Contents

Fast Facts:

About: QWO (collagenase clostridium histolyticum-aaes) is a new cellulite treatment and is the first and only minimally invasive injectable solution FDA approved to treat moderate to severe cellulite manifestations in the female buttocks. Cellulite is a common condition amongst women of all ages and weight categories and has only been treatable using invasive surgical methods. Advanced medical technology has developed this injectable remedy to eliminate cellulite dimples without the need for surgical intervention. Manufactured and distributed by Endo pharmaceutical company, QWO is now the gold standard for the treatment of cellulite.

Safety: Due to its minimally invasive nature and multiple successful clinical trials, QWO is FDA approved in 2020 as a safe and effective means to permanently get rid of cellulite. The injectable is quick and painless and involves zero downtime and minimal risks or side effects.

Convenience: The average patient requires 1 – 3 sessions of QWO, each of which are completed within a 30-minute time frame. No downtime is associated with the injectable, allowing patients, particularly those with busy schedules in NYC, to conveniently return to their daily activities and obligations immediately with no restrictions.

Cost: One session of QWO cellulite treatment in NYC costs $1000 – $3000.

Efficacy: The efficacy of Collagenase Clostridium Histolyticum (CCH) in treating cellulite has been demonstrated across multiple clinical trials amongst a wide population. For optimal results, studies have provided evidence that 1 – 3 sessions are sufficient in fully eliminating cutaneous dimpling.

ETIOLOGY AND CAUSES OF CELLULITE  EXPLAINED

We’ve all heard of the medical term cellulite, a skin disease characterized by orange peel-like dimpling commonly observed in the buttocks and thighs of women, sometimes starting in their teenage years. In fact, it affects between 80% and 98% of postpubertal women. The condition is a modification in skin topography resulting in a dimpled appearance primarily in the lower region of the body, inferior to the pelvic region in which fat accumulation is particularly prevalent. The ubiquity of cellulite in women is fundamentally due to anatomical differences in the skin and subcutaneous tissue, triggered by estrogen. As a result, women have the tendency to have irregular dermal-subcutaneous interfaces which manifests itself as classic cellulite indents. 

The etiology of cellulite is the derangement of normal subcutaneous tissue and adipose tissue distribution resulting in fat herniation and random adipocyte architecture. This abnormal fat distribution is traversed vertically with fibrous septae of different types and various densities. Other contributing factors that medical research identified include hormones, genetics, age, weight, underlying medical conditions, inflammation, and lifestyle.

Unfortunately, there is no single cause for cellulite, regardless of gender, age, body weight, or genetics, though all of the above may contribute to its formation. Nevertheless, it is an undesirable condition that is often associated with emotional distress and negative feelings towards one’s body image affecting your self-esteem and overall quality of life.

Studies have found that the primary contributor to the pathophysiology of cellulite is due to fibrous collagen-rich septae structured between the dermis and underlying tissues of the fascia in a vertical manner. The length, or lack thereof, of these narrow fibrous bands cause the skin to be pulled downward, creating an imbalance at the subdermal junction, resulting in visible dimpling on the surface of the skin. As the skin is being pulled into deeper tissues, surrounding adipose tissue and fluids protrude outward, making the dimples even more noticeable, which is why the condition is often associated with being overweight.
Put simply, cellulite may be compared to a mattress in which its indents are anchored into the center for the plush to bulge outward – in terms of cellulite, the fibrous septae can be viewed as these mattress anchors, while the plush is the underlying tissue.

cellulite treatment

SEVERITY GRADING OF CELLULITE

Cellulite, also known as gynoid lipodystrophy or orange peel syndrome, is easily recognizable, though there are different levels and depths at which it may manifest itself. Cellulite has been clinically classified in terms of a grading system based on anatomic evaluation of the skin

The original proposition, known as the Nürnberger-Müller classification grade, on grading cellulite was predicated on 3 grades while the skin is at rest. Grade 1 cellulite (mild) being smooth, grade II (moderate) has visible orange peel-like dimpling, and grade III (severe) where nodules and deep depressions can be observed at rest. Following numerous studies and evaluations, the current standardized method of grading cellulite is the cellulite severity scale (CSS)

CSS is based on 5 principal morphologic characteristics of cellulite including the number of depressions, depth of depressions, clinical structure, dermal laxity, and the Nürnberger-Müller classification grade. Each of these 5 characteristics are appraised from 0 – 3, for an overall grading system of mild (1-5), moderate (6-10), or severe (11-15).

During your consultation with Dr. Schwarzburg at his private cosmetic dermatology office in NYC, alongside this standardized grading system, he will perform a physical examination in which you will be in a standing position, where he will pinch the area of concern as you contract the underlying muscles, making the dimples more visibly evident. Using these scales and physical examination, he will determine the best treatment for cellulite and loose skin in your particular case.

WHY DO WOMEN TEND TO HAVE CELLULITE?

Cellulite is a common lipodystrophy syndrome that affects up to 98% of postpubertal women. The condition can be extremely unflattering and is often a major cause for insecurity, leaving many of us looking for the cause behind the dimples covering our backsides and thighs and how to get rid of them. A major misconception is that cellulite is due to fat and primarily affects individuals who are overweight. This is far from the truth, as these pesky dimples affect women of all weight categories, even those on the lower end of the scale.

Unfortunately, there is no single designated cause for gynoid lipodystrophy, though clinical studies have found that the predominant factor, amongst others, is the presence of fibrous connective tissue known as fibrous septae pulling dermal layers downwards, while surrounding tissue such as fat cells and fluids protrude outward, causing the visible result of lumps and dimpling. This anatomical phenomenon is unpredictable and cannot be controlled via natural means. Hormones, mainly estrogens, have been found to contribute to the development of cellulite, contiguous with prolactin, noradrenaline, and insulin. Of course, lifestyle, age, and diet may affect the size of adipocytes, magnifying the visibility of dimpling on the surface.

