Liposuction was introduced in the U.S. in the late 70’s. Since that time, it has grown to become one of the top three cosmetic surgical
procedures in the United States for both men and women. In 2007, over 300,000 surgical liposuction procedures were performed.
Traditional suction-assisted lipoplasty (liposuction) has been used for many years and has potential disadvantages in comparison with new technologies. With traditional procedure, the fat is suctioned with a sharp-edged port,
shearing and removing all tissue that it comes in contact with. Because nerves, blood vessels, and important connective tissue are damaged and removed in the process, recovery can include considerable bruising and post-operative pain, as well as loss of sensation and nerve damage.
The end result is often uneven, sometimes more so than before the surgery. Also, because the patient is often put to sleep for the procedure, it may be difficult for
the surgeon to position the patient to obtain the most uniform sculpting result.
The methods used to remove fat have changed over the years, and today it is possible to have a highly desirable cosmetic outcome with low to minimal pain or recovery time. These technologies include Smartlipo™ and SlimLipo™ laser lipolysis, Vaser® ultrasound and BodyJett™ lipolysis.
Smartlipo™
In 2006, the first minimally invasive, laser-assisted lipolysis system was approved by the FDA. Smart lipo was revolutionary because it was the first system to tighten the
skin of the treated area, while vaporizing the fat
underlying the skin. It was best for small, stubborn, localized fat deposits.
The laser-induced coagulation and the cannula's small size result in minimal bruising and far less healing time than traditional liposuction. The incision is so small that it heals without sutures.
Smartlipo™ is a minimally invasive treatment that requires only local anesthesia. So, unlike traditional liposuction surgery, you don’t have the potential serious side effects that can occur with deep sedation or general anesthesia. Dr Hardt was one of the first physicians in the U.S. to use Smartlipo™ laser lipolysis and has performed several hundred procedures.
SlimLipo™
Smartlipo™ revolutionized liposuction when it was introduced in 2006. Now a new technology,

SlimLipo™, has been approved by the FDA for liposuction procedures which is
far superior to the original Smartlipo™. Like the older technology, SlimLipo™ utilizes a laser to tighten skin as it removes fat. However, SlimLipo™ has a patented new advancement that utilizes dual wavelengths and more powerful laser to target fat cells more directly and tighten skin more effectively than the original Smartlipo. This allows even better contouring and more fat reduction than the original Smartlipo™ procedure.
SlimLipo’s patented technology, utilizes dual laser wavelengths that specifically target fat cells, vaporizing fat cells and melting larger pockets of fat. It also incorporates continuous lasing, an improvement over the pulsed lasing of earlier laser lipo technologies for smooth contouring.
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I had been considering a surgical "tummy tuck". I was concerned about down time so I made an appointment with Dr. Hardt to discuss laser lipo for my abdomen and thighs. Three days after my procedure I took a three day vacation and I had no pain at all. After two weeks I had to buy one size smaller pants. Now, four weeks later, I have gone from a size 10 jeans to a loose 6 !! I highly recommend laser lipo over a surgical procedure and would do it again, only sooner. I look forward to being a repeat patient of Dr. Hardt's.
S.T. Oklahoma City, Oklahoma
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With SlimLipo™, a tiny laser fiber is introduced through a small cannula, delivering energy directly to subcutaneous fat cells with a 924 nm
continuous wave laser. In addition to removing fat, the emitted energy also coagulates tissue, thus inducing collagen retraction and tissue tightening.
The cannula's small size and laser-induced coagulation result in minimal bruising and significantly faster healing time than traditional liposuction. Typically, the incision is so small that it
does not require a suture. Smartlipo™ is performed with local anesthesia, meaning you are not put to sleep for the procedure. So, unlike traditional liposuction surgery, you don’t have the potential serious side effects that can occur with deep sedation or general anesthesia.
SlimLipo’s dual-wavelength versatility makes it appropriate for both small, stubborn fat deposits (such as neck, jowl, ankle,
love handle, bra, breast and knee areas) and larger fat deposits (such as larger abdomens).
Unlike traditional liposuction, SlimLipo™ procedures result in minimal trauma to tissue and typically results in very little bruising. It is so gentle that many patients are back to work the next day.
VASER™
VASER® LipoSelection uses proprietary ultrasound energy to break up and emulsify the fat before it is removed. Prior to BodyJett WAL,
Rejuvena used VASER® in procedures to remove larger areas of fat cells. Like Slimlipo™, VASER® minimizes bruising.
VASER® is a third generation improvement over original ultrasound lipolysis technologies. It utilizes a small cannula that typically requires only a single stitch. Discomfort with VASER® LipoSelection is minimal and recovery time is a fraction of traditional liposuction. VASER® is performed without deep sedation or general anesthesia. Dr Hardt was one of the early adopters of this widely-used technology and has performed several hundred procedures. Rejuvena now deploys an even newer technology to remove larger areas of fat deposits, BodyJet™.
Body-Jet™
Developed in Germany, Body-Jet™ was FDA-approved in 2008 for removal of fat deposits. Body-Jet™ is particularly adept at removing larger amounts of fat from fatty
tissue.

Body-Jet™ targets a thin jet of water
in fatty deposits to loosen fat while it simultaneously removes the fat . In addition to removing more fat, Body Jet™ provides noticeable immediate results that improve over time.
