I have dimpled and wavy cellulite on buttocks, thighs and lower back. Which are the most effective techniques?

It is hard to determine the best option without photos to see the severity of the cellulite. I have had plenty of success treating mild to moderate cellulite with Profound SubQ alone. Although often times, a combination treatment is the best option. Either profound with venus legacy and/or possible subcision with filler. Make sure to book your consultation with an experienced provider who can customize your treatment to meet all of your needs. 

BodyFX by InMode is newer technology but early results for the treatment of cellulite are impressive.  

you really need to be seen in person because in my experience the majority of cellulite needs a combination of Cellfina and/or skin removal/lifting, fillers (Sculptra, Renuva, Bellafill) or external treatments like emsculpt/trusculpt ID and Venus Legacy or formal regularly.A combination approach would give the most improvement. Cellfina itself is the best treatment we have for cellulite but works best in combination with Sculptra and Renuva fat injections or bellafill both are long term; as well as body treatments like Venus Legacy/Exilis Ultra, Cellutone/Zwave. A VASER HI DEF procedure can be done for more contouring and smoothing, if you're a candidate. Smooth novathreads maybe can help build collagen as well and improve the apperance. Cellulite can't be cured, but can be improved with treatments and maintenance. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Of course without at least a series of HD photos, it is difficult to comment in any but generalities. But, what I can say is that most of the relatively expensive devices lack real hard science to support them and a far more backed by machine manufacturer marketing and sales hype. So, be certain to do your due diligence before agreeing to go this route. On the other hand, manual subcision with or without the additional use of a biostimulatory filler, such as dillute Radiesse, for elevating and smoothing depressions dimples of all kinds is relatively inexpensive and has stood the test of time. For wavy cellulite, superficial injections of Profhilo, a unique hyaluronic acid-based bioremodeling agent, followed by the use of a hyaluronic acid-based skin booster, such as Restylane Silk, Viscoderm Hydroboosters, Juvederm Volite, etc., can help to hydrate, smooth and tighten the overlying skin. Profhilo is unfortunately not yet available in the States nor are most skin boosters, but Restylane Silk can be used substituted for the purposes of "skin boostering," as can appropriately diluted Radiesse, in the same dilutions as used when rejuvenating a crepey, crinkly neck. Make sure that you seek consultation and treatment by a board certified aesthetic physician and not just anyone or medspas hawking their supposedly "next big thing" bells and whistles devices. Best of luck.

Hi Lipo2014,You are not alone.  I would recommend that you have a combination treatment of dilute Sculptra injections (not to give you a large butt, rather to smooth the texture of your skin.) We combine the Sculptra injection with a heat device, be it Profound RF, Venus Legacy, or Ultherapy.  Emsculpt of your buttocks will also help by building muscle tone which helps take up the slack. Please feel free to come by for a consultation at your convenience.  Good luck and be well.Dr. PerskyEncino, CA