Can Deep Depressions in Butt Fat Be Smoothed?

I know some call it cellulite but that is usually cottage cheese like. I am talking about involuntary "winking" with each step I take. I discovered this in seeing a family video. I was horrified. I am not "fat" either. I call it "lumpy butt" ... Ugh. Any solutions?

Doctor Answers 11

About Treating Cellulite with Cellfina

Cellfina is the newest, most effective FDA approved technology available for treating cellulite. This one-time, minimally invasive procedure takes only 45 minutes to perform, but the results last for a minimum of two years. #Cellfina has the longest lasting results of any current #cellulite treatment. Its approval rate is over 93% here on RealSelf.
Used on #moderate to #severe cellulite of the buttock and thighs, Cellfina works by treating the rubber-band-like connective tissue that causes cellulite. When these “rubber bands” under the skin are cut, the fat trapped underneath in dimples “snaps” back into place, creating a full, smooth appearance.
There is no cutting and no incisions. To perform this controlled, precise, and safe procedure, a vacuum hand piece is placed over the dimpled tissue through which the surgeon will deliver a local anesthetic. Then a small, needle-like #microblade is inserted to release the fibrous bands, the cause of cellulite. Results can be seen in as little as three days post-op. Most patients report some soreness, tenderness, and bruising, which should #resolve within a week. 90% of patients reported no bruising after one month. To ensure the best results, a compressive garment should be worn for 2 weeks post-treatment. Seek more information to learn if you are candidate for #Cellfina by consulting with a board-certified Plastic Surgeon.  

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Cellfina is the ONLY Effective Cellulite Treatment That Works!

There is only one truly effective and proven lasting cellulite treatment out there, and that is CELLFINA. All of the other lotions, potions, creams, treatments, radio frequency devices, including Cellulaze, are at best, mediocre, and, in many cases, completely worthless. Cellulaze is a laser-based procedure that has a much higher complication rate, as well as a much lower patient satisfaction rate, so that answer is pretty clear. CELLFINA is the only cellulite treatment that has a proven track record of 96% patient satisfaction at 2 years post treatment. Nothing else is even remotely as effective as Cellfina. I have attached a link to my website, explaining how this remarkable system works. There are patient testimonials and schematics reviewing the details of this remarkable breakthrough treatment. Also, Cellfina is a single session procedure that is done under local anesthesia with little to no pain! Thank you for your excellent question.

Steven M. Gitt, MD, FACS (in memoriam)
Phoenix Plastic Surgeon
4.8 out of 5 stars 36 reviews

Cellulite Buttocks

Cellulite is a very common condition affecting women of all shapes, sizes and colors.
External devices may provide temporary improvement but require several treatments and periodic re-treatments.  The Cellulaze laser is best suited for treatment of the thighs. Treatment of dimples or winks upon motion has not been well studied yet. Fat injections to the buttocks may be the best option for deeper dimples.
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Cellulite and celulaze

Without seeing a photo or patient in person it is difficult to be certain what is bothering you. That being said, the Cellulaze treatment for cellulite is in my opinion the most effective treatment available for cellulite  and most patients are very happy with the results as long as their expectations are in line with what the procedure can do. Make a consultation with a board certified expert in Cellulaze in your area to find out if Cellulaze would help you. Good luck! Best, Dean Vistnes, M.D.

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 48 reviews

Best Options to Treat Cellulite

Thank you for your question. There some temporary solutions with Velashape, and Vasershape. These can temporarily help to some extent. Cellulite is from genetics, lifestyle, hormones, and activity level. The Cellulaze has gotten some recent press, but the results we have seen have been mixed. See your Board Certified Dermatologist or Board Certified Plastic Surgeon for advice and an assessment. I hope this helps.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Cellulite is Frustrating

Cellulite is a source of frustration to many female patients: regardless of the level of fitness, some areas of cellulite do not disappear with diet and exercise. With Cellulaze, specific trouble areas (most commonly the buttock and thighs) can be selectively treated with long-term success. Cellulaze has been well-studied and published results exist to evaluate outcomes with several years of follow-up. It is also FDA approved for cellulite treatment, demonstrating safety across a wide range of patient subtypes.

