Does Subcision Surgery Work to Get Rid of Cellulite?

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Cellulite is extremely common. An estimated 100 million women in the USA between the ages of 20-54 voice concern about #cellulite. Cellulite is caused by fibrous bands underneath the skin that compress #fat, #diet and #exercise do little to help the appearance of this condition.  Clinical treatments offer the most effective and longest lasting results.  We can now offer improvements that should last at least 2-3 years. My office also recommends three different procedures: ThermiSmooth, VelaShape 3, and Cellfina or Cellifina Platinum.  ThermiSmooth is a #noninvasive treatment that uses very controlled #radio frequencies that deep heat target tissues and stimulate #collagen growth, improving the appearance of cellulite.  A series of three to six treatments are needed for the best results.  #Thermismooth may also be used to treat fine lines or wrinkles.
VelaShape 3 is a non-invasive treatment combining #massage rollers, a vacuum to elevate the target# tissue, infrared lights to heat the target tissue, and bi-polar radio frequencies which guide the heat; all together helping to reduce the appearance of cellulite. I suggest over six sessions, one week apart.  The combination of these technologies causes the connective tissue under the skin to heat up, stimulating collagen growth, #improving cellulite and skin elasticity.  #VelaShape 3 may also be used for eliminating fat cells around the stomach and thighs.  
Cellfina is the newest FDA approved treatment for cellulite.  Unlike the others, #Cellfina it is a one-time, minimally invasive procedure  in which a safe, small needle-like tool is inserted to the target tissue to break apart the excessive fibrous connective tissue that causes cellulite.  There is minimum #downtime and the amazing results from one treatment last at least two years, longer than any other cellulite treatment. Cellfina #Platinum combines other non-surgical treatments for optimum #results. Seek more information to learn if you are candidate for these #treatment #options by consulting in-person with a board-certified Plastic Surgeon.

Thank you for your question! There are a few treatments that are excellent for smoothing out and correcting dimpling and cellulite. Subscision involves introducing a needle under the skin to free
the fibrous tissue, thus improving the appearance of cellulite. Radiofrequency is an excellent treatment option we offer at our practice, and it works by using energy to deliver heat deep to stimulate collagen and smooth and tighten the skin, which will help to get rid of the cellulite. We also use Sculptra injectable fillers which will instantly smooth out cellulite and dimpling, as well as contour the body and stimulate collagen production. For best results, it is important to see a board certified dermatologist with experience in cellulite treatment.

The Cellulaze procedure is the best procedure to
get rid of cellulite. Small incisions are made to help smooth over the area and
keep it cellulite-free. Cellulaze is great for any area of the body where the
skin is lumpy and dimpling.

I would recommend you evaluate Cellulaze - a FDA approved one time treatment that utilizes a 1440 nm wavelength laser to accomplish 3 things:  1) melt away fat bulging out 2) break up fibrous septae (attachments) that create the indentations and 3) help thicken the dermis (skin) to prevent future recurrence.   The procedure can take between 60-90 minutes and can be completed under local or just IV sedation (depending on the length of your procedure and number of areas being treated). To see your final results takes between 3-6 months. You can visit the cellulaze . com website to learn more about the procedure and find a plastic surgeon who performs the procedure near you. Best of luck!
Dr. Basu
Houston, TX

Subcision refers to dividing the fibrous bands which are partially responsible for cellulite.  If these bands are divided fat may have to be introduced to prevent them from reforming and dimpling the skin.

In addition to fat injections various devices such as radio-frequency massage: Velashape and Ultrasound:  Ulthera can thicken the dermis and help to smooth out the fat.  These external treatments are not permanent as opposed to Cellulaze which has visible results after 3 years.

Often all three modalities may provide additive benefits to improve your cellulite.

You should be evaluated by a Board Certified Plastic Surgeon to determine which of these treatments if any would best suit you. Cheers

Thank you for your question. I would suggest Cellulaze to reduce your cellulite. Cellulaze is the only minimally invasive laser procedure designed to attack the structure of cellulite beneath your skin. It delivers longer-lasting results after only one short treatment. It is the first and only cellulite laser treatment that treats the actual problems underneath the skin to deliver a proven longer-lasting result from just one simple treatment. Cellulaze is backed by many years of clinical research. Studies have shown it increases the thickness of your skin by 25% and the elasticity of your skin by 29%—significant claims that haven't been made by any other treatments. Thicker and more elastic skin can help flatten and smooth the skin surface to improve the appearance of cellulite. In addition, 93% of patients surveyed were satisfied or very satisfied with their results at one year post their procedure, and all would recommend the Cellulaze cellulite laser treatment to a friend.

I am not aware of any studies on subcision surgery for cellulite that support this method of treatment.
Cellulite can be difficult to treat effectively, and nonsurgical treatments including endermologie have
been used with limited success.