What is the Reason Behind Cellulite?

Cellulite can be observed in the form of dimpling in the lower body, including the butt, thighs, and abdomen, where fat is typically stored. This is an issue that 90% of postpubertal women come across. Cellulite can be a problem for all genders, ages, ethnicities, and sizes and while it is mostly associated with being overweight, there are a variety of factors that can cause cellulite, such as hormones, body fat, age, and genetics. It is often very challenging to keep cellulite under control, however, due to medical advances, a new cellulite treatment has been released recently, which can permanently eliminate these frustrating signs of cellulite. It is called Collagenase Clostridium Histolyticum (or QWO in short). QWO is a clinically proven treatment to make the appearance of cellulite on the skin less visible and involves an injectable drug for cellulite fully approved by the FDA to treat cellulite in the buttocks of women. If properly performed, QWO cellulite promises to reduce and eliminate moderate to severe cellulite.

The new procedure for cellulite removal targets fibrous septae – the fibrous bands that create tension between the fat, fascia, and dermis. This is one of the main reasons why cellulite looks the way it does. The treatment involves a minimally invasive reduction and elimination of the skin surface cellulite without bringing the complications of a surgical intervention, including its downtime. The main problem cellulite creates is the dimpling and bumpiness in the skin caused by the fibrous septae pulling the dermis down, while fat cells protrude beyond the limits of the fibrous septae. This is what creates a bumpy appearance on the outer surface of the skin.

If cellulite bothers you and affects your self-confidence, then QWO is very likely to be the solution for you. Dr. Schwarzburg, being a known expert in cosmetic medicine and dermatology, offers QWO treatment at his boutique medical spa on the Upper East Side of Manhattan, NYC. There are a number of different skin tightening and rejuvenation treatments that are offered at Miracle Face, QWO now being one of them.

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May 16, 2017

What is Cellulite and What Are the Causative Agents?

Cellulite is a skin condition mainly affecting postpubertal women in regions of the lower body, such as the buttocks, abdomen, and thighs, where fat accumulation is more common. Cellulite is not limited to any gender, age, size, and background. Not only is it incredibly frustrating, but also does not go away very easily. There can be a number of different causes for cellulite, e.g. hormonal factors, genetics, age, weight, underlying medical conditions, and even diet. These many factors add up and form cellulite, creating a challenge in developing procedures to get rid of cellulite.

When fat pockets below the skin herniate, lumpy dimples become visible above the skin surface layer creating what we call cellulite. Fibrous septae are narrow fibrous bands that pull the skin downward. This is a huge contributing factor to the appearance of cellulite, especially when the fat present in the problem area transcends the depth of the fibrous septae and protrudes outward, forming dimpling. What we see as a result is cellulite dimples on the skin. The American Academy of Dermatology (or AAD) has proven that anyone can be affected by cellulite, however, women are more inclined to suffer from it due to hormones. While cellulite is often associated with being overweight, it can be observed among people of all shapes and sizes in various forms. It mainly depends on the thickness and elasticity of the skin, genetics and some other factors.

Fat is one of the main causative agents of cellulite and can surely make the appearance of cellulite more vivid. The majority of women suffer from cellulite because of larger fat cells under the skin caused by higher estrogen levels, meaning cellulite is not necessarily caused by being overweight.

In general, having fat can cause visible cellulite. This is absolutely normal, especially in women. The Journal of European Academy of Dermatology and Venereology has conducted a study classifying three grades or types of cellulite: Grade 1: mild superficial dimpling with 1 – 4 slight depressions in the skin; Grade 2:moderate deeper rippling of the skin with 5 – 9 medium depressions in the skin; And grade 3: severe deep rippling of the skin with 10 or more deep depressions. The 2nd and 3rd grades of cellulite are more apparent, however, all types can be incredibly frustrating, especially after trying everything to minimize their appearance.

Hormones, e.g. thyroid hormones, prolactin, noradrenaline, insulin, and estrogen, are likely to contribute to the appearance of cellulite. This can happen particularly during menopause when estrogen and collagen shift within the connective tissue.

