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Cellulite Treatment

cellulite treatment

Cellulite is a common—and frustrating—concern for many of our female patients.  Over 90% of women are affected by cellulite within their lifetime; this condition is much less common in men.  While a healthy diet and frequent, regular exercise are important for overall health, these do not improve the appearance of cellulite.  In fact, there are not a lot of effective treatment options for cellulite, and dietary changes and topical preparations tend to produce subtle and short-lived results at best.  Unlike ineffective treatments of the past, we now offer an injectable therapy called Qwo®, which addresses cellulite at its root cause.

Qwo®: Injectable Cellulite Treatment in Atlanta​

How Can Cellulite be Treated?

2020 saw lots of exciting news around Qwo®, the first FDA-approved injectable and permanent treatment for cellulite.  Now available for treatment, Qwo® is an injectable medication that breaks up the collagen bands responsible for cellulite. It contains an enzyme called collagenase, which redistributes fat cells and stimulates the growth of new collagen in addition to lysing or destroying the collagen bands.

I was so happy with my Qwo results. Dr. Fishman made me feel comfortable and informed before and after the procedure. I am excited for the pool season to start so I can show off my smooth rear!

- Cellulite Removal Patient - Atlanta Ga 

What Causes Cellulite?

Contrary to what most people believe, cellulite is not fat; it is a combination of overly snug collagen bands, which help hold the skin onto the body, as well as age-related changes in the fat and skin around these bands.  While we all have collagen bands, some of us are genetically predisposed to these bands becoming less stretchy and more stiff over time.  As the inflexible collagen bands tug on the skin, they create the classic, bothersome dimples of cellulite which commonly affect the buttocks and thighs in women.

Cellulite often appears in people as young as in their twenties.  As our skin thins and fat cells enlarge with age, pushing against the skin and associated collagen bands, the appearance of cellulite becomes more prominent.  Muscle-strengthening exercises and a healthy diet, in general, do not effectively address these physiologic changes and do not significantly improve the appearance of cellulite.  Liposuction, commonly used for body contouring and to get rid of bothersome deposits of fat, is also ineffective in the treatment of cellulite.  

Qwo® is the first FDA-approved injectable medication for the permanent reduction of cellulite in the buttocks of adult women.  This medication helps to break up cellulite at its root cause–the collagen bands thought to tug on the skin of the buttocks and thighs, resulting the the classic dimply appearance of cellulite.  Qwo® also stimulates new collagen production and helps to redistribute fat cells in the treated areas, leading to smoother appearance of the treated skin. 

Delivered over the course of 3 treatments separated 3 weeks apart, Qwo® produces results in less than 3 months, and requires no surgery, sedation, or significant social downtime. 

This innovative treatment is the first of its kind, and at Aviva Plastic Surgery & Aesthetics, we are excited to be one of the first practices in the Atlanta area to offer Qwo®. 

Collagenase has been successfully used in the past to treat other collagen-based conditions, such as Dupuytren’s contracture; this condition causes excessive scar tissue to form in the hand tendons, leading to a clenched appearance. Collagenase represents a significant paradigm shift in the approach to treating cellulite, as its role is to chemically subcise or cut away at the overly snug collagen bands responsible for the dimpling of cellulite.

Dr. Inessa Fishman uses Qwo® to treat patients over the course of 3 treatments, performing a series of small injections directly to the bothersome dimples of cellulite. She uses a small needle to deliver the Qwo® medication under the skin to the collagen bands that tug at the skin. Treatments are typically performed 3-4 weeks apart, and patients report about 10 weeks before noticing visible results. 

Who is a Candidate for Qwo?

Dr. Inessa Fishman conducts a detailed history and physical exam as part of a consultation for cellulite or other aesthetic concerns.  A thorough consultation helps us determine whether your goals are in line with the results Qwo® can provide.  In general, candidates for Qwo® cellulite treatments should be in good health and not taking prescription blood-thinning medications.  In order to be considered a candidate for Qwo® you must be a woman at least 18 years of age with moderate to severe cellulite in the buttock region that you would like to improve.  You should not be treated with Qwo® if you have an allergy to any collagenase or the ingredients in Qwo® or if you have an active infection in the treatment area

What are the Benefits of Qwo?

Qwo® is a minimally invasive and permanent treatment for bothersome cellulite.

Qwo® generally provides visible results in as few as 10 weeks and 3 treatment sessions which are generally 10 minutes or less.   

Qwo and Skin Laxity

While cellulite is a common concern, skin laxity–or loose skin–is another bothersome feature which can develop with age, weight changes, pregnancy, and beyond.  Both cellulite and loose skin can happen to anyone, regardless of size and fitness level.  The warm Atlanta summers and our active lifestyles do not afford us many opportunities to cover up these concerns.  While Dr. Fishman uses Qwo to treat cellulite, she and our expert team of aesthetic specialists often turn to other treatments–such as Morpheus microneedling and hyperdilute Radiesse–to tighten the skin, and improve its texture.   

What is the Recovery from Qwo Like?

There is no significant social downtime after a Qwo® treatment.  Moderate bruising and mild to moderate tenderness at the injection sites are common, and will generally dissipate in a few days after treatment.  As the treatment sites can be easily covered with clothing, our patients most commonly return to work and their social obligations immediately after Qwo® treatments.  Because bruising is a common side-effect of injections, we recommend you complete your 3-injection visit Qwo® treatments, separated by 3 weeks, well before or after bikini season.  We also recommend compression (in the form of a Spanx®-like garment or tight yoga pants) for a few days after treatment, as this helps decrease swelling and bruising.

Qwo treatment for cellulite

How Safe is Qwo?

Qwo® is considered safe when utilized by professionals who are specially trained in utilizing this product.  Qwo® has been tested on more than 1,800 women and has safely improved the appearance of cellulite in studies. 

Whether your concerns are cellulite, stretchmarks, loose skin, or all of the above, start your journey to banish these concerns by scheduling your consultation with our expert team.  

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