What's the Best Treatment for Painful Cellulite and Dimples on "Saddlebags"? (photo)

I'm 23 and 5'5". I weigh 165. I have tricare and live in San Diego. My doctor is referring me to a plastic surgeon and I would like to know what the best treatment would be for my individual case. It shows through my clothes and is so embarrassing. It is exercise resistant. Cellulite doesn't run in my family. I had severe eczema when I was a child, and was prescribed strong steroid creams.

Doctor Answers 13

A Minimally Invasive But Effective Cellulite Treatment

Cellulite affects up to 85% of adult women and can be extremely difficult to #correct. Many treatments are ineffective or take multiple sessions to complete with very temporary results. If you are deemed a candidate, you may benefit from #Cellfina. Cellfina is the newest, most effective FDA approved technology available for treating cellulite. This one-time, minimally invasive procedure takes only 45 minutes to perform, but the results last for a minimum of two years. #Cellfina has the longest lasting results of any current #cellulite treatment. Its approval rate is over 93% here on RealSelf.

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.
There is no cutting and no incisions. To perform this controlled, precise, and safe procedure, a vacuum hand piece is placed over the dimpled tissue through which the surgeon will deliver a local anesthetic. Then a small, needle-like #microblade is inserted to release the fibrous bands, the cause of cellulite. Seek more information to learn if you are candidate for #Cellfina by consulting with a board-certified Plastic Surgeon.  

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews


I would suggest you try a safe and an effective treatment called VIORA. It consists of radio frequency and heat to rid the body of cellulite by shrinking the fat cells and flushing them through the lymphatic system. This procedure will also lift the  buttocks and leave you a much more smoother look even after just one treatment. Call for your free consultation today, we'd love to help you.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 68 reviews

Cellulaze procedure

Cellulaze when performed by a physician who is familiar with the technology can produce great results in properly selected patients. Realistic expectation are key in satisfied patients. Make sure you see good before and after photos from the actual physician doing the treatments to get an idea of what is possible and what you can expect. There are experienced Cellulaze physician in your area that should be able to help you. Good luck!

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 48 reviews

Treatment for cellulite with VASERSmooth

After reviewing your photos, it appears that you have grade 3 cellulite in the gluteal area and on the posterior and lateral thighs.  You also have some extra fatty tissue on the lateral thighs (saddle bags) and posterior thighs.  To get the best result I would use the VASERSmooth to treat the cellulite in your areas and then use VASER liposuction to remove the extra fat in your saddle bags and posterior thighs.  I have been obtaining great results with the VASERSmooth to treat cellulite and can accomplish up to an 80% improvement in your cellulite permanently.  The VASERSmooth uses an ultrasound probe to cut the individual cellulite bands to smooth out the skin.  This would give you the best result.

Jeffrey LaGrasso, MD
Miami Plastic Surgeon
4.4 out of 5 stars 109 reviews

Cellulite Treatment

If you truly have cellulite,  cellulaze may be a good option for you. Cellulaze uses a laser under the skin to attack the anatomic causes of cellulite. It is a minimally invasive procedure that takes 1-2 hours and can be safely done  under local or just IV sedation.  It is an FDA approved treatment for cellulite and requires only one treatment.  Hope this is helpful.

Dr. Sugene Kim

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

No Great Treatment for Cellulite and Dimples - Options

What is the Best Treatment for Cellulite and dimples?

For procedures that help to improve your cellulite, there is a laser treatment called Cellulaze that was recently approved by the FDA last year. This procedure is proven to show better results even after only the first session session. The outcome lasts one year or longer, but you may need followup sessions depending on the results. Also, I would not recommend any sort of Liposuction as it may in fact make your cellulite worse.


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Best treatment for Cellulite and Saddlebags

It's always difficult to say with certainty the best treatment for a patient without doing a physical exam and meeting with you in person but you would probably benefit most from a combination of procedures such as Liposuction (+/- SmartLipo) and Cellulaze.  Liposuction would help to remove and smooth some of the stubborn areas of fat and improve the contours.  Cellulaze helps to address and improve the surface dimpling and fibrous tissue that appears as cellulite.  Cellulaze will also help to thicken the skin and improve the skin's integrity for a smoother result.  

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews

Best Treatment for painful cellulite and dimples

By your photos I would not recommend Cellulaze as your first line of treatment.  The horizontal dimpling you have is severe, and although Cellulaze will help improve the look of it, it will not completely correct it.  I would recommend Smart Lipo to first treat the deeper fatty layer and to also provide skin tightening to the problem areas.  What cellulite doesn't resolve with the Smart Lipo I would then consider treating with Cellulaze. 

Cellulaze is the first FDA approved minimally invasive, one-time treatment for cellulite.  It utilizes a 1440 nm side-firing laser fiber optic to treat the three main causes of cellulite:  It breaks down the fatty bulges, then cuts the fibrous septae that cause dimpling, then finally stimulates the dermis to shrink and thicken in order to improve the look of you cellulite areas.


Good luck in your endeavors!


Robert Kratschmer, MD

Robert Kratschmer, MD
Houston Plastic Surgeon
4.5 out of 5 stars 36 reviews

Cellulaze is the new standard of care for Cellulite treatment

There have been several treatments that have been approved by FDA for cellulite of the thighs. However, all of them except Cellulaze provide only very transient clinical benefit. Cellulaze is unique as it targets the anatomy of the cellulite by lasering underneath the cellulite skin of the thighs. The dimples of the cellulitic areas are treated by Cellulaze by thermally subcising the tethered scar tissues that are responsible for the dimples by pulling the skin downward. Cellulaze treatment protocol also will address fat protruded areas as well as skin laxity. Histology studies have confirmed increased in collagen production and skin dermal thickness a year after Cellulaze. Clinical photos have confirmed the clinical benefits of Cellulaze can last way beyond the official FDA indication of one year.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Cellulite treatment

Consider Cellulaze - a FDA approved one time treatment that utilizes a 1440 nm wavelength laser to accomplish 3 things:  1) melt away fat bulging out 2) break up fibrous septae (attachments) that create the indentations and 3) help thicken the dermis (skin) to prevent future recurrence.   The procedure can take between 60-90 minutes and can be completed under local or just IV sedation (depending on the length of your procedure and number of areas being treated). To see your final results takes between 3-6 months. You can visit the cellulaze . com website to learn more about the procedure and find a plastic surgeon who performs the procedure near you. Best of luck!
Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.