IS MY WEIGHT THE REASON I HAVE CELLULITE?

How much you weigh has little to do with your cellulite, though your dimpling may be more apparent if you carry more fat than the average person or are considered overweight. The truth of the matter is, that orange peel syndrome can affect virtually anyone regardless of weight class and can be spawned by genetics, hormonal fluctuations, and the anatomical composition of your subdermal tissues. Even if you are overweight, weight loss may mitigate the issue, but will not fully eliminate the appearance of dimples due to the fact that fatty tissue is only one of many factors contributing to this frustrating condition.

IS THE FAT INVOLVED IN CELLULITE THE SAME AS OTHER FAT IN THE BODY?

Generally speaking – no, the fat involved in cellulite is no different than the adipose tissue present in other areas of your body. However, studies investigating the density of visceral and subcutaneous fat and how they relate to cellulite have soundly concluded that the subcutaneous adipocytes in regions in which dimpling is present are frequently larger and more metabolically stable compared to adipocytes in other regions of the body. Because these fat cells are more “stubborn” metabolically, it is far more difficult to eliminate them via natural means, leaving both men and women with these unflattering dimples as the fat bulges outward in between the fibrous septae.

Estrogen often causes fat cells to increase in size, particularly in the buttocks and thighs of post-pubertal women. This goes hand in hand with the heightened probability of females developing cellulite lipodystrophy.

CAN MY DIET AFFECT CELLULITE?

While your diet does not directly impact cellulite dimples, the foods that you eat and your caloric intake may affect the severity of your cellulite skin dents. For example, foods that are high in sodium tend to cause water retention, which can increase the bulges that protrude beside the dimples. If your caloric intake is higher than it should be causing you to gain weight and fatty tissue, then yes – your diet can have an impact on your cellulite. Nevertheless, it is important to keep in mind that there are many factors contributing to the formation of these pesky dimples, your diet being only one minor component.

ARE THERE WAYS TO PREVENT CELLULITE?

If you’ve noticed the development of unflattering dimples around the lower half of your body, you may be asking yourself if there are ways to prevent them from getting worse and how you treat cellulite. Cellulite-induced lipodystrophy is an unfortunate condition that is difficult to control or prevent by natural means. Cellulite can be caused by a multitude of factors including genetic predisposition, hormones, lifestyle, weight, and underlying medical conditions. 

The primary underlying factor that creates the characteristic cellulite dimples is short fibrous septae that act as connective tissue between the muscles and dermal layers, causing the inversions of the skin. Research by the American Academy of Dermatology suggests that you may be able to mitigate the appearance of your orange peel texture by combining aerobic exercise and strength training to increase the ratio of muscle to fat. Some have also noticed a marginal difference in the appearance of their dimples after receiving an anti-cellulite massage, though there is no actual way to get rid of cellulite overnight.

You may have asked yourself, is cellulite permanent? Given that condition is nearly impossible to mitigate by natural means, procedures to get rid of cellulite have grown significantly popular to address all types of cellulite. If left untreated cellulite itself is permanent, but with modern medical solutions, the root source of cellulite can be targeted and successfully cured.  

WHAT IS THIS NEW CELLULITE TREATMENT?

With so many fluctuations in reviews on various methods that supposedly eliminate this frustrating condition, you may be asking yourself, is there a treatment for cellulite, and if so, what is the best treatment for cellulite and loose skin? QWO is currently the most effective cellulite treatment composed of an injectable solution with the primary ingredient collagenase clostridium histolyticum-aaes (CCH) designed to break down fibrous septae and put an end to orange peel syndrome once and for all. The product was FDA approved in 2020 for the treatment of moderate to severe cellulite in the buttocks of adult women, and is manufactured and distributed by the pharmaceutical company Endo Aesthetics. 

What makes this best non-surgical cellulite treatment so unique is that it is the first and only injectable method to permanently eliminate cellulite dimples by addressing the actual root of the problem. Collagenase cellulite treatment is based on its incredible ability to hydrolyze type I and type III collagen structures, essentially cutting the ties that pull the dermal layers downward in the form of cellulite dimples. One non-surgical anti-cellulite session takes approximately 30 minutes from start to finish and involves the injection of the product directly into the visible indents, busting localized fibrous bands over the course of 3 weeks. Clinical studies have confirmed that the average patient requires 1-3 cellulite treatment sessions to fully and permanently clear their buttocks of this orange peel-like appearance. There is no downtime associated with QWO, making it easy and convenient for patients to step into Dr. Schwarzburg’s NYC medical spa, get their treatment, and immediately resume normal daily activities or return to work. 

WHO MANUFACTURES QWO?

Endo Aesthetics is an international pharmaceutical company headquartered in Malvern, PA, that develops and distributes quality medications and pharmaceutical products primarily specialized in urology, men’s health, orthopedics, and endocrinology. In recent years Endo Aesthetics has branched out in creating innovative aesthetic products including QWO.

WHAT IS COLLAGENASE?

Collagenase clostridium histolyticum-aaes (CCH) is made up of 2 purified bacterial collagenases, enzymes that hydrolyze type I and type III collagen, breaking down specific collagen structures upon injection. CCH is the primary active ingredient in QWO cellulite treatment, which is used to treat unsightly lumpy and dimply flesh in the buttocks of adult women. Due to its minimally invasive, non-surgical nature, QWO has established itself as the best cellulite therapy.

