Smartlipo has an excellent safety record.  http://www.cynosure.com/products/smartlipo/index.php  indicates no serious complications from Smartlipo.  It can be done with local anesthesia which greatly reduces the risks.

Liposuction can be done with local anesthesia, conscious sedation, or general anesthesia.  Dr. Hoffman has all three options available.  HIs state of the art surgery center employs board certified ahesthesiologists and registered nurses.

Smartlipo is a proprietary name for a lipolysis machine that uses a 1064 YAG laser to vaporize fat and tighten skin.  

Smartlipo MPX uses two lasers to vaporize fat and tighten the skin.