In combination with SlimLipo™, larger areas of fat can be removed at the same time the skin is tightened for smooth, predictable results. As with the other advanced lipolysis technologies, BodyJet™ can be performed with local anesthesia to avoid the risks of general anesthesia.
At Rejuvena, we do not charge for consultations. To help determine the best option for you, and to schedule your free consultation, please email or call us at (405) 842-1100.
Q: Are these treatments uncomfortable?
A: There is very little discomfort with the procedure. The most discomfort is in applying the local anesthesia. Once the anesthesia is applied, patients generally feel a scrubbing feeling.
Q: How many treatments are required?
A: Generally only 1 treatment is required, unless there are significant fat deposits in the treated area. Occasionally, a touch-up may be required, but generally, if a significant improvement cannot be expected with one treatment, a weight reduction program will be recommended before the procedure is undertaken.
Q: Will I be left with dimpling in the treated area?
A: Because of the destruction of the fat cells with bulk heating and photo-disruption, the connective tissue that holds the skin to the subcutaneous layer is not disturbed; furthermore, it is stimulated by the thermal effect to tighten the skin.
Q: Is there less bruising than traditional liposuction?
A: The hemostatic effect of the
Slimlipo laser closes off blood vessels, resulting in minimal bruising and swelling. It is the same laser wavelength that is used to treat spider veins and other vascular problems of the skin. In addition, there is much less trauma to the tissue because the fat is selectively dissolved before it is removed. The probes used are very small and blunt-ended as opposed to traditional liposuction that involves a sharp, cutting probe to manually break up fat.
Q: How many areas may I treat at one time?
A: Usually, for a person of normal--or near normal-- weight, multiple areas can be treated at one time. For larger patients, with more fat to remove, it is best to limit each procedure to one or two areas.
Q: What makes up an “area”?
A: The following are typically defined as a single area. The upper or lower abdomen is usually one area. In a small patient, both may be one area. Love handles constitute an area, as do the inner thighs. The sub-mental area (double chin) is one area, and the jowls may be a separate area, or combined with the sub-mentum, depending on the size of the individual. In consultation, we can determine your areas precisely.
Q: Is this less expensive than traditional liposuction?
A: Not necessarily. Whereas traditional liposuction requires minimal equipment, the new technology is costly. Rejuvena has invested several hundred thousands of dollars to offer a comprehensive, state-of-the-art selection of equipment to optimize results. However, because general anesthesia is not required, anesthesiologist costs are eliminated. The cost saved in decreased risk, however, cannot be measured (i.e., "is priceless").
Q: Is there a standard price per area?
A: No, price varies according to the bulk of tissue to be removed, but generally begins at $3,000. A very small area may be priced slightly lower. The more areas performed during a single treatment, the lower the price per area may be.
Q: Will I require skin removal surgery after the procedure to remove excess skin?
A: One of the advantages of SlimLipo™ is that the skin is tightened around the treated area, leaving little or no excess or sagging skin. Certainly there are limitations to this, and in some cases a surgical lift may be recommended.
Q: How much downtime will I have after the procedure?
A: In most cases, patients resume most normal activities the day following the procedure. With small, single areas, you can be back to work the next day; more extensive treatment may require a few days off. In any case, it is recommended that you have someone stay with you the day of the procedure. Exercise can be resumed to some extent after you are seen for your one week follow-up. Dr. Hardt will discuss limitations of any post-treatment physical activities in your consultation.
Q: What about follow-up?
A: Dr. Hardt sees all surgical patients approximately 24 hours after surgery, as well as one week after surgery.
Q: What other downtime considerations are there?
A: For jowls or neck treatments, a compression garment must be worn for 3 days. For areas on the body, such as love handles or abdomen, a compression garment must be worn for three to four weeks, around the clock. You are fitted for this garment and you may purchase the garment at our medical facility. After seven days, it can briefly be removed daily for bathing. Showers are not recommended during this time period. If you are having your jowls or neck treated, it is recommended that you wash your hair with a deep cleansing shampoo the morning of surgery, as you will not be able to remove your compression garment for three days.
Q: How much fat can be taken?
A: There are limits to how much fatty tissue can be safely taken from the body. One way to get a good idea is to stand and bend from the waist. The amount of "loose-hanging" fat you can easily grab above / below your waist will approximate what can be removed. Bear in mind that this procedure is not intended as a weight loss solution. The goal is to create a slimmer silhouette. You may not notice a significant amount of weight loss, but should be pleased with your slimmer new shape.
Q: I am interested in scheduling this treatment. What is the process?
A: A free consultation with Dr. Hardt is the first step. If it is determined that you are an appropriate candidate, a pre-op examination will be performed approximately one week prior to surgery. A pre-op list of “do’s and don’ts” will be reviewed with you, and a written copy will be provided when your procedure time is scheduled.
Q: Should I continue to lose weight prior to the procedure?
A: Dr. Hardt will advise you to maintain your weight beginning at least two weeks prior to undergoing the procedure. With weight loss, fat cells shrink, and water is lost from the cell, making removal of the cell less efficient. If you have weight to lose, you may do so up to two weeks before the procedure, but a slow, steady weight loss is recommended. This can be resumed after the procedure, and dietary recommendations will be made.