Treating Cellulite with Cellulaze [VIDEO]

Cellulaze is a minimally invasive surgical device designed to reduce cellulite by restoring the normal structure of the skin and underlying connective tissue. And our physician-guided video series is designed to tell you all about it. 

Dr. Grant Stevens and Dr. Michelle Spring of Marina Plastic Surgery joined RealSelf from their medical offices in Marina del Rey, Calif., to talk about cellulite, the most current and popular treatments for cellulite, and particularly about Cellulaze, a unique laser treatment that promises longer-lasting results than other procedures -- after just one treatment. 

In the first video, Drs. Stevens and Spring present current treatments for cellulite, and present a patient that Dr. Stevens treated at his office with Cellulaze, from consult to result.

In this video, Drs. Stevens and Spring take a wide range of questions about cellulite -- like, can you get cellulite even if you're skinny, and do men get cellulite too? 

For the full presentation given by Drs. Stevens and Spring, check out the Slideshare below, including case studies from Marina Plastic Surgery. 



Transcript from Cellulaze Videos


Dr. Spring: Welcome everybody. Thanks for joining us tonight. I'm Dr.
Michelle Spring and next to me is Dr. Grant Stevens.
Dr. Stevens: As you know, there have been many solutions and proposals
of solutions to improve cellulite. There's been lotions and
potions and hopes and dreams and rollers and so forth.
Today we're going to talk about a few of them. As you can
see, Endermologie has a 50% approval rating, VelaShape has
38%, SmoothShapes 50% and Cellulaze 84%. We're going to go
through them and discuss how they work and what to expect.
Endermologie is a non-invasive technique that helps
temporarily reduce the appearance of cellulite. The key
word there is temporarily. So, Endermologie is something
that you buy a package of. It has a 50% rating, approval
rating on RealSelf and has an average cost of $1,428. It
doesn't hurt, there's no downtime, it's primarily rollers
and suction of the skin, and there is some temporary
improvement in the appearance of cellulite.
Velashape, we did have here in the office for a while.
Frankly, I was not impressed by Velashape. It doesn't
surprise me that there's a 38% approval rating. It uses a
vacuum and a mechanical massage, along with infrared light
energy and some bipolar radio frequency. It does have some
gradual slight smoothing, which is temporary.
I've seen some improvement. It's usually four to eight
treatments over a month or so. But the key thing is they
need to keep coming back and many of the photos that I
looked at and other people looked at, we couldn't tell the
difference between the before and after. It didn't hurt.
The average cost was about $1,200 in the country. Ours was
closer to $2,500.
Next is SmoothShapes. SmoothShapes uses a combination of
laser and light energy along with vacuum and mechanical
massage. So it's somewhat similar to Vela, but it does use
laser and light energy. The specific wavelengths of the
laser light are applied to the target fat and it actually
liquefies the fat.
Now, we've been using the SmoothShapes recently in post-
cellulose treatment, and we've been liking it, mainly for
the massage effect. It seems to accelerate the recovery of
cellulose. SmoothShapes does work; it is temporary, it
needs to continue to be done. Of the other approaches, it
seems to be the best.
Next and the one we want to spend the most time on is
Cellulaze. Now the Cellulaze is a minimally invasive laser
procedure for cellulite reduction and has long-lasting
results with a single treatment. It takes about one to two
hours, I would say closer to two hours. It depends on the
size of the area. You can perform it under general, but
most of our patients are choosing local anesthesia and
sometimes with some oral sedation.
So the advantages - you don't need an anesthesiologist,
which keeps the cost down. You get up off the table and
walk out under your own power and there's minimal recovery
time. But it is a procedure. It is a surgical procedure in
that you are in the operating room and so forth. Most of
the patients are up and at-em the next day. A few take one
or two days off, but I have many patients who go to work
the next day. What do you think, Dr. Spring?
Dr. Spring: Mm-hmm. Yep, absolutely. I think most people are a little bit
sore, a little bit bruised, but feeling like they can
pretty much do anything the next day besides going for a
big workout.
Dr. Stevens: Now, let's look and see what the RealSelf community thinks
about the Cellulaze. There's an 84% approval rating with 92
reviews. That's an unbelievable approval rating. This is
consistent with our patients. We've been doing it now, I
mentioned, since February. Every one of our patients have
been happy. We haven't redone any of them and we are very
Melissa: I started to get unhappy with the way the cellulite on my
thighs was looking, so I decided to do something about it.
...on my thighs the over the past couple of years and it's
really starting to bother me.
