Unhappy about butt and thighs. Have cellulite (dimple and wavy), poor skin laxity and shape. Suggestions? (Photos)

A combination approach is needed to get the most improvement. I recommend Cellfina in combination with Sculptra or renuva, and body treatments like Exilis Ultra/Venus Legacy, Cellutone/z wave. A VASER HI DEF procedure can be done for more contouring. See an expert for a formal evaluation. There is no cure but you can get good improvement. Best, Dr. Emer.

The most prominent issues in your photographs are dimpling from cellulite, and skin laxity.  Cellfina would be an effective and long-lasting method to treat your dimples.  I would recommend a radio frequency device like Exilis Ultra to provide some skin tightening after that.  Unfortunately, Cellfina does not work well on the wavy variants of cellulite.

You are correct that there are several issues here including skin dimples (cellulite) as well as some local areas of fat excess and overall skin laxity. I would start by trying to improve the "surface" with Cellfina. Following that you could consider either surgical options for tightening (buttock lift) or nonsurgical options such as external radiofrequency skin tightening (EndyMed, Thermage). Other options for improving the shape and laxity may include targeted liposuction and conservative fat grafting to fill some of the lost volume. Best to meet with someone who has a variety of treatment options to offer and discuss a reasonable plan

The dimpling over your buttocks can be significantly improved with Cellfina treatment. However, the loose wrinkles on the sides of the buttocks cannot be improved. The dimpling in your upper thighs can also be partially (50-75%) improved with Cellfina. If you have full knowledge of these limits and you adjust your expectations accordingly, you can expect to be very pleased after treatment. 

Thanks for sharing your photos. Non surgical therapies may offer some improvement to the buttocks and thighs. Without the benefit of an exam, you appear to be an excellent candidate for a spiral thigh lift. This surgery lifts the buttock and thighs all the way around. It would be a one time procedure and the results would be longer lasting than nonsurgical options.

Hi Milano45, Congratulations for knowing your treatments well!I'd start with Cellfina. It is a one-time treatment. This may take some time to fully heal but you'll be ready for Sculptra to build up the collagen, specially in areas that had lost volume. Sculptra can take about 3 sessions total. You can expect to use about 4-5 vials per session. Lastly, you can have Vaser and Laser.All the best, Justin Harper, M.D.