What's the best option to correct dimples and cellulite? Cellfina or Fat Transfer? (photos)

You have lipedema and need liposuction, likley some skin removal as well.  Cellfina will not be helpful for you on the front of the leg, and fat transfer wouldnt be a good option either.  Please see an expert, VASER liposuction with VASER smooth would likely help.  Microfat injections after liposuction and/or skin removal/lift may help.  Best, Dr. Emer.

Treatment of cellulite , waviness, and loose skin on legs and thighsUnfortunately , you have a difficult situation that will require numerous procedures.  I would start with traditional liposuction..  I f you have lipedema  you will need compression and manual massage or lymphatic massage as well.  Cellfina is best 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.

Your cellulite problem is a common one. Fortunately, finally there are effective ways to minimize this problem. Perhaps the least invasive one is  Cellfina™. Cellfina is the only FDA-cleared minimally invasive, one-time procedure clinically proven to improve the appearance of cellulite for at least two years—the longest FDA-cleared duration for a cellulite treatment. A straightforward solution to cellulite, Cellfina™, combines a proven approach with innovative, proprietary technology, to produce precise, long-lasting results and has a high satisfaction rating on RealSelf. Together with Velashape 3, a non invasive procedure to help "shrink wrap the skin" and further minimize cellulite as a combination treatment is perhaps your best chance for taking care of this tough problem. Cellulaze is also a possible treatment but much more invasive

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.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 SurgeonDirector-Beverly Hills Breast and Body Institute#RealSelf100Surgeon

Cellfina's device breaks up the collagen attachments that hold down dimples but it is not designed to be used on the longer grooves that many women have on their thighs and buttocks. I have found ThermiTight to help improve the appearance of the linear grooves.  The benefits, convalescence and risks related to all procedures considered appropriate for the individual patient are discussed in the consultation. The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice. The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical
needs.

Cellfina successfully releases dimples of cellulite, however it does not treat skin laxity or uneven skin contours from variable fat thickness below the skin. It is impossible to tell you what is the best option for you without an in-depth consultation with a board certified Plastic Surgeon. Good Luck!