Are you frustrated that certain areas of your body lack the contour you desire, even though you diet and exercise regularly? Unfortunately, stubborn areas of fat can remain under your skin in certain areas despite all of your hard work and despite you being at your desired goal weight. Joseph Michaels, MD, FACS, understands that this can be very frustrating and therefore offers laser liposuction with Smartlipo TriPlex. This technology allows for the targeted removal of localized fat deposits with a faster recovery and without the need for general anesthesia.

About Smartlipo Triplex

smartlipoDr. Joseph Michaels is a board certified plastic surgeon in Rockville and Fairfax who performs laser liposuction with Smartlipo TriPlex to contour almost any part of the body. The most common areas that Dr. Michaels treats with laser liposuction include the neck, chin, abdomen, flanks or “love handles,” inner and outer thighs, knees, bra rolls, lower back, male chest (for gynecomastia) and upper arms. Laser liposuction with Smartlipo TriPlex is ideal for patients who have limited areas of fat deposition that require correction and / or for patients that may have less than optimal skin tone.

Cynosure’s Smartlipo TriPlex is a revolutionary device that utilizes high definition laser technology to effectively eliminate fat and tighten the overlying skin to give you the optimal body contour. The Smartlipo TriPlex allows minimally invasive laser liposuction to be performed while you are awake using a local anesthetic (no general anesthesia). The Smartlipo TriPlex is different from other laser liposuction devices in that it has three distinct wavelengths to allow greater fat disruption and skin tightening than other devices. The device also has added safety features, including SmartSense™ with ThermaGuide™, which allows the device to intelligently heat and sense skin temperature to provide optimal skin tightening parameters while minimizing the risk of thermal injury to the overlying skin.

Before & After Photos

During your consultation, Dr. Michaels will carefully listen to your concerns and goals. Depending on the number of areas that require treatment, the estimated amount of fat to be removed, and your skin tone, Dr. Michaels will determine whether you are an appropriate candidate for laser liposuction.


Similar to traditional liposuction, laser liposuction requires several minuscule incisions to allow Dr. Michaels access to the regions that will require treatment. These incisions are strategically placed in the natural creases of the body or in areas that can be concealed by clothing. After administering the local anesthetic, Dr. Michaels uses a thin probe that delivers laser energy to melt the fat in the treatment areas. The heat from the laser will also help minimize bruising. Once the fat is adequately melted, a hollow tube called a cannula is inserted through the same incisions. This tube directly suctions the fat from your body. Once Dr. Michaels has achieved the desired contour, he reinserts the laser probe and delivers laser energy to the skin overlying the treated area. The heat produced by the laser energy helps promote skin tightening by stimulating collagen formation.


Laser liposuction in Rockville and Fairfax is performed on an outpatient basis and you will be back to your regular routine within days. Dr. Michaels recommends taking 2-3 days off from work or from your normal routine. During this time you should rest and limit your activity (except for frequent walking). The treated area may be bruised, swollen and sore, and the overlying skin may be numb. These symptoms are common and they commonly subside over time. You will need to wear a compression garment for several weeks after the procedure to help minimize the swelling and to help optimize your new contour. Although you will see an immediate change, your final results will not be realized until about six months — once all the swelling has completely resolved and the skin has fully tightened. Prior to your procedure, you will be provided with post-operative instructions by Dr. Michaels’ office.

What Smartlipo TriPlex Does Not Accomplish

Laser liposuction is only appropriate for small volume liposuction. If you have areas that require large volume fat removal or if you want multiple areas corrected, Dr. Michaels will discuss with you the need to perform the liposuction under general anesthesia.

Laser liposuction is performed using a local anesthetic and you will be awake during your procedure. Dr. Michaels makes every effort to ensure that you do not feel any discomfort during your procedure. Some of Dr. Michaels’ patients do not want to be aware that they are having a procedure and do not want the possibility of feeling any discomfort. If this sounds like you, then a liposuction procedure performed under general anesthesia may be more suitable to meet your goals than laser liposuction.

Although laser liposuction with Smartlipo TriPlex will help tighten the skin, patients with poor skin tone are not appropriate candidates for this procedure. During your consultation, Dr. Michaels will evaluate your skin tone to determine if laser liposuction or an alternative procedure will be most appropriate.

Quick Facts


1-3 hours (depending on extent of procedure)


Local anesthesia



Side effects

Temporary swelling, bruising, and some pain


Pain, bleeding, infection, numbness, asymmetry, incomplete improvement


Several days to be back at work. 2-3 weeks more strenuous activity. 8 -12 weeks for swelling to completely resolve.

Duration of results

Proper diet and exercise can prolong results

If you would like to learn more about SmartLipo, click here or call (301) 468-5991 in Rockville, Maryland or (703) 957-8610 in Fairfax, Virginia to schedule a consultation.