HOW QWO GETS RID OF CELLULITE

Cellulite is a modification in skin topography that causes dimples and an orange peel-like texture on the buttocks of 80% – 90% of adult women. A key component of the formation of these dimples is fibrous septae, collagen fibers that connect the dermis to the underlying fascia. Clinical studies have found that the pathophysiology of cellulite is primarily due to structural and biomechanical properties at the subdermal junction creating a disproportion between containment and extrusion forces. In other words, these thin collagen strands that run vertically between the skin and muscle vary in length and size, oftentimes pulling the dermal layers downwards, creating the appearance of classic cellulite dents. 

QWO, formulated of collagenase clostridium histolyticum-aaes (CCH), is made up of 2 purified bacterial collagenases (enzymes) (AUX-I and AUX-II). These enzymes hydrolyze types I and III collagen upon injection into the targeted dimples by initiating enzymatic subcision and remodeling (ESR). As a result, the injected fibrous strands are broken down, relieving the tethering effects and releasing the skin for a smoother, dimple free, and cellulite-free buttocks. In addition, QWO stimulates collagen (neocollagenesis), which tightens and firms the skin, creating an overall more flattering, youthful, and lifted butt.

THE PROCESS OF ENZYMATIC SUBCISION AND REMODELING

Enzymatic Subcision and remodeling (ESR) is a phenomenon in which collagen is broken down by CCH, stimulating new collagen production and fat redistribution to treat cellulite. Enzymatic subcision is the primary mechanism of action of QWO as it causes the gradual degradation of fibrous septae by enzymes AUX-I and AUX-II upon direct injection into the visually identified cellulite dimple. Correspondingly, the dermal layers are released from underlying fascia, creating a smooth and dent-free surface over the course of several weeks. The subcision cellulite treatment cost may vary depending on the particular device used.

OBSESSION OVER CELLULITE AND NATURAL IMPERFECTIONS IN TODAY’S SOCIETY

It’s no secret that there is something of an obsession with our physical appearance from our head to our toes in today’s society, run and marketed by social media, television, and film. Body positivity has become a large movement, particularly in the United States, over the past few years, in which individuals, primarily women, are encouraged to embrace their bodies as they are, regardless of weight, color, or anything that may be considered an imperfection. At the same time, there is a very clear underlying statement based on social media model culture, celebrity trends, high fashion, and film, which represents the “ideal” body type and sets the base for today’s societal beauty standard. While we should all embrace our bodies as they are, as no one is “perfect”, it is hard for many of us to overcome the idealistic image of beauty that is displayed right in front of our faces on social media, TV, and advertisements on a daily basis. 

In addition to these influences, most of us also have our own personally developed insecurities that may not have anything to do with society’s standards. Cellulite is one such insecurity, as it is widely embraced in terms of body positivity, but airbrushed off of models, celebrities, and social media influencers. Cellulite affects up to 96% of adult women and has been an aesthetic concern far beyond the years of the rise of social media. As such, while some of us embrace our dimples, there is still a large population of women who are bothered by the appearance of their orange peel syndrome, making it uncomfortable or even embarrassing to wear shorts, feel sexy in lingerie, or confident at the gym. These cellulite removal injections are a minimally invasive option to get rid of cellulite alongside the insecurities and discomfort associated with it. 

Given that dimply cellulite affects 9 out of 10 women, there is no surprise that it’s a huge topic in terms of aesthetics, especially in a world run by celebrity influencers and pop culture. New York, Los Angeles, and other large corporate-run and fashion oriented cities and countries, are known for their emphasis on fashion and physical appearance. Cosmetic cellulite treatment in Japan, for example, is extremely popular with thousands of people seeking effective cellulite solutions every month. Cellulite affects almost all postpubertal women to some extent, and is often a major cause for reduced confidence and self-esteem, especially in an environment, where we are constantly exposed to the idealistic beauty standards of today’s society on Instagram, TikTok, and in celebrities like Kim Kardashian. While most of us are aware that social media influencers, celebs, and models, often airbrush and edit their photos to a tee to replicate this beauty standard of having smooth, flawless, dimple-free buttocks and thighs, many of them also undergo cosmetic procedures to reduce the “need” to do so. Unfortunately, up until the development of QWO, the only way to effectively eliminate these unflattering cellulite dimples was through invasive surgical intervention using laser devices like Cellfina or Cellulaze, which utilize mechanical cutting of the fibrous septae through an incision. Aside from overall pain and discomfort, surgical intervention is associated with a much higher potential of developing a procedural complication, frequently irreversible. 

Fortunately in 2020, Endo Aesthetics developed a revolutionary alternative to such surgeries, allowing patients to fully eliminate their cellulite via a simple injection. Unlike its surgical counterparts, QWO cellulite reduction is associated with zero downtime, is well tolerated by patients in terms of pain, and is performed in a quick 30-minute session through a tiny insulin needle.

The only side effect of the procedure is bruising, which fades in 1-2 weeks revealing the amazing before and after results of this innovative cellulite treatment. Other than that, the entire process is quick, painless, and extremely effective in getting rid of frustrating cellulite dimpling once and for all.

There are some non-invasive options, including FDA-approved cellulite creams, and lymphatic drainage massagers (anti-cellulite massages in New York) they may temporarily reduce the appearance of your orange peel complexion, though they do not address the principal cause of the problem, and need to be performed on a near daily basis to be effective in the slightest.

The reason why QWO in New York is so popular is that it is quick, efficient, and reliably effective, perfect for anyone on a tight schedule looking for a thigh cellulite treatment, to improve the appearance of their backside, and boost their self confidence!

