Should a patient be marked for Cellfina with butt cheeks clenched to show more dimples or relaxed?

Having the patient flex their butt cheeks helps to show more dimples, especially the deep dimples that may only show with movement. I commonly mark patients flexed and unflexed standing up prior to the Cellfina procedure. I also use lighting on the side of the patient to help shadow and cross light the cellulite from several different angles. I take pictures on an iPad tablet and after marking review the markings with the patient so they can also see their dimples flexed and unflexed. I have found the pictures with the butt flexed to be the most helpful to me to refer to during the performance of the procedure. 

Positioning pre op for CellfinaI agree that positioning both ways is useful.    mark all of the dimples both dynamic an d static.

Hello and thank-you for your question!
Cellfina is the latest break though for the treatment of cellulite. Cellfina works extremely well for cellulite of the buttocks and posterior and lateral thighs made more visible with movements such as clinching, exercise, and crossing your legs. Prior to performing the procedure, I mark the dimpled areas for treatment.  I then have my patients clench their buttocks which typically produce additional areas of dimpling and I mark these areas for treatment.  I then ask my patients to look at themselves in a full length mirror to show me any areas of cellulite present only with certain movements, such as twisting or crossing their legs, and I mark these areas for treatment.
Cellfina targets the fibrous bands which are the source of the dimpling in cellulite. It is most effective for the treatment of deep dimples and depressions of the buttocks and back of the thighs. It is less effective in the treatment of generalized waviness. Cellfina is a minimally invasive treatment performed in the office. We are seeing an extremely high level of satisfaction for our patients treated with Cellfina. The investigational studies for Cellfina have just been released and have shown an impressive patient satisfaction rate of 85% at 3 months, 94% at one year and 96% at 3 years. This is a very exciting solution for the many women who suffer from the embarrassment of cellulite.
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Best Regards, Andrew Lyos, MD, FACS