Why do people develop cellulite?

Cellulite is a common issue faced by 90% of postpubertal women, that is mainly characterized by dimpling in areas of the lower body that typically store fat such as the butt, thighs, and abdomen. While it is commonly associated with being overweight, cellulite can be present in all genders, ages, ethnicities, and sizes and can be caused by a variety of factors including hormones, body fat, age, and genetics. While it is difficult to control these contributing factors, medical advances have allowed for a new cellulite treatment, released recently in 2021, called Collagenase Clostridium Histolyticum (or QWO in short). QWO is clinically proven to reduce the appearance of cellulite on the skin and has been FDA approved as an injectable for cellulite treatment in the buttocks of adult women. QWO cellulite has been proven to permanently reduce and eliminate moderate to severe cellulite if administered properly.

The new procedure for cellulite removal works by targeting fibrous septae, which are the fibrous bands that create tension between the fat, fascia, and dermis, which makes it one of the main causes behind the appearance of cellulite. The treatment allows for a minimally invasive reduction and elimination of cellulite visible on the surface of the skin without surgical intervention or the accompanied downtime. The major characteristic of cellulite is severe dimpling and bumpiness in the skin, which is caused by the fibrous septae pulling the dermis down, while fat cells protrude beyond the limits of the fibrous septae, creating this bumpy appearance on the outer surface of the skin.

If cellulite is a cause of frustration for you, QWO may be your way out. Dr. Schwarzburg is a well known expert in cosmetic medicine and dermatology and proudly offers QWO treatment at his boutique medical spa on the Upper East Side of Manhattan, NYC. Along with a variety of skin tightening and rejuvenation treatments, QWO is now a treatment offered by Skinly Aesthetics.

cellulite treatment

What is Cellulite and what causes it?

Cellulite is a condition particularly prevalent in postpubertal women in areas of the lower body where fat accumulation is especially present such as the buttocks, abdomen and thighs. Cellulite can be found in any gender, age, size, and background, and can be not only incredibly frustrating, but very difficult to get rid of. The causes behind cellulite are diverse and can be due to hormonal factors, genetics, age, weight, underlying medical conditions, and even diet. These multiple factors that contribute to the formation and appearance of cellulite, have made it very difficult to create procedures to get rid of cellulite.

Cellulite makes its appearance when fat pockets below the skin herniate, leaving you with lumpy dimples visible above the surface layer of the skin. Fibrous septae are narrow fibrous bands that pull the skin downward, which are a major contributing factor to the appearance of cellulite, particularly when the fat that is present in the problem area surpasses the depth of the fibrous septae, leaving the fat to protrude outward resulting in dimpling and what we see as cellulite on the skin. Based on evidence found by the American Academy of Dermatology (or AAD) while anyone can be affected by cellulite, women are hormonally more likely to suffer from it than men. Cellulite is often associated with being overweight, however, cellulite can be seen in people of all shapes and sizes in various forms depending on the thickness and elasticity of the skin, one’s genetics, and several additional factors.

Even though fat is one of the main contributing factors of cellulite and can certainly enhance its appearance, a large percentage of women have cellulite due to larger fat cells under the skin caused by higher estrogen levels. This means that you don’t necessarily have to be overweight to have cellulite.
Having fat in general can lead to visible cellulite, which is completely normal, particularly in women. A study conducted by the Journal of European Academy of Dermatology and Venerology recognized three grades, or types of cellulite including grade 1, mild superficial dimpling with 1 – 4 slight depressions in the skin, grade 2, moderate deeper rippling of the skin with 5 – 9 medium depressions in the skin, and grade 3, severe deep rippling of the skin with 10 or more deep depressions. While grade 2 and grade 3 cellulite are more visible, all grades of cellulite can be frustrating, especially if you have tried everything to minimize its appearance.

Hormones such as thyroid hormones, prolactin, noradrenaline, insulin, and estrogen may all contribute to the appearance of cellulite, particularly in menopausal women as estrogen and collagen shift within the connective tissue.

Is cellulite permanent?

Cellulite is permanent in the sense that the factors contributing to the formation of cellulite will always be present unless treated. Cellulite can be treated through procedures that specifically target these factors. There is no permanent cellulite treatment, but as long as these treatments are maintained as needed, cellulite can technically be permanently eliminated.

Do Any Cellulite Treatments Really Work?

There is no overnight cellulite treatment or cosmetic procedure to get rid of cellulite for good, unless follow up visits are maintained and you continue to take care of your skin and body after receiving your treatment. Cellulite has been an issue frequently attempted to be addressed through skin care treatments and invasive surgical procedures with little to no success. So how do you treat cellulite? There are a ton of treatments and serums that claim to get rid of cellulite overnight, like an anti cellulite massage NYC, creams that treat cellulite, and diets and cleanses that are supposed to eliminate cellulite. Certain skin care treatments typically involving some type of scrub containing coffee grounds or sugar may make minor improvements but never actually eliminate deep dimpling for good.

