What's the best treatment for saddle bags and cellulite in hips? Is it lipo? I workout and eat clean but hips are a challenge.

Goodmorning Trish,You certainly express a concern that a lot of women have - areas of fat that are resistant to a healthy lifestyle.Your specific situation, like everyone, requires a face to face evaluation to fully understand your current shape and goals. However, it is safe to say that liposuction is the gold standard for treatment of isolated fat pockets especially if the surrounding skin is of good quality. You may also be a candidate for nonsurgical fat reduction, like CoolSculpting.Either of these techniques can be highly effective in the right situation.At present cellulite treatment is less impressive and less predictable. Newer procedures, discussed elsewhere, may offer some promise in select patients.Keep up the hard work!Best of luck in your search.Dr Nodwell

You may be a good candidate for liposuction. Please see a board certified plastic surgeon who is experienced to discuss your options. Unfortunately there is no treatment for cellulite. Regards, 

Thank you for your question.Cellfina is an FDA approved minimally invasive procedure that reduces the appearance of cellulite for at least two years on the buttocks and back of the thighs of women.



It works by releasing the internal bands that cause the cellulite dimpling and so we have not seen any fat atrophy. You should not see much of a difference with weight gain or loss but this also has not been studied.



Other areas of the body with dimpling, it is important to make sure it is truly cellulite before treatment.





It is common to have swelling bruising and firmness after the procedure. This can last for a few weeks.



It is different than Cellulaze which is a laser. 



If you have had previous poor results with cellulaze, you can still do Cellfina.



Cellfina has shown 100% noticeable improvement and 96% satisfaction in all patients at 2 years. 



Cellfina is designed to be a one time procedure. 



It can be used on women with all skin types but caution should be taken if theres a history of keloiding.





It can also be combined with other treatments such as Thermi or



Ulthera if skin tightening is needed.





We have done Sculpsure and Coolsculpting if fat reduction is wanted, but its best to wait 3 months to see the results before proceeding.





It can also be done at the same time as other procedures such as liposuction and BBL or as a stand alone procedure in the office.





Since Cellfina outcomes can be based on technique and experience, please see a board certified plastic surgeon that specializes body contouring to see if Cellfina or other treatments are available to meet your goals. 





Take care,





Dr. Schwartz 



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon



#RealSelfCORESurgeon