There have been tremendous improvements in liposuction technology over the years. Initially, it was dry liposuction done under general anesthesia (no numbing fluid was injected in the fat compartment prior to suction). This used to require a blood transfusion because the bleeding was the norm. Next step was wet liposuction where some infusion was done in the fat compartment. It still caused significant bleeding. These two methods have been abandoned. Most practices use super wet or tumescent technique. At Hotchandani Laser, Vein and Cosmetic Surgery Dr. Hotchandani does liposuction procedures with the tumescent technique, which allows for numbing (lidocaine), vasoconstriction of blood vessels (epinephrine) to make the procedure practically bloodless.*

Dr. Hotchandani performs several different liposuction procedures since 2006. Tumescent liposuction, Body-Jet liposuction, Power assistant liposuction and Smartlipo Triplex™. Treatments are customized according to patient needs.* His most common method is Smartlipo Triplex™.

Smartlipo Triplex™ has been refined every year since FDA approval in 2006. He uses Smartlipo Triplex™ as a safe and very effective sculpting device.* Dr. Hotchandani performs Smartlipo Triplex™ in our Green Bay facility as an outpatient procedure, making it very convenient for patients and their families.*

Number of procedure steps with Smartlipo Triplex™ involved:

  1. Injection of Tumescent solution in the fat compartment*
  2. 1064 + 1440 wavelength laser to melt the fat*
  3. 1064 + 1320 wavelength laser to do skin tightening*
  4. Liposuction with small cannulas to remove the fat*
  5. Placement of dressings and compression garment*

Patients are able to leave the office in minutes after the procedure.*

*Results and patient experience may vary.

What Other Patients Say…

  • What to Expect
  • How it Works
  • Patient Experience
  • FAQs

What to Expect

Dr. Hotchandani, who has been a surgeon for over 40 years, will care for you. He will be with one of our well educated, competent RN’s and a certified surgical tech. You will be welcomed and interviewed; the RN will place an IV access port, photographs will be obtained and the skin will be marked for the areas to be treated.* You will be brought to the operating room, connected to the monitors and given Nitrous Oxide/Oxygen (laughing gas) for you control during the procedure. You will be awake and comfortable and monitored throughout.* Since the openings for liposuction are very tiny there will not be any sutures.* During the latter part of the procedure, you will have laser goggles to protect your eyes.

*Results and patient experience may vary.

How it Works

The procedure consists of the insertion of a tiny laser fiber less than a millimeter in diameter and the delivery of laser energy which breaks up and “melts” fat cells by heating up cell walls to a terminal temperature. In the process, the laser seals up surrounding blood vessels to reduce bleeding, bruising and swelling enabling quicker recovery times than traditional liposuction.* The Smartlipo TRIPLEX™ is the third generation Smartlipo system with higher power allowing faster in-office procedures.*

*Results and patient experience may vary.

Patient Experience

A laser-assisted liposuction procedure takes anywhere from an hour or longer depending on the treatment area size.* The treatment itself is painless as a local anesthetic is used to block pain, and any post-procedure discomfort is usually very mild and can be addressed with an over-the-counter pain medication like Tylenol.* The treatment is performed in our state of the art in-office operating room, and you will return home the same day.*

You may return to normal activities within a day or two after a Smartlipo procedure on smaller areas like the neck, jowl line, inner thighs, and arms, but you should expect minor swelling and bruise for up to a week.* If paired with a tumescent liposuction procedure, you will likely be able to return to a desk job within three to five days, and recovery time should be similar to a tumescent liposuction procedure alone.*

*Results and patient experience may vary.


What are the characteristics of a good candidate for Smartlipo?

Like any liposuction procedure, it’s not a substitute for exercise and diet.* The ideal candidate is normal weight with pockets of fat unable to lose.* Not everyone treated is expected to be the ideal weight category.* Dr. Hotchandani will discuss expectations and possible level of improvement in each individual case after the thorough consultation.

Can Smartlipo Triplex™ be used for skin tightening without fat removal?

Smartlipo Triplex™ can be used in areas where only skin tightening is required without removal of fat.* Arms, butt, neck (Dr. Hotchandani prefers to use Precision Tx, which is more specific for the neck), thighs and above the kneecaps are some examples.*

Is Smartlipo painful?

“I know why they call it a Smartlipo Triplex™, smartest decision I have ever made. It was really pretty easy; I had read a lot of general reviews online, so I was somewhat anxious and skeptical. I had some discomfort after having my flanks and inner thighs done but only needed Tylenol, swelling and bruising were minimal, results are awesome so far and I’m only 1week post treatment! Thought staff and Doctor were very reassuring and really reduced my anxiety. Very happy with my SmartLipo!”* – actual Hotchandani Laser, Vein and Cosmetic Surgery Center patient*

Smartlipo Triplex™ done at Hotchandani Laser, Vein and Cosmetic Surgery is a comfortable procedure because of local anesthesia used.* Oral medications supplemented and most importantly, use of Nitrous Oxide/Oxygen (laughing gas), which has changed our patient experience for numerous procedures.*

What is the recovery time I should expect?

Most patients are able to return to work in two to three days when a small area is sculpted with only Smartlipo.* Expect some swelling and bruising after the procedure, but soreness and any significant swelling will usually subside within a few days.* Heavy lifting and jobs requiring more rigorous physical activity may be resumed in approximately two to three weeks.* Recovery time is similar to tumescent/body jet liposuction alone when combined with that technique to treat larger areas.*

Does Smartlipo leave scars?

Incision entry points are sufficiently small that they typically do not require stitches and merely leave barely noticeable puncture mark scars.*

Is Smartlipo safe?

Laser technology has been used safely in a variety of medical procedures including eye correction and dermatology for many years. Extensive clinical studies and research have been conducted to evaluate the safety of Smartlipo, Smartlipo MPX, and Smartlipo triplex and it has gained FDA approval for laser-assisted lipolysis.

Can Smartlipo Triplex™ be combined with other procedures?

Yes, we can combine other procedures before or after Smartlipo Triplex™ when you are in the operating room. i.e. Breast Augmentation, Tummy Tuck or procedures like injections of Botox Cosmetic, dermal fillers.* Or laser procedures like fractional resurfacing.* Smartlipo Triplex™ is sometimes combined with Cellulaze to address both fat and cellulite.*

How can I improve my results from Smartlipo Triplex™?

Dr. Hotchandani will have a thorough discussion from consult to recovery to make sure your unique requirements are addressed for most optimal results.

* Results and patient experience may vary.