2 years. Happy wiht Dr Troell and his staff.
Ramin Sarshad
Ramin Sarshad
21:12 17 Mar 20
Attended many CME courses with Dr Troell for many years. He's always on top of the latests lipo and body countering... techniques. Great cosmetic and plastic surgeon to work with.read more
Linda Watkins
Linda Watkins
03:34 15 Jan 20
Dr Troell should No Longer have a Medical license or business license. He does not produce good results and will tell... you what you want to hear just to get money out of your pocket. He truly does not care about results, only taking your money. He only has 1 or 2 employees at a time, they are there a couple months and then gone. Good for them, they have a conscience and can not stand behind Dr Trolls work. I don't normally write reviews but people need to know the truth.read more
Linda W
Linda W
05:21 05 Dec 19
10+ years ago Dr. Troell was the doctor to go to. However in the last 10 years that is not the case. Don’t believe... the fake reviews. His website shows employees that have not been there in over a year. His videos are 13 years old. I know Firsthand as a patient and an ex office manager.read more
Crissie  Adams
Crissie Adams
17:37 28 Oct 19
Dr Troell is by far the best Dr I have gone to! He did the most amazing job on my lips and I couldn’t be anymore... thrilled with how they turned out, it’s EXACTLY what I was after. Dr Troell has been the most attentive to my needs and calls everyday to check in on me... I have never had a Dr do that, EVER. The whole procedure he made me feel comfortable and at ease and explained everything to me perfectly. He is the kind of Dr that I felt extremely comfortable asking questions to and not ever feeling like I was bugging him. I had an amazing connection with him! He get quadruple stars from me! Thank you so much Dr Troell for making me feel beautiful!!!!!read more
mamasita262 .
mamasita262 .
20:40 10 Oct 19
Dr. Troell and his staff are very caring, patient, informative and understanding. I was having my procedures done in... Las Vegas over a period of three months. I was recovering in my home alone. Dr. Troell went above and beyond all expectations I had. He personally contacted me daily to check up on me. He was very much involved in my recovery process, showing genuine empathy. Dr. Toell's bedside manner is a thing of the past, and warms my heart. It is greatly appreciated. He was there for me throughout.read more
jackie bussey
jackie bussey
19:05 27 Sep 19
I had a face lift and blepharoplasty expertly sculpted by Dr. Troell; the facelift in July, and the blepharoplasty in... September. I am so thrilled with both procedures and wish I had done this sooner. The recovery time was extremely fast as I was out and about in a few days. There was very minimal bruising and swelling And the results are beautiful!! my face and eyes are symmetrical and I feel and look younger and refreshed... like the girl I used to be. Dr. Troell is an amazing surgeon and has a wonderful bedside manner. He thoroughly and patiently explains everything that he can do for you and takes his time— Considering you and the results you want to achieve. After my procedure, He checked on me daily— sometimes twice a day to make sure my recovery and overall health was going smoothly. I believe that was the most incredible aspect of my experience. It is hard to find a doctor that really cares about you as a patient and your well-being. I would highly recommend Dr. Troell for any procedure you might consider, you will not be disappointed. A true professional, and artist. Thank you Dr. Troell!!read more
N H
N H
19:48 26 Sep 19
Great doctor. Meticulous in detail and explanations. Great bedside manner and follow up.
Elizabeth Smith
Elizabeth Smith
02:42 18 Sep 19
I have had a Great experience with Dr troell, he is a very hands on Dr. That explains very detail of which ever ... procedure that you are looking for, he also follows up with progress and is always available for any questions that you may have!! I would recommend him to use for any service in which you might be looking!! Very freindly environment.read more
Tracy Kruzan
Tracy Kruzan
18:11 13 Sep 19
I recently had lip and cheek implants. Although there's more to do to fix my injuries, the results to date have been... fabulous! The staff is kind and caring. Whatever your reason for going in, the staff listens. Dr. Troell is very knowledgeable, skillful and kind. I'm very glad I chose him.read more
Violeta D’Nero
Violeta D’Nero
19:53 21 May 19
Absolutely Freaking LOVE the work of Dr.Troell with his amazingly caring and companionate staff (Mrs.Coco and... Michelle). I had always wanted to fix a few things here and there but was always afraid of dying or coming out worse lol or just afraid in general but my heart and mind set and after about a year more or less I finally found a team I felt comfortable with and safe with. Words cannot express my gratitude to Dr.Troell. His expertise and talent are out of this world, not to mention his genuine care and concern for his patients is phenomenal. Not only is he extremely professional he calls to make sure all is good is always available and makes you feel safe and at home. His staff is the absolute best I felt such a connection and most importantly safe and very well took care of. Dr. Troell, Mrs.Coco, and Mrs.Michelle are most deff my go to from now on for EVERYTHING that comes to my beauty. From Vaser- Facials I have found my beauty home. 🙌Thank you so much for helping me accomplish my dreams!read more