COMMON AREAS AFFECTED BY CELLULITE

The prevalence of cellulite in the patient population is widespread and affects up to 98% of adult women. It is caused by topographic disorders and metabolic errors of subcutaneous tissues, including edema, enlarged adipocytes, and abnormal fibrosis. Based on clinical studies, the primary areas in which the manifestation of cellulite dimples take place are located along the pelvic area, particularly on the posterior plane of the body on the buttocks and thighs. However, it can also be observed in the arms, lower abdomen, alongside other regions of the body.

QWO TREATMENT AREAS

As of July, 2020, this new procedure for cellulite removal is currently approved by the Food and Drug Administration (FDA) for the treatment of moderate to severe dimpling on the buttocks of adult women. QWO may be used off-label in other regions of the body, such as the thighs for leg cellulite treatment, though this should only be performed by skilled, trained, and qualified board certified cosmetic physicians like Dr. Schwarzburg at his New York cosmetic surgery clinic.

WHO IS WELL-SUITED FOR QWO INJECTIONS?

Cellulite can be observed in both men and women, though it is more common in females due to hormonal differences affecting the size of fat cells in subcutaneous tissues. The condition is often associated with carrying too much body fat, though this is far from the truth, as it can virtually affect anyone regardless of size and weight. If you are struggling with orange peel dimpling that just won’t seem to budge even after weight loss, lymphatic drainage, and other natural means, and want to avoid surgical intervention, then QWO can be an excellent non-surgical cellulite prescription option for you. 

Some people are more bothered by their cellulite than others, which is often influenced by the social implications of what the ideal body should or shouldn’t look like. While comparing yourself to photoshopped models and celebrities is essentially feeding into unrealistic beauty standards, if you have moderate to severe indentations in your buttocks or thighs that genuinely make you feel self-conscious or uncomfortable in your own skin, then QWO is a cellulite busting solution that will rid you of the characteristic dimples long-term, leaving you with a smooth and dimple-free backside. 

The best way to establish whether you are a candidate for the treatment is to schedule a consultation with Dr. Schwarzburg, who specializes in minimally invasive cosmetic procedures such as QWO at his medical spa in NYC. During your consultation you can discuss your aesthetic goals and work with Dr. Schwarzburg to optimize a treatment plan that will meet your individual needs.

WHO IS NOT A CANDIDATE FOR QWO?

Most patients can safely get this cellulite injection treatment risk-free, although there are some contraindications that may disqualify you as a candidate for QWO. If you have a history of hypersensitivity to any form of collagenase or other ingredients in the formulation of the drug, you should get allergy tested and disclose this information to Dr. Schwarzburg. Infections or rashes in the area to be treated should be resolved beforehand, as they may be affected or irritated during the injection process. Bleeding abnormalities or patients who are currently being treated with antiplatelet or anticoagulant therapy may experience excess bruising, which may or may not preclude them from receiving QWO injections. Women who are pregnant are not candidates for the treatment and should confirm with their pediatrician whether it is safe to receive CCH injections while breastfeeding before moving forward. If you are not the ideal candidate, there are other procedures to get rid of cellulite that may be more suitable for you.

I’M SKINNY AND STILL HAVE CELLULITE – WHY IS THAT?

Unfortunately, while cellulite is often associated with weight and excess fat, the condition is not limited to overweight individuals and can affect virtually anyone irrespective of their body fat percentage. The leading cause of these unflattering dimples is fibrous bands pulling the upper skin layers downward, creating concavities, while surrounding underlying tissue protrudes outwards in between. This form of metabolic lipodystrophy may also be attributed to hereditary, dietary, hormonal, environmental, and age related factors.

CELLULITE IN MEN

Based on statistical analyses, only 10% of men have cellulite, while on the contrary, the American Academy of Dermatology (AAD) has confirmed that 90% – 98% of women suffer from the condition. So yes, men can have cellulite as it can be caused by a variety of factors including genetic predispositions, lifestyle choices, excess weight, and underlying medical conditions, though they are far less likely to be subject to orange peel syndrome than women.

CELLULITE IN WOMEN VS. MEN

Clinical studies and statistical analyses have confirmed that only 10% of men develop cellulite, while it is far more prevalent in women (80% – 98%). Based on scientific studies, the primary reason behind this major difference in affected genders is due to hormonal factors. Estrogen stimulates fibroblasts that break down collagen. Naturally, women have much higher levels of estrogen and poor estrogen metabolism which leads to lower levels of collagen and a higher density in fibrous septae. Men on the other hand have less estrogen and a thicker web of fibrous septae, leaving less space in between these fibrous collagen strands for adipose tissue and other surrounding fluids to protrude in between, lessening the probability of the appearance of cellulite dimples. In addition, estrogen may also cause the enlargement of fat cells, particularly around the buttocks and thighs, which is why the posterior aspect of the lower half of the female body is the most common area for the condition to manifest.

PREPARING FOR QWO CELLULITE INJECTION

Given that you have undergone a thorough examination and consultation with Dr. Schwarzburg, confirming that you are a candidate for QWO and are ready to move forward with your appointment, there is very little that needs to be done in terms of preparation. Medically, Dr. Schwarzburg advises his patients to discontinue blood thinners and NSAIDs as well as the consumption of alcohol and smoking for 2 – 3 days prior to their injections. This will minimize bruising, though bruising is almost always an inevitable side effect of this particular procedure. On the day of your appointment, wear comfortable clothing as your buttocks may be tender and sore for a few hours following the injection process. You can also take 2 Tylenols 1 hour prior to your session to relieve any potential discomfort during the process.