Dr. Stevens: Is it cellulite? It's estimated that 85% of adult women
have cellulite and I think the other 15% think they have
it. Cellulite itself is the thinning of the skin, the
dimpling and that contour irregularity, along with the pits
which are the depressions caused by the fiber septae, which
are pulling down the skin. Finally, there's extra fat
beneath the skin causing that cottage cheese look.
So there are three parts that actually cause the cellulite.
The extra fat, the thinning skin and those fiber septae.
We've used many techniques to get rid of cellulite. There's
been rollers, potions and lotions and lasers and all kinds
of things have been tried, but nothing until just now has
been successful. Cellulaze is the first effective, long-
term solution for cellulite.
Cellulaze employs a tiny fiber optic laser that allows us
to go gently under the skin through a tiny pinhole. This is
a minimally invasive procedure. The laser can be aimed
upwards, sideways and downwards by your doctor to treat the
three problems of the skin architecture. Melissa has
moderately severe cellulite. In fact, on the Stevens
cellulite scale of one to five, I would give her a four.
So, we can really do a lot to help her today with the new
This is the laser firing down. The bright light accounts
for about 60% of the energy. Then you have some energy
going forward, which helps us move through the tissue. The
bright light is doing most of the work to eliminate the
Melissa: I'm a little nervous about the Cellulaze procedure, but I trust
Dr. Stevens to do a great job.
Doctor: Joules are 1,000.
Dr. Stevens: 1,000 joules. 47 degrees with it shut off at 50 degrees.
44 degrees. Melissa's procedure is finished now and she's
done great. She tolerated it very well, she was comfortable
the whole time, and we could feel those little
irregularities disappear with the laser.
Melissa: It's been three weeks since my Cellulaze procedure, and my
cellulite has gotten a lot better. It's supposed to keep
improving for several months.
Dr. Stevens: Melissa is three weeks out now from her Cellulaze
treatment and she's looking terrific. Her thighs are smooth
and the pits are gone. Her cellulite is eliminated.
Melissa: It's been three months since my Cellulaze procedure, and I'm
thrilled with my results.
Q&A Video 
Dr. Spring: Welcome everybody. Thanks for joining us tonight. I'm Dr.
Michelle Spring and next to me is Dr. Grant Stevens.
Dr. Stevens: We certainly endorse a healthy diet and daily exercise.
But healthy diet and exercise will not treat cellulite.
Cellulite is something that occurs in 85% of the women. We
have some very healthy women that exercise frequently,
daily and their diets are excellent and yet they have
Dr. Spring: As we looked at the slides before, it's not fat problem. So,
it's not a body fat issue. It's the structure that is
underneath the skin pulling down on the skin and the fats
bulging around those septae. So, it's not unusual at all.
Yeah, I don't know the answer to that question. You're
trying to predict where someone might get cellulite later
and I don't know if that's a great way to utilize the
technology because it is a surgical procedure and we're
trying to treat an anatomic structure.
Dr. Stevens: Right. I would think this is not something to use
prophylactically because we laid out the topography on the
patient and we use colors - red and green and black - to
actually show where we're going to treat, and the hills and
the valleys and the actual little pick areas. Not knowing
the future and what they're going to have, we wouldn't know
how to treat and what energy to deliver and where to
deliver it. So, I would say no.
Dr. Spring: I've not seen men with cellulite.
Dr. Stevens: I've seen some obese men with cellulite. But they're very
obese. I think their estrogen levels are high and their
testosterone levels are low as probably modulated by the
testosterone, estrogen access. But in general no.
I can't say. We saw the average cost for RealSelf - wasn't
it pushing $6,000? Whereas here in this office, I would say
the average is more like $8,000 to $9,000 depending on the
Dr. Spring: Yeah, and most people also have liposuction or something at the
same point, too.
Dr. Stevens: That's a good point. It's really dependent on the size of
the area that we treat and you'd have to check in your own
area. I don't think there's probably that much variance but
I'm sure there are some regional changes. Just check with
your local surgeons.
Well, the long-term studies by Dr. DiBernardo have shown
that these results last at least three years. He has
results now that are over three years. We don't anticipate
that it probably is going to come back. But again, we can
only talk about Dr. DiBernardo's experience of over three
Dr. Spring: I think in general we haven't seen any problems. There are
always potential risks that we need to talk about like
having a burn from the laser or fluid build-up that doesn't
go away. But I've not seen any of those problems. So, I
think Dr. DiBernardo has fine-tuned the treatment to the
point where we really aren't seeing a lot of problems.