There are also surgical procedures such as liposuction that can help reduce the appearance, but have had unsuccessful results. There were even some attempts to fill in cellulite dimpling with dermal fillers such as Sculptra for cellulite, however using fillers for cellulite before and after the treatment resulted in little to no success. The reason why these treatments were minimally successful is because none of them had addressed the primary causes behind the formation of cellulite dimpling: the fibrous bands and connective tissue beneath the dermis.

While maintaining a healthy diet and keeping your body fat percentage at a healthy minimum can benefit you and reduce the chances of developing deep cellulite dimples, unfortunately there aren’t any particularly successful preventative measures that can be taken for cellulite unless it is through a medical treatment.

Fortunately dermatologic medicine has made scientific advances allowing for a safe and effective way to officially reduce and even eliminate moderate to severe signs of cellulite. The best treatment to get rid of cellulite is a treatment that will address the main causes behind the formation of cellulite. So what is the new cellulite treatment? The FDA approved cellulite treatment in 2020, Collagenase Clostridium Histolyticumaaes is a new development in the world of cosmetic medicine and dermatology that has been proven to permanently eliminate cellulite in the female buttocks. QWO before and after treatment progress has shown amazing results and is the newest and most successful cellulite treatment on the market. The treatment is minimally invasive involving skillfully injected QWO treatments over the course of three sessions. While there is typically heavy bruising associated with the treatment, there is no down time, and most importantly, no surgical intervention necessary.

What helps with cellulite on the thighs or legs?

Before the development of QWO the primary steps to treat cellulite included addressing the various causes behind the development of cellulite such as rejuvenating fibrous septae, reducing the laxity of the skin, and killing fat cells in the area of the concern with liposuction or less invasive tools such as CoolSculpting thighs for cellulite. While these treatments have proven themselves to be effective for the treatment and prevention of cellulite as they directly addressed biological factors contributing to the development of cellulite, they do not compare to QWO injectable treatment when it comes to actually reducing the appearance of cellulite. Several patients who have tried everything for thigh cellulite treatment see their results QWO cellulite before and after treatment and are stunned by their results using these new cellulite removal injections. Clinical studies showed that women who received three treatments 21 days apart were able to see results within ten weeks. Not only is this leg cellulite treatment effective, but because it is minimally invasive and non surgical, the treatment itself takes no longer than 10 – 20 minutes and comes with zero downtime after the procedure.

FDA Approval for QWO Injectable Treatment

QWO is a brand new treatment that was FDA approved for cellulite reduction in July, 2020 as a treatment for cellulite in the female buttocks. The treatment was FDA approved cellulite upon the largest clinical trial on cellulite treatment NYC by Endo Aesthetics, the pharmaceutical company that makes and distributes the drug. QWO is the first FDA approved injectable cellulite solution and is already growing in the field of cosmetic medicine. This is why Dr. Schwarzburg will be one of the first to offer it at his NYC medical spa.

What is QWO Cellulite Treatment NYC?

QWO is the most effective cellulite treatment using injectable medicine for cellulite that is designed to break down collagen strands that make up the fibrous septae under the skin, using two active enzymes, AUX-I and AUX-II. The enzymes break down fibrous bands essentially releasing pulling tension on the dermis and allowing the skin to become smooth and less dimply. You can expect to see results after just three sessions spaced 21 days apart with no downtime whatsoever.

Who makes QWO cellulite treatment?

Endo International is an international pharmaceutical company known for urology, men’s health, orthopedics, and endocrinology, branched out with Endo Aesthetics and successfully developed QWO cellulite treatment.

What should I expect during the QWO procedure?

If you are interested in reducing or even eliminating that stubborn cellulite, the process is fairly quick and simple. Before being scheduled for the treatment, you will meet with Dr. Schwarzburg for a one on one consultation as an opportunity to discuss your problem areas, concerns, the treatment itself, and whether or not you are a candidate for it. If you are, Dr. Schwarzburg will develop a treatment plan that will cater to your individual goals, needs and body. During the treatment, Dr. Schwarzburg will sanitize and mark the treatment area and carefully inject QWO into the problem areas. While topical numbing cream may be applied before the treatment, most patients will not need it as it is typically described as painless. Once the treatment is complete, there is no downtime, meaning that the patient can resume with normal activities right after the procedure. There will be moderate to severe bruising in the treatment area lasting up to 2 weeks.

Can you get QWO injections for cellulite?

QWO injections were FDA approved to help reduce the appearance of cellulite in the buttocks and upper thighs in adult females with moderate to severe cellulite. The QUO cellulite injection treatment is specifically designed to reduce and eliminate dimpling and cellulite caused by targeting fibrous septae which is primarily what is responsible for the formation of cellulite seen on the skin. The treatment comes with no downtime and your results should be visible within ten weeks after the treatment.

How long does it take for cellulite to go away with QWO cellulite treatment?

Clinical studies on QWO cellulite treatment have demonstrated that most subjects began to notice more significant results after three treatment sessions that had been spaced out by three weeks each. This applied to all patients of all skin types. Throughout the three treatments, the patients were able to see smoothness and a reduction in the characteristic dimpling in the skin. Compared to other cellulite reduction treatments, the QWO treatment has shown significant improvement in treatment efficacy.