Mirjana Radjenovic
Mirjana Radjenovic
04:16 03 Mar 19
My experience with Dr. Troell has been unsurpassed. From the initial consult where he was most detailed reviewing the... options, benefits, and limitations, the comprehensive preoperative workup and exam, the postoperative concerns calling me frequently, his superior training, being a trainer for fellow surgeons, and most importantly- my cosmetic results are natural yet awesome. I have no reservations with my care. I am fortunate to have been referred to him. I love my results. I was reluctant to undergo cosmetic surgery, because of my concerns of who to trust. I was referred to Dr. Troell from my sister who had a fabulous result from facial procedures. I had both a face and body cosmetic procedure performed at different times. People think my face makes me look over ten years younger. Thank you for your endearing care and wonderful results.read more
PatriciaM
PatriciaM
18:36 10 Oct 17
Dr. Troell is an excellent and caring plastic surgeon. Rose is the best esthetician in Las Vegas. She knows what she is... doing, considers all of your options and does what is best for your skin. She goes above and beyond to make you look and feel terrific. I have never met anyone so passionate about what they do.read more
Cathy Prather
Cathy Prather
22:12 28 Jul 17
I am SO pleased with my results! I have multiple surgical procedures performed by Dr. Troell. He has always been so... thorough explaining what to expect. He was caring and called to check up on me often. I put complete trust in him. I love my results and would highly recommend him!read more
Catherine Harlow
Catherine Harlow
00:47 25 Jul 17
Dr. Troell has done a few procedures on myself and both my sisters. They span over about a 12 year.. I've always been... happy with what he has done for me, I guess that is why I continue to go back to him as a doctor. I have sent three of my friends to him even though I do not live in his area but we do Fly to see him in one of his locations. I like that there is such a personal touch to his practice I believe he is probably the only doctor that still does house calls if you live in his area. Thank you Dr. TroellI appreciate all you have done for meread more
Snezana Bradic
Snezana Bradic
19:56 24 Jul 17
My experience with Dr Troell have been amazing. He come to my home to explain about my breast cancer . I had many... questions about cancer treatment and beast reconstruction after my cancer is treated successfully. He take time and tells me everything that I should be aware of and pitfalls to avoid. A positive mental outlook, he said, can assist your body to fight the cancer. Definitely i will go to see him after I finish my chemotherapy and other necessary breast treatments, like surgery and radiation to proceed with breast appearance enhancements. We is an empathetic and caring surgeon. Thank you Dr Troell .read more
Tina Kameron
Tina Kameron
22:11 10 Feb 17
I have know Dr Troell for over 10 years both personally and professionally. I have recommended both friends and family... to him for a wide range of procedures. As cosmetic surgery is an art form , technique ,training and experience play an important roll in outcome. A patients expectations and their compliance in post operative care also play a vital role in the outcome . I would not feel comfortable sending a friend or family member to a surgeon who I did not have confidence in his or her ability. I also would not feel comfortable sending a patient who I felt was non compliant or unrealistic to a competent surgeon who I have known and worked with in the past. It is important to have good communicating between patient and physician. I have recommended Dr Troell with confidence in the past and will continue to do so in the future.read more
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Beauty By Design in Las Vegas is not the only location where you can meet Dr. Troell. Robert J. Troell, .M.D., F.A.C.S. is also serving clients in Irvine, California. Learn more about Beauty By Design Irvine, or call (949) 220-0532.

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Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

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Irvine

Robert J. Troell, M.D., F.A.C.S. (Irvine, California)

Robert J. Troell, M.D., F.A.C.S.
(Irvine, California)

Address: 113 Waterworks Way
Suite 105
Irvine, CA 92618.
Phone: (949) 220-0532

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Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

Irvine

Robert J. Troell, M.D., F.A.C.S. (Irvine, California)

Robert J. Troell, M.D., F.A.C.S.
(Irvine, California)

Address: 113 Waterworks Way
Suite 105
Irvine, CA 92618.
Phone: (949) 220-0532

Driving Directions Contact Us
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Disclaimer: Beauty by Design does not promise results, as they may vary for both non-surgical and surgical procedures. This includes experimental procedures, like Anti-aging Therapy. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Before and after photos on this website are Beauty by Design's actual patients, and all patients have given consent for use of these photos.

Dr. Robert Troell is a multi-board Certified Cosmetic Surgeon with a DEA number, and is permitted to dispense narcotics and pharmaceutical drugs. BOTOX® and Juvéderm® are registered trademarks of Allergan. Dysport®, Restylane®, and Perlane® are registered trademarks of Galderma.

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