PROCEDURAL PROCESS OF QWO

The first step to getting rid of your cellulite dimples, is to schedule a consultation with Dr. Schwarzburg at his medical clinic located in New York for QWO. During your consultation you will go over all the details regarding your aesthetic goals, the areas that bother you most, and have an open and honest conversation with Dr. Schwarzburg in which you can vocalize any questions or potential concerns you might have regarding the treatment. He will also take note of your medical history, previous procedures in the area you want to address – for example, if you have had a BBL or Sculptra Butt Lift – and thoroughly examine your problem area to determine the best cellulite cures that work based on your individual needs.

Once you are confirmed a candidate and your QWO appointment is set in place, the procedure is fairly straightforward. First, your buttocks will be properly sanitized with alcohol, after which Dr. Schwarzburg will ask you to flex or clench your cheeks in order for him to precisely mark the injection points. You will then be lying in a prone position as the injection process takes place. If you are sensitive to pain, a topical lidocaine cream may be applied beforehand, though most patients tolerate the injections quite well with minimal discomfort because of the tiny size of the needles that are used. The entirety of your QWO injections will take no longer than 30 minutes, which will be followed by a final sanitation of the treated area after which you are free to go with no restrictions or downtime. You may take Ibuprofen once you’re finished to relieve any tenderness, discomfort, and swelling. You can also expect moderate to severe bruising that may last up to 2 – 3 weeks. If an additional session is needed, it may be administered 3 weeks following your initial appointment.

HOW LONG IS QWO INJECTABLE CELLULITE SESSION?

If you get your QWO injections on the same day as your consultation, then the overall time spent at Dr. Schwarzburg’s clinic will be approximately 45 minutes depending on how much time is spent during your consultation. The injection process itself takes up to 30 minutes, making it quick and efficient and allowing you to leave with no restrictions following your appointment.

HOW PAINFUL IS QWO FOR CELLULITE?

On average, most patients experience mild pinching sensations during the injection process of QWO, though it is typically very well tolerated without the need for local or topical anesthetics. On a scale of 1 – 10, Dr. Schwarzburg’s patients have rated the pain level as a solid 3, including the mild tenderness that may occur post-procedure for 24 hours – this can be relieved with Ibuprofen or Aleeve and is typically due to inflammation and minor dermal injuries due to the punctures of the needles. Reliable online resources like RealSelf indicate that QWO injections are fairly painless based on the average customer reviews.

CAN COLLAGENASE BE USED TOPICALLY TO TREAT CELLULITE?

Collagenase SANTYL ointment is available as a prescription and is used as a topical remedy to remove damaged tissue from chronic skin ulcers, dead skin tissue, and severe burns, due to its healing properties. Unfortunately, there is no such thing as an overnight cellulite treatment, and a topical cream, even one that contains collagenase, will not penetrate deep enough to affect your dimples. Incorporated as a key ingredient in QWO as an injectable, it is able to penetrate deep below the dermal layers and target the fibrous septae that need to be broken down to effectively treat gyroid lipodystrophy.

QWO RISKS AND SIDE EFFECTS

One of the unique benefits of CCH is that due to its minimal invasiveness being the one and only injectable solution to effectively treat cellulite, there are minimal risks or side effects associated with the treatment. As with any injectable, there is always the possibility of a blood vessel being punctured in the process, leading to bleeding beneath the surface of the skin, classically characterized as small hematomas or simply bruising. Moderate to severe bruising is the most common side effect affiliated with QWO and may last for 2 – 3 weeks, though it can be mitigated by applying a warm compress to the injected area. Tenderness and mild pain do occur, though these side effects will subside within 1 – 2 days. In very rare cases, nodule formation, pruritus, erythema, and skin discoloration may transpire, all of which are temporary, treatable, and will not affect your final results.

The most common reported side effect associated with QWO is bruising. In rare cases there may also be some pain, nodule formation, pruritus, erythema, discoloration, swelling, and warmth around the treatment area, all of which are temporary and treatable. 

QWO – AFTERCARE AND DOWNTIME

One of the reasons why this medicine for cellulite is known as the best treatment to get rid of cellulite is because it involves virtually zero downtime. If you live in a busy city like New York, have little to no free time, and are worried about when and how you’ll be able to take time off from work, QWO will not be an issue for you. As the only non-surgical and best cellulite removal method to cut your ties with these frustrating indents, it comes with the added benefit of zero downtime or aftercare. After your 30 minute session, which can be performed during your lunch break, you can resume normal activities and head straight back to the office with no restrictions. However, to play it safe, Dr. Schwarzburg does advise his patients to avoid strenuous exercise for 3 – 5 days post-treatment, merely to avoid unnecessary swelling. If you are planning a beachy vacation, keep in mind that you will have some bruising, which may not be ideal if you plan on wearing your favorite swimsuit – as such, plan your appointment accordingly and give yourself 3 weeks after your initial session before you go on your well-deserved getaway!

HOW MANY INJECTABLE CELLULITE TREATMENT SESSIONS DO I NEED?

Clinical trials assessing the efficacy of collagenase clostridium histolyticum-aaes have concluded that the average patient requires 1 – 3 sessions to fully eliminate cellulite dimpling. Of course, this is based on an average result tested on hundreds of female patients with different grades of cellulite, meaning that there is no set number of treatment sessions that will meet each individual patient’s needs. For example, if you have mild dimpling, a single session can suffice to get rid of your orange peel resembling texture. On the other hand, if you have severe indents and have an above average body fat percentage, it is entirely possible that you will need 3 or 4 rounds to reach your desired outcome. Given the versatility of each individual’s case, your consultation with Dr. Schwarzburg will give you a better idea of how many sessions you will need for optimal results.

WHEN DO YOU SEE RESULTS FROM QWO?