Are there any side effects?

The most common reported side effect associated with the QWO treatment is bruising. Aside from bruising 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 possible side effects. You should not get the treatment if you have a history of hypersensitivity to any collagenase injections for fat loss or to any of the components of the treatment itself, or if you have any kind of infection around the injection site. If you have any history of bleeding abnormalities or are being treated with antiplatelet or anticoagulant therapy, the treatment could result in above average bruising.

How much does QWO cellulite treatment Cost?

The Cost of QWO varies depending on the severity of your cellulite, the number of treatments needed, and the geographical location and qualifications of your provider. On average the QWO cost in NYC ranges $2000 – $3000 for three sessions, which is typically the number of sessions needed to treat severe cellulite. Most treatments that reduce the appearance of cellulite require several follow up appointments and will last for up to a year. QWO injections require approximately three sessions that will give you results that are essentially permanent if you maintain a healthy lifestyle and diet.

Are there other effective cellulite treatments?

While QWO injections are by far the most successful treatment for cellulite, there are several treatments that will help reduce the appearance of this dimpling skin. The main similarity amongst all the treatment options for cellulite is that each of them target different biological components that lead to cellulite. One of the main components that is targeted is fat, which is what bulges outward in cellulite that is visible on the surface of the skin. Two of the most popular non surgical and minimally invasive procedures that eliminate fat are CoolSculpting and Kybella.

Does CoolSculpting get rid of cellulite?

CoolSculpting and Kybella for example can not be used directly to “eliminate cellulite” per se, but are amazing treatments to eliminate fat, which is a huge contributing factor to the formation of cellulite. Skin laxity is another component to cellulite and can be treated with different forms of microneedling, secret RF fractional microneedling, mesotherapy, and Fraxel Dual laser, all of which are skin tightening treatments.

The best treatment for cellulite and loose skin would involve a combination of treatments as loose skin is not the only issue surrounding the formation of cellulite dimpling. As the skin becomes firmer and more collagen and elastin is produced, cellulite may temporarily diminish, leaving you with smoother skin around the treatment area and a successful reduction in cellulite.
Other treatments that are designed to treat cellulite include Velashape, Cellfina, Carboxytherapy, Cellulaze. Velashape is a non surgical procedure using a handheld device that delivers heat, infrared light, radiofrequency, and vacuum technology to target the fibrous bands underneath the dermis to reduce the appearance of dimpling in the skin due to cellulite. Cellfina is a tool that uses a needle to break up connective tissue found underneath the dermis, which contributes to the lumpiness on the surface of the skin. Carboxytherapy is a procedure that involves injecting carbon dioxide into the tissue underneath the skin, which is supposed to increase blood flow and possibly improve the appearance of cellulite. Finally, Cellulaze is a laser skin tightening for cellulite treatment that is designed to break down the fibrous tissue underneath the dermis which is what pulls down the skin, allowing the fat to protrude upward, resulting in the bumpy skin associated with cellulite. The heat exerted by the laser is meant to break these fibrous bands apart and simultaneously improves the thickness and quality of the skin. Thermage for cellulite before and after results have shown some success but typically only last up to one year. So overall what is the best treatment for cellulite? At the moment, considering all real cellulite solutions, the best non invasive cellulite treatment is QWO. While other treatments have shown success, QWO injections have demonstrated results that go far beyond previous attempts on cosmetic cellulite treatment.

Does Body Contouring Work for Cellulite?

Before resorting to medical procedures, many patients may also try to address their cellulite through general lifestyle changes and weight control such as cleaning up their diet through clean eating, working out, and maintaining a healthy lifestyle to avoid gaining fat, which may result in worsening of the cellulite. While fat reduction through natural means or through body contouring treatments such as Kybella and CoolSculpting, or more invasive procedures like liposuction can help reduce the appearance of cellulite, and in some cases, even eliminate it, fat loss alone is often not enough to eliminate cellulite.

The reason behind this is that cellulite is caused by more than just fat. Along with the fat, particularly in women, hormones can have a huge impact on the formation of cellulite. Having fat on your body is healthy and completely normal, however, hormones can cause fat cells to increase in size, which can cause cellulite depending on how large the fat cells are. This means that even people with a lower body fat percentage can develop cellulite if the minimal amount of fat cells that they have are larger than average. This is why QWO treatments stand out from the various other treatments that are currently on the market for cellulite. QWO targets not the fat, but the fibrous septae that pulls the derms downward as the fat bulges upward creating cellulite dimples. With QWO treatment, the fibrous septae are destroyed and the collagen build up thickening the fibrous septae is eliminated. This leaves the patient with smoother skin, less cellulite and long term results.

If you have been facing issues with cellulite and would like to treat it using QWO injectable treatment, Dr. Schwarzburg is ready to treat you. With several years of experience in cosmetic medicine, Dr. Schwarzburg is a leading expert in the field and offers a variety of treatments for cellulite reduction in Manhattan at his chic NYC medical spa. To schedule your one one one consultation with Dr. Schwarzburg, please call (212) 774-4264, or email us at info@skinlyaesthetics.com.