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

Question

I am wondering if the cheeks should be clenched or muscle flexed and tightened to show where dimples are that are not there when the butt is relaxed. Sometimes a butt looks worse when walking or other movements. I am wondering if some of these dimples can be treated also?

Stanley Castor, MD · Answer

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.

Jed H. Horowitz, MD, FACS · Answer

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

Andrew T. Lyos, MD, FACS · Answer

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

Larry S. Nichter, MD, MS, FACS · Answer

It may be helpful to take photos at rest and also clenched to show all areas of dimpling. According to the Cellfina trainers, at rest is the only photos necessary, however the more markings and pre-photos the better measure you have before hand. Discuss with your Healthcare Professional for their opinion. Best of luck!#cellulite #clenched #dimples #cellfina

Keith Hodge, MD · Answer

I think that relaxed and flexed gluteal muscles can be helpful to see the cellulite. Tangential lighting is also useful to help see the contour irregularities. Good luck!

Laurie A. Casas, MD, FACS · Answer

It is important to visualize the tissue while relaxed and flexed in order to see the areas that need to be treated.  The dimples that are marked while relaxed and flexed are both treated.  The results from Cellfina are amazing and clinical studies show results to at least two years.

Paul M. Parker, MD, FACS · Answer

Yes, we mark our patients for Cellfina treatments with and without their buttocks clenched to show us all of the areas which should be treated.

Susan Van Dyke, MD · Answer

Cellfina releases the fiberous bands that connect the skin to underlying structures.  These fibrous bands tighten and pull the skin inward sometimes, causing dimpling (most evident on the buttocks.  It is common that flexing the muscle by walking, running or other exercise may pull the cords tighter and worsen the appearance of the dimple.  I mark patients after observing the changes caused by clenching the muscle.  If an obvious dimple appears with clenching I treat it.  These are almost always visible when relaxed but may be subtle and clenching points them out.

M. Bradley Calobrace, MD, FACS · Answer

An important component of identifying areas that are treatable by Cellfina is having the patient flex/clench their buttocks to accentuate any present dimples and identify any dimples that may not have been seen otherwise.  Assessment and marking are the most important components of a Cellfina treatment, and in our practice, we review markings in a well lit photo room from various angles to ensure all treatable areas are identified.  We typically mark all apparent dimples first, then have the patient flex their buttocks to ensure there are no other areas that appear dimpled upon flexion of the muscle.  It is critical that the target area I viewed in good lighting from various angles, with and without flexion of the buttocks to ensure all areas are being treated.

Ben J. Tittle, MD · Answer

Thank you for your question.Marking for Cellfina is a key part of the procedure. We mark the patient using lighting that brings out the cellulite and mark the patient at several angles as well. We will have the patient lift their extremity as well if need be to see the cellulite. And also have the patient tighten their muscles to show cellulite to make it easier to see. In short, the marking is essential to the treatment process and we spend the time necessary to see the cellulite.

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

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Answers (14)

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