Clinically, results take effect over the course of the 3 weeks following your initial treatment. However, given that each patient is anatomically different in terms of the severity of the condition, lifestyle, and their biological response to CCH, the point at which you as an individual will observe your results will vary. If you only need 1 session, then you will notice a visible reduction or full correction of the targeted dimples after 3 weeks. If your treatment plan requires several intervals, then you can expect a reduction after the first 3 weeks, gradual improvement over the course of your individualized treatment plan, and your final result 3 weeks after your last session.

WHAT CAN I EXPECT IN TERMS OF BEFORE AND AFTER RESULTS?

Depending on your customized treatment plan, if carried out properly as planned, those pesky dimples that have caused you to feel self-conscious and unattractive will be fully erased. The reason why a consultation with Dr. Schwarzburg is crucial when it comes to resolving your cellulite, is because every patient requires a different approach to treat their individual needs, which can only be determined by a qualified cellulite MD. Realistic expectations must be set beforehand so you have a full understanding of the results you are able to achieve using this advanced cellulite treatment method. For example, if your optimized plan includes 3 sessions of QWO injections, and you only want to go with 1 or 2 rounds, you may not acquire the full extent of your desired result.

Nevertheless, with a fully executed QWO treatment in NYC with Dr. Schwarzburg’s expertise, your QWO before and after results will leave you with a flawless, smooth, and polished bootie, just the way you want it. 

HOW LONG DOES QWO LAST? WILL MY DIMPLES COME BACK?

Because the fibrous septae are permanently destroyed via injection of QWO, the injected dimples will be gone long-term if not forever. However, CCH does not prevent new cellulite from forming, meaning that along the line, you may notice the manifestation of newly developed indents, which can once again be eliminated with further administration of the injectable medication.

THE COST OF CELLULITE REDUCING TREATMENT IN NEW YORK

The amount of money you will be investing in your QWO injections varies depending on several factors, primarily, how many sessions are needed. While the average patient receives 3 QWO sessions, some may need more or less based on their anatomy, the grade level of their cellulite dimples, and their individual biological response to the treatment. As such, there is no set price that applies to each individual patient. On average, QWO cellulite treatment cost of 1 session in NYC ranges $1000 – $2000. This depends on the qualifications and experience of your provider, as a board-certified plastic surgeon or cellulite MD with extensive medical mastery will likely charge higher than a registered nurse whose proficiency may be harder to grasp. The geographical location will also affect the price as larger cities are generally more expensive than suburban areas. Overall, you can expect to pay anywhere from $1000 – $4000 for your New York permanent cellulite treatment. In comparison to other methods, such as the Thermage for cellulite cost which can add up indefinitely due to the many sessions needed, you are more likely to get a set price using QWO allowing you to know exactly how much spending to expect.

DOES INSURANCE COVER CELLULITE REDUCTION?

Unfortunately, the practice of treating cellulite falls under the category of cosmetic medicine and is not medically necessary. Thus, it is not covered by insurance. However, at Skinly Aesthetics, we do accept FSA and HSA flexible spending cards and offer payment plans allowing you to pay off your procedure over the course of several months.

CAN I GET RID OF MY CELLULITE NATURALLY?

The market is flooded with hundreds of anti-cellulite creams, serums, and massagers that promise to get rid of your cellulite once and for good. Unfortunately, there is no single topical cream or serum that will erase your orange peel skin, as none of them address the essence of the problem, which is the connective fibrous collagen tissue under your skin. Most cellulite creams contain vitamin A derivatives such as retinol, and also caffeine and peptides, and they work by promoting blood circulation in the targeted areas and hydrating the skin. 

Weight loss may improve the appearance of the inverted dents as there will be less fat bulging outward in between your cellulite dimples, though it is unlikely to fully rid your buttocks of the overall condition. 

Some methods such as lymphatic drainage massages may also have a similarly transient effect, as it can flush out water retention that contributes to the outward protrusions and stimulates blood circulation. However, in order to maintain these mild results, you would have to continuously receive lymphatic drainage massages as the resulting effects will only last a few days.

WILL WEIGHT LOSS HELP MY CELLULITE?

Fat loss may help improve the appearance of your cellulite, though the fat located in the regions in which gyroid lipodystrophy is formed typically is not used as fuel by the body, meaning that overall weight loss may not affect your dimples at all. Studies have provided evidence that a combination of aerobic exercise and weight training can adjust the fat to muscle ratio, reducing the appearance of the inversions caused by fibrous septae inverting the skin towards the underlying fascia. In order to fully address your cellulite, these thick collagen strands need to be broken down, which is why QWO is the optimal remedy to fix the condition. Keep in mind that collagenase injections for fat loss do not exist, as the product is specifically designed for cellulite removal injections.

TREATMENTS THAT COMPLEMENT QWO

QWO is specifically designed to get rid of those unflattering dimples that are manifested along your buttocks and thighs. If you want to accentuate your bootie for a full-on transformation, there are a few minimally and non-invasive treatments that can be used in addition to your cellulite elimination. If you’re looking to get a perkier, rounder, and bubblier butt, Sculptra can be injected intradermally into your buttocks for a non-surgical butt lift by stimulating collagen production and gradually growing your bootie over the course of 1 – 2 months. This injectable product can be used to lift and enhance your backside and to fill in hip dips that can’t be addressed naturally at the gym. For an additional tightening effect, CoolTone and EmSculpt are non-invasive methods to strengthen the underlying gluteus muscles to give your bum a firmer lift, and may also be used to sculpt your thighs via electromagnetic muscle stimulation. If you want to take your body contouring a step further, CoolSculpting and Kybella can be used to destroy fat cells in hard to reach areas such as the abdominal region and thighs, giving you an overall more sculpted physique and hourglass figure.

