However, as results and client feedback have filtered through, it is clear all is not well with respect to client satisfaction and results. Smartlipo forums and recently an article by a journalist on Times On-line expressed the dismay and dissatisfaction at the results. This article will examine the next generation of Smartlipo cosmetic procedures which is called Advanced Smartlipo. The original Smartlipo procedure was performed by using a NdYag 1064Nm laser system with only 6W of power, the resultant liquefied fat was left to be absorbed and disposed of by the body’s natural processes. The newer Advanced Smartlipo procedure uses a more powerful 1064m Nd Yag Laser delivering 10w to 18 w of power, this provides greater energy for rupturing the fat cells, and the procedure was refined by the addition of gentle suction and aspiration of the liquefied fat. In conclusion, the Advanced Smartlipo procedure has resulted in delivering superior results, and higher doctor and client satisfaction. Dr.S.R.Bassi is the lead cosmetic physician at North Nottinghamshire Premier Medical Cosmetic and Laser Centre at Selston Cosmetic Clinic.