Cellulaze is the most invasive cellulite treatment currently available: an incision is required to pass the small tube (cannula) underneath the skin; nonetheless, it can be performed in a single stage under oral or light IV sedation with minimal pain and a short recovery period.

Cellulaze uses a 1440nm medical grade laser (the same laser used in SmartLipo) to accomplish three technical tasks: 1) melt unwanted pockets of excess fat, 2) break up fibrous bands of tethering (dimples), and 3) tighten the overlying skin by promoting collagen formation.

Seek consultation from a board certified plastic surgeon to determine what treatment is right for you.

Adam J. Oppenheimer, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 200 reviews

Cellulite treatment

recommend you learn more about Cellulaze - the FDA approved one time definitive treatment for cellulite.  Cellulaze 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. Best of luck!

Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

Cellulite treatment with endermologie

Depressions in your bottom present at rest- when you are not flexing your gluteal muscles can be filled with your own body fat.  Depressions in your bottom present with walking or flexing your buttock muscles are another story.  Other than learning to walk another way- changing your gait- so to speak, you are out of luck. There are no cosmetic surgery options to correct this type of “lumpy butt”!   However, Endermologie can help to smooth the area and make the cellulite less noticeable.

Steven Yarinsky, MD
Albany Plastic Surgeon
4.9 out of 5 stars 29 reviews

Deep depressions in the butt fat can be smoothed using the latest technology

In my practice I have used the latest technique for cellulite correction called CelluSmooth for over six months. This, routinely performed under local anesthesia, procedure involves the introduction of a very thin laser fiber under the skin through a very small incision. CelluSmooth, manufactured by Sciton, is the latest laser specifically developed for correction of cellulite. Because of it's unique three step process, by using this technique I am able to correct the depressions, melt the excess fat and shrink the skin.

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.6 out of 5 stars 34 reviews


The description provided sounds like cellulite, a very common condition for which there is currently no one definitive treatment. Very recently a laser device specifically designated for the treatment of cellulite has come to the marketplace. Unfortunately, I have a very healthy dose of skepticism about the true success of this new product for cellulite therapy..

Much hooplah is often made when a new laser or other energy-based device (radiofrequency, ultrasound) receives FDA clearance. Frequently, the public mistakes such clearance for FDA approval, the way medications require FDA approval before being released into the consumer market. In the case of devices, for the most part, in order to receive FDA clearance, the device needs only to prove that it is safe for use in humans, not that it is necessarily effective for the indication for which it is sold. Device clearance is a relatively short process, unlike the long (very often 9-11 year) process required to bring a new medication to the market. To gain FDA approval, a pharmaceutical agent must not only prove safe for use, but actually must prove efficacy for the indication for which it will be marketed.

So, this may explain why today's newest and "most effective" laser typically gets replaced tomorrow by another laser or device with the same claim. The very fact that a new laser comes to market seemingly every day is enough cause enough for healthy skepticism

The reality is that many of the new devices, when separated from the marketing hype and testimonials of paid physician spokespersons, have proven disappointing to both patients and the treating physicians. Hence, my skepticism about the new laser for cellulite.

When there are fifteen or twenty or so deep cellulite depressions on each buttock (as is likely in this case) or leg, I have obtained  gratifying results using a combination of subcision followed by filling with a volumizing filler, such as Radiesse combined with Perlane L. Under local anesthesia, a sterile needle is inserted and moved around to break up the bands of fibrous tissue that play a part in binding the skin downward in the typical cottage cheese appearance. The depressed area can then "float" to the surface. Often, these bands will subsequently be replaced by new, more normal collagen bundles to further serve as a buttress to the overlying skin. Finally, after two or more such treatment sessions, a small amount of volumizer, such as Radiesse, can be subsequently injected to further elevate and smooth the overlying skin and promote additional natural collagen production. .

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.