QWO cellulite treatment

Is Cellulite Permanent?

The factors contributing to the formation of cellulite will always be present in the patient unless tackled. And in this sense cellulite is permanent. It can be treated, however, with procedures that address these factors. There is no permanent cellulite treatment, however, with consistent treatments, cellulite can be permanently eliminated.

Are There Any Really Effective Cellulite Treatments?

Unfortunately, there is no overnight cellulite treatment or cosmetic procedure to get rid of cellulite once and for all. You will need to maintain follow up visits and continue taking care of your skin and body after receiving your treatment. Cellulite has always been an issue that many try to tackle through different skin care treatments and invasive surgical procedures, with little to no success. So how do you treat cellulite? There are dozens of treatment procedures, sera and creams on the market that promise to get rid of cellulite overnight, such as the anti cellulite massage NYC. There are even diets and cleanses that supposedly eliminate cellulite. Some skin care treatments usually involve coffee grounds or sugar scrubs that can actually improve the skin in a sense, but won’t be able to get rid of the dimpling associated with cellulite, as the cause lies below the skin..

There are also surgical procedures such as liposuction that can help reduce the appearance of cellulite, not always efficiently though. There were even some attempts to fill in cellulite dimpling with dermal fillers such as Sculptra for cellulite, however as we can see in fillers for cellulite before and after photos, there is little to no success. The reason why these treatments were minimally successful is because none of them had addressed the primary causes behind the formation of cellulite dimpling: the fibrous bands and connective tissue beneath the dermis.

Of course, a healthy diet and having your body fat percentage at a healthy minimum will be useful and may help reduce the possibility of developing deep cellulite dimples. Sadly, no preventative measures have proven to be particularly successful in fighting cellulite if not through a medical treatment.

The good news is that dermatologic medicine has made scientific advances that allow the reduction and even elimination of moderate to severe signs of cellulite in a safe and effective manner. Addressing the main causes behind the formation of cellulite is the best treatment to get rid of cellulite. So, what is the new cellulite treatment? Collagenase Clostridium Histolyticumaaes is a novelty in the world of cosmetic medicine and dermatology known to permanently eliminate cellulite in the female buttocks. This became an FDA approved cellulite treatment in 2020. The progress that the treatment provides can be seen in QWO before and after photos. This is the latest and the most effective cellulite treatment on the market. The procedure is minimally invasive and involves skillful injections of QWO over the course of three sessions. Heavy bruising is typically associated with the procedure, however no downtime or surgical intervention is involved.

What Fights Cellulite on the Thighs or Legs?

Before the development of QWO, the majority of treatments mainly focused on killing fat cells in the area of concern via liposuction or CoolSculpting thighs for cellulite; the latter being a less invasive method. While these treatment options have been successful in treating and preventing cellulite, when it comes to notably improving the appearance of the skin with cellulite, the QWO injectable treatment is indispensable. There are patients who have tried everything for thigh cellulite treatment, and only the QWO cellulite before and after results with the new cellulite removal injections have left them with real, satisfactory results. Clinical studies claim that women who have received three QWO treatments 21 days apart could see their results within ten weeks. Not only is this leg cellulite treatment effective, but as a bonus it is minimally invasive and non surgical. The duration of the treatment is maximum 10 – 20 minutes and no downtime is required after the procedure.

FDA Approval for the QWO Injectable Treatment

QWO is the newest treatment that was FDA approved for cellulite reduction in July, 2020. It is meant to treat cellulite in the female buttocks. This is an FDA approved cellulite treatment that has undergone the largest clinical trial on cellulite treatment NYC by Endo Aesthetics, the pharmaceutical company that produces and distributes the drug. QWO is the first injectable cellulite solution and it is already starting to go viral in the field of cosmetic medicine. Dr. Schwarzburg is among the first to offer it at his NYC medical spa.