If you are struggling with mild skin laxity after weight loss, thermage for cellulite on thighs alongside the injectable solution can work great to tighten your skin as a wonderful combination for the best procedure for cellulite removal. Some of the thermal energy tools used for this include Fraxel laser resurfacing and Secret RF microneedling.

CAN COOLSCULPTING REMOVE CELLULITE?

The simple answer to this question is no, CoolSculpting is not the best procedure for cellulite removal. So, what is the best cellulite treatment? Dermatologist cellulite suggestions depend on the grade and severity of each case, which is why there is no single method that is better than the other. However, the latest cellulite treatment that works on a minimally invasive basis is QWO, and is extremely effective on almost all patients.

LASERS TO TREAT CELLULITE

If you’re wondering, “what is the best laser to treat cellulite,” There are certain lasers that are used to treat cellulite via surgical intervention, such as Cellulaze, which involves the insertion of a small handheld tool equipped with a laser, through a small incision made in the area of concern. The laser then cuts through fibrous septae, which in turn breaks the ties that cause the formation of cellulite dimples. The downside of this method is that it is surgical, invasive, and painful, and is associated with an array of possible risks and side effects including infection, as well as a lengthy downtime.

Other lasers that are minimally invasive, such as Fraxel, may be used for dermal tightening and refining the texture of the skin, though it will not actually get rid of cellulite. If you’re wondering, does Thermage work on cellulite, the answer is simple. Thermage for cellulite reviews vary on a case by case basis, which is why it is important to consult with Dr. Schwarzburg on which cosmetic procedures to get rid of cellulite are the most appropriate option for you.

SCULPTRA AND CELLULITE

Sculptra is an injectable product composed of poly-L-lactic acid originally designed to treat lipodystrophy in HIV positive patients. Today, it is primarily used as a non-surgical butt lift by stimulating collagen in the injected area, which causes the buttocks to grow over the course of 1 – 2 months. Sculptra is considered a dermal filler, and while dermal fillers have been attempted to fill in acne scars and cellulite dimples, clinical trials have found that its efficacy in terms of cellulite reduction is limited. Many of Dr. Schwarzburg’s patients want a full-on butt enhancement, in which QWO cellulite is first injected to break down the fibrous septae to correct dimpling, followed by Sculptra injections to add volume and lift the patient’s backsides.

WILL LIPOSUCTION GET RID OF CELLULITE?

There is a common misconception about how fat is a major contributor to cellulite development and evolution, however, adipose tissue only plays a minor role in the development of cellulite indentations as the principal factor behind them is shortened fibrous collagen bands pulling the skin down. While fat does affect the severity of these dimples, liposuction is not designed to treat cellulite. Fat reduction can reduce its appearance by lessening the bulges that protrude in between the dimples, the only way to effectively treat orange peel syndrome is by cutting through the fibrous septae to release the skin from underlying fascia.

WHAT IS CELLFINA?

Cellfina is a subcision cellulite treatment that involves surgical intervention using a small hand-held microblade technique to sever the fibrous septae strands that connect your skin to underlying tissue creating cellulite depressions. While this treatment is effective in treating cellulite, it is invasive and is associated with a long list of risks and side effects as well as several weeks of post-operational downtime. The most severe side effect of Cellfina is secondary to improper positioning of the microblade that results in superficial and irreversible skin scarring.

WHAT IS ACOUSTIC WAVE THERAPY FOR CELLULITE IN NYC?

AWT, or acoustic wave therapy is a noninvasive mechanical device that is used to stimulate the body’s natural healing process. Using sound waves, this treatment is believed to safely bring targeted tissue back to the best homeostatic state, though it is not necessarily the best cellulite treatment in the world. For real cellulite solutions and how to get rid of cellulite permanently, you will need a treatment that targets the collagen-rich fibrous septae beneath the skin.

WHAT IS XIAFLEX?

Other injectables for cellulite include Xiafelx, a medication similar to QWO which is injected into depressions in the skin to disintegrate the thick collagen strands causing the depressions in the first place. Xiaflex is essentially the same product as QWO with the main ingredient being collagenase clostridium histolyticum, sold under a different brand name and distributed by Endo International.

WHAT IS THE MOST EFFECTIVE CELLULITE TREATMENT?

Before undergoing any kind of cosmetic treatment you should consider the clinically proven efficacy of the application, as well as the associated downtime, risks, and side effects. There is a wide range of surgical and non-surgical methods to treat cellulite, all of which differ in terms of cost, efficacy, and longevity. Depending on your long term goals, severity of your cellulite, and budget, all of the above should be taken into consideration. Given that most of us are looking for a long lasting solution with as little risk as possible, while still achieving optimal outcomes, QWO has become the gold standard in terms of cellulite treatment. Other options include the following:

  • Cellfina is a surgical procedure in which a small hand held tube equipped with a mechanical cutting mechanism is inserted under the skin through a surgical incision. Multiple sharp blades cut through the subcutaneous fat in the targeted region causing disruption of the fibrous septae, releasing the skin from underlying fascia. While Cellfina is effective in reducing cellulite, it can become quite costly upwards of $10,000. Compared to QWO, which is significantly less in terms of cost, Cellfina is quite invasive, whereas QWO requires zero downtime and minimal bruising. Cellfina on the other hand comes with approximately 2 weeks of downtime, risk of infection, and most importantly scarring, which is less likely with non-surgical cellulite reduction treatment such as QWO injectable.
  • Thermage is a tool that utilizes radiofrequency thermal energy to elevate the temperature of the dermal layers, resulting in a tightening and toning effect. Due to its high levels in temperature, thermage can be somewhat painful for many patients. The thermal induced collagen stimulation is great to tighten the skin and create a smoother texture, though clinical studies have only seen a 50% – 60% reduction in cellulite. On the contrary, QWO is not painful and fully eliminates treated cellulite dimpling for good.
  • Endermologie is a non-invasive method used to reduce the appearance of cellulite temporarily via lymphatic drainage massage techniques. Some of these techniques include rollers and suction cups to increase circulation and essentially flush out fluids and toxins that have manifested themselves in subdermal tissue. While Endermologie is cost efficient for a single session, the longevity of its results require several sessions that must be repeated periodically long-term in order to actually maintain the reduction in the appearance of cellulite. QWO injectable cellulite treatment, on the other hand, requires no more than 3 sessions, and leaves you with permanent results without the need to return on a weekly basis to keep those distracting dimples from reemerging.
  • Velashape is a non invasive treatment that utilizes the power of infrared light combined with a special massage to warm up the skin and stimulate collagen production and skin tightening. Aside from pinchin and redness, the side effects are minimal and temporary. The downside is, that Velashape doesn’t actually eliminate cellulite as it does not address the root of the problem – which is why QWO, in comparison, is the preferred method as it offers full cellulite elimination with long term results.
  • Alma Accent is a non-invasive treatment utilizing laser and radiofrequency energy to cause thermal damage to the skin, resulting in the body’s natural healing response of stimulating collagen production. The outcome is overall skin tightening, and while it is considered a treatment for cellulite, it requires a minimum of 6 – 8 sessions to see any results, which will not be evident until 6 months after said sessions. Results are not long lasting and do not affect cellulite directly. Compared to QWO, Alma Accent is more efficient in skin tightening than anything else and requires several sessions, whereas QWO directly targets cellulite indentations, permanently eliminating the condition in just 1 – 3 sessions with visible results after 3 weeks following each interval.
  • Thermismooth is a noninvasive method that rests on the principle of thermal energy emitted by a radiofrequency applicator applied to the skin. The targeted region is smothered in coconut oil as the applicator is used to massage the area in a circular motion. While this method can be beneficial for skin tightening, you may need 4 or more sessions for results that last 18 months. It is promoted as a cellulite treatment, though it does not target cellulite and the fibrous septae causing the dimples directly, as QWO injectable does.
  • Cellulaze is a surgical treatment involving the use of a hand held tool equipped with a small laser that is inserted beneath the skin through a small incision. This laser technology cuts through fibrous bands under the skin and simultaneously stimulates collagen production due to the thermal energy emitted. Because this procedure involves surgical intervention, it poses a higher risk of infection and side effects, alongside a 2 week period of recovery time post-op. Both Cellulaze and QWO directly target fibrous septae, eliminating the targeted cellulite dimples. Cellulaze is surgical and involves thermal energy, while QWO is a minimally invasive, non-surgical injectable with zero downtime, making it more appealing to most patients.

QWO CELLULITE TREATMENT SAFETY PROFILE

QWO is an FDA approved cellulite reduction method starting in 2020 to safely and effectively treat cellulite in the buttocks of adult women and is a groundbreaking innovative tool to address gyroid lipodystrophy in a minimally invasive manner. Other methods previously used to treat the condition involve invasive surgical intervention, resulting in an array of potential risks, complications, side effects, and lengthy downtime. QWO on the other hand, is injectable, making the procedure quick, easy, and efficient, allowing patients to leave their appointment with zero downtime and mild and temporary side effects including bruising and mild discomfort.

QWO PROS AND CONS

Pros:

  • After several successful clinical trials the medication is an FDA-approved cellulite treatment deemed as safe and effective to treat dimples in the buttocks of adult females with little to no risks and side effects.
  • There is no downtime associated with the procedure, meaning that it is easy for anyone to undergo without having to plan ahead or take off from work for recovery.
  • The injection process is painless even for those with low pain tolerance.
  • QWO will fully eliminate your cellulite dimples once and for all, boosting your self-confidence and finally allowing you to feel comfortable in your own skin.

Cons:

  • Results are not immediate and will take full effect within 3 weeks.
  • You may need more than just 1 session. The average patient requires up to 3 sessions, though this varies on a case-by-case basis.
  • Bruising is a common side effect and may last for up to 2 – 3 weeks.
  • QWO will not prevent your body from forming new cellulite dimples, but will effectively eliminate existing ones.

TAKEAWAY

QWO is the only minimally invasive injectable solution to effectively get rid of cellulite dimpling long-term. FDA-approved in 2020, the medication is safe and effective for use on adult women to break down fibrous septae strands permanently ridding the treated area of characteristic cellulite depressions. The treatment takes approximately 30 minutes with zero downtime and minimal side effects. The average patient requires 1 – 3 sessions for optimal QWO cellulite before and after results, each of which is performed within 3-week intervals. With all the benefits involved, this permanent cellulite treatment is currently known as the best procedure to get rid of cellulite.

WHERE IS THE BEST PLACE TO GET QWO IN NYC?

If you’re one of the many individuals struggling with insecurities due to the orange peel-like texture that covers your butt and thighs, then QWO, the latest cellulite treatment, can be an excellent option for you. Finding a reputable provider for cellulite reduction in Manhattan can be challenging, especially when it comes to a personal concern that you want to be addressed by someone you can trust. Dr. Schwarzburg is a board-certified cosmetic physician who specializes in minimally invasive treatments and is one of the few doctors who has mastered QWO injections at his New York medical spa, Skinly Aesthetics, located on the Upper East Side of Manhattan. To schedule your consultation with Dr. Schwarzburg for an open and honest discussion to optimize the best cellulite treatment plan that works uniquely catered to your individual needs, you can contact us via call or text at (212) 774-4264, or email us at info@skinlyaesthetics.com.