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SMART™ Laser-Assisted Liposuction in St. Louis

SMART™ laser-assisted liposuction is a minimally invasive procedure that uses a technique known as “laser lipolysis” to destroy fat cells via laser energy. Laser-assisted liposuction is particularly useful in the treatment of small pockets of fat associated with modest amounts of loose skin, common in areas such as the neck. The SmartLipo™ liposuction is used in St. Louis at West County Plastic Surgeons by Dr. Marissa Tenenbaum and Dr. Terry Myckatyn for laser-assisted liposuction.


Using a very small cannula (a tube that houses a special laser), the surgeon liquefies targeted fat cells. Compared to traditional tumescent liposuction, laser-assisted liposuction may reduce bleeding from blood vessels in the fat. The laser may also stimulate the production of collagen during the healing process and can help to increase the firmness and overall appearance of the skin. Frequently, patients treated with SMART liposuction experience less bruising and faster recovery compared with standard tumescent liposuction.

Click here to view a video on liposuction.

Associated Procedures:
SMART liposuction
, as well as ultrasonic-assisted liposuction and standard tumescent liposuction are excellent complementary pieces to several other cosmetic procedures. These include:

Short-scar facelift surgery. These procedures can be performed with the patient awake in the office or under general anesthesia and are designed to rejuvenate loose tissues in the lower two thirds of the face from the jawline to the upper cheek. Combined with SMART liposuction of the neck, these procedures can effectively rejuvenate the neck and face without the patient undergoing a standard facelift.

Fractionated laser resurfacing. Fractionated laser resurfacing provides an effective, low-downtime solution for treating fine wrinkles and blotchy skin throughout the face, as well as the deeper wrinkles around the mouth and eyes.

Upper-lid blepharoplasty (upper-eyelid lift). A facelift does not affect the upper eyelids. An upper-lid blepharoplasty provides a more crisp contour to the upper eyelid by removing redundant upper eyelid skin.

Anesthesia: SMART liposuction is usually performed with the patient under local anesthesia in the office.

Length of procedure: 1 to 2 hours, depending on the area treated.

Estimated recovery time: You can return to work after 1 to 4 days depending on the volume removed and should avoid vigorous activities for 5 to 7 days. Visible bruising or swelling should clear up within 7 days. To learn how to prepare for SMART liposuction and what to expect afterwards, click here to download our patient instructions for liposuction or SMART liposuction of the neck.

Side effects: Common side effects include bruising, swelling, tiny well-hidden scars and some numbness and itching in the treated areas. Click here to download a detailed consent form from the American Society of Plastic Surgeons that lists the risks and benefits of liposuction.

Before-and-after photos of liposuction results: Click here

To schedule a consultation, contact our St. Louis office by phoning 314-996-8800, requesting your consultation online, or emailing us today.

If you have questions or would like to book a consultation with one of the surgeons at West County plastic Surgery, please call (314) 996-8800

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Meet Our Surgeons

There’s something different about West County Plastic Surgeons of Washington University. Not only do our surgeons provide an accessible and patient-friendly atmosphere, but we uphold Washington University’s reputation for cutting-edge procedures. We invite you to learn more about our surgeons.
Dr. Terry Myckatyn

Voted among the "Best Doctors in St. Louis" and "Best Doctors in America" by Best Doctors, Inc. since 2008, Dr. Terry Myckatyn is no stranger to being recognized for his work in plastic surgery. A board-certified plastic and reconstructive surgeon in the United States and Canada, Dr. Myckatyn specializes in all forms of cosmetic surgery and breast reconstruction. Read On

Dr. Marissa Tenenbaum

Dr. Tenenbaum – a board-certified plastic surgeon – specializes in all forms of cosmetic surgery and breast reconstruction, employing techniques acquired through working with some of the most respected cosmetic and reconstructive surgeons in the country. She has been voted among the "Best Plastic Surgeons" and "Best Doctors in America" by St. Louis Magazine. Read On

Emily Weinhaus P.A.

A licensed physician’s assistant, Emily performs non-invasive cosmetic procedures, such as BOTOX® injections, fillers, laser skin resurfacing, laser hair removal and spider vein treatments. Read On