QWO Cellulite Treatment NYC

QWO has been proven to be the most effective cellulite treatment. It works with an injectable medicine for cellulite developed to break down collagen strands that form the fibrous septae under the skin, with the help of two active enzymes, AUX-I and AUX-II. The enzymes break down fibrous bands, releasing pulling tension on the dermis, thus, allowing the skin to become smooth and less dimply. The results won’t make you wait long; you will already be able to see them after just three sessions 21 days apart from each other. And no downtime is required.

Who Makes QWO Cellulite Treatment?

An international pharmaceutical company named Endo International, known for urology, men’s health, orthopedics, and endocrinology has developed a branch called Endo Aesthetics, that successfully develops QWO cellulite treatment.

What Should I Expect During the QWO Procedure?

If you’re looking for a way to improve, or even completely get rid of your stubborn cellulite, then this treatment may be for you. Before the treatment itself you will need to have a personalized one on one consultation with Dr. Schwarzburg. During the consultation you will have the chance to discuss your concerns and problem areas, and go over the details involved in the treatment for Dr. Schwarzburg to establish whether you are a candidate for it. If you are a good candidate for the treatment, then Dr. Schwarzburg will design your unique treatment plan according to your individual goals, needs, and body specificities. This is followed by the treatment itself. During the procedure, Dr. Schwarzburg will carefully inject QWO into the problem areas after proper sanitation of the treatment area and marking of the dimples present. The procedure is usually described as painless by most patients, however, a topical numbing cream may be applied on the treatment area to relieve any possible discomfort. No downtime is needed after the completion of the treatment, meaning the patient can go back to their normal activities immediately after the procedure. There will however be moderate to severe bruising in the treatment area that will subside in 2 weeks.

Can You Get QWO Injections for Cellulite?

The FDA has approved QWO injections for reducing the appearance of cellulite in the buttocks and upper thighs among adult women suffering from moderate to severe cellulite. The QWO cellulite injection treatment is specifically developed for dimpling and cellulite reduction and elimination. It targets fibrous septae which is primarily responsible for the formation of cellulite seen on the skin. The treatment does not involve recovery time and the results will be visible ten weeks following the procedure.

How Long Does It Take for Cellulite to Go Away with QWO Cellulite Treatment?

Clinical studies on the QWO cellulite treatment have shown evidence that more obvious results can be observed after three treatment sessions spaced out three weeks apart. After three QWO sessions, the patients experienced smoothness and reduction of dimpling in the skin. In comparison to other cellulite reduction procedures, the QWO treatment has proven to be notably effective.

Are There Any Side Effects?

Bruising is the most commonly reported side effect associated with the QWO treatment. Besides that, there may be some pain, the risk of nodule formation, pruritus, erythema, discoloration, swelling, and warmth around the treatment area. However, all of these side effects are of temporary character and absolutely treatable. You should avoid undergoing this treatment in the case that you have a history of hypersensitivity to any collagenase injections for fat loss or to any of the components of the treatment itself, as well as if there is any sort of infection around the injection site. The treatment might result in above average bruising if you have any history of bleeding abnormalities or are going through an antiplatelet or anticoagulant therapy.

What Is the QWO Cellulite Treatment Cost?

The Cost of QWO cellulite treatment depends on the severity of your cellulite, how many treatment sessions will be needed, the geographical location of the clinic, as well as the qualifications of the performing professional. The average cost of QWO treatment in NYC ranges from $2000 to $3000 for three sessions, which is the typical number of sessions needed for severe cellulite improvement. Most other cellulite reduction treatments require several follow up sessions to be completed within a year in order to reduce the appearance of cellulite. However, with QWO you will need approximately three injection sessions for good results which can be maintained with a healthy lifestyle and diet.

Are there other effective cellulite treatments?

QWO injections are by far the most effective cellulite treatment. However, there are some other treatments that may help improve the appearance of the dimpling on the skin as well. The one common thing for all of these cellulite treatment options is that they target specific biological components that cause cellulite. One component that is targeted more frequently is fat, which is only one factor that goes into the formation of cellulite. Fat is what bulges outward and what creates the visible appearance of cellulite on the surface of the skin. CoolSculpting and Kybella are two of the most popular non surgical and minimally invasive procedures that target fat elimination.

Does CoolSculpting Get Rid of Cellulite?

CoolSculpting and Kybella do not directly eliminate cellulite, however, are amazing procedures for fat elimination. Fat and skin laxity are two major components to the formation of cellulite. This means that it can be treated using different skin tightening treatments, such as microneedling, secret RF fractional microneedling, mesotherapy, and Fraxel Dual laser, however, these treatments will only make a slight difference as there are other factors, such as fibrous septae, that cause the dimpling effect seen in cellulite.

Loose skin is not the only issue causing cellulite. A combination of treatments will be the best treatment for cellulite and loose skin. Boosting collagen and elastin production will result in a firmer and smoother skin temporarily diminishing the appearance of cellulite around the treatment area.

Velashape, Cellfina, Carboxytherapy, and Cellulaze are among the other treatments designed to treat cellulite. Velashape uses heat, infrared light, radiofrequency, and vacuum technology delivered by a handheld device to non-surgically target the fibrous bands underneath the dermis, reducing the appearance of dimpling in the skin caused by cellulite. Cellfina breaks up the connective tissue found underneath the dermis via a tool that uses a needle. The connective tissue is a contributing factor to the lumpiness on the skin surface. Carboxytherapy utilizes carbon dioxide injections into the tissue underneath the skin to supposedly increase blood flow and possibly improve the appearance of cellulite. Finally, Cellulaze is a laser skin tightening for cellulite treatment developed to break down the fibrous tissue underneath the dermis – the very thing that pulls down the skin, allowing the fat to protrude upward, making the skin bumpy and creating cellulite. The laser heat is designed to break these fibrous bands apart, simultaneously improving the thickness and quality of the skin.

Thermage for cellulite before and after results have proven a certain level of success, though results do not last for longer than a year. In the end, what is the best treatment for cellulite? Analyzing all the currently available real cellulite solutions, we can surely state that the best non-invasive cellulite treatment is QWO. Yes, other treatments have also shown certain efficacy and yet the results that QWO injections have demonstrated supersede the previous attempts on cosmetic cellulite treatment.

Does Body Contouring Work for Cellulite?

Many patients first attempt to address their cellulite through improvements in their general lifestyle, controlling their weight, cleaning up their diet, working out, avoiding weight gain, and maintaining an overall healthy lifestyle. However, this does not necessarily improve the appearance of cellulite as fat is not the sole contributor to the formation of cellulite. Treatment like CoolSculpting and Kybella may help, but the bottom line is that fat loss alone, may not be enough to get rid of cellulite.

The simple explanation to this is that fat is not the only causative agent of cellulite. Especially when it comes to women, hormones can play a huge role in cellulite formation, alongside the fat. Having fat on your body is absolutely normal and healthy. It is the hormone imbalances that can cause fat cells to increase in size, resulting in cellulite due to how big the fat cells are. Cellulite can be developed even on the bodies of those with a lower body fat percentage, if the little amount of fat cells they have are larger than average.
Keep in mind that QWO does not target the fat, but the fibrous septae that pulls the dermis downward, as the fat bulges upward, creating cellulite dimples. This is what makes QWO injections an outstanding cellulite reduction and elimination procedure that exceeds the results of other treatments on the market. The QWO treatment results in fibrous septae destruction and collagen production. The outcome is smoother skin, less cellulite, and long-term results.

If you would like to give the QWO injectable treatment a try to address your cellulite, then Dr. Schwarzburg can offer you a professional and high quality treatment. Not only does he have years of experience in the field of cosmetic medicine, but is also a leading expert in the field and offers diverse treatments for cellulite reduction in Manhattan at his luxury NYC medical spa. You can schedule your personalized consultation with Dr. Schwarzburg by calling us at (212) 774-4264 or sending an e-mail at info@miraclefacemedspanyc.com.