Getting Cellulaze in Atlanta
What is Cellulaze?
Cellulaze is a laser cellulite removal treatment developed by Cynosure, the creators of the laser body contouring procedures, Smartlipo and SculpSure.
Prior to Cellulaze, only surface treatments and topical creams existed for the treatment of cellulite1, a medical condition present in 80% to 90% of post-pubertal women2, offering patients only minimal temporary improvement. Cellulaze is the first minimally-invasive laser procedure designed to treat the structural problems beneath the patient’s skin that cause cellulite, providing clinically proven, long-term results of a year or more3. The treatment thermally subcises the patient’s fibrous septae (connective tissue), targeting pockets of fat and increasing the patient’s collagen and elastin4.
Not only is there extensive clinical data showing Cellulaze has had strong results, but numerous peer-reviewed papers5 and presentations have proven the success of this innovative technology.
WIFH was the first in Georgia to offer this procedure to its patients and has been featured on CNN with Dr. Sanjay Gupta performing Cellulaze.
1. Rao, J (2004). A double-blinded randomized trial testing the tolerability and efficacy of a novel topical agent with and without occlusion for the treatment of cellulite: a study and review of the literature. Journal of Drugs Dermatology. 2004; 4: Pages 417-425. https://www.ncbi.nlm.nih.gov/pubmed/15303786
2. Sadick, N. (2018). Treatment for cellulite. International Journal Women’s Dermatology. 2018; 5: Pages 68-72. https://www.ncbi.nlm.nih.gov/pubmed/30809581
3. DiBernardo, Barry E., MD. (2016). A Multicenter Study for Cellulite Treatment Using a 1440-nm Nd:YAG Wavelength Laser with Side-Firing Fiber. Aesthetic Surgery Journal. 2016; 3: Pages 335-343. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127477/
4. DiBernardo, BE, MD. (2011). Treatment of Cellulite Using a 1440-nm Pulsed Laser with One-Year Follow-Up. Aesthetic Surgery Journal. 2011; 3: Pages 328-341 https://www.ncbi.nlm.nih.gov/pubmed/21385743
5. Burns, A. Jay (2011). Commentary on: Treatment of Cellulite Using a 1440-nm Pulsed Laser With One-Year Follow-Up: Preliminary Report. Aesthetic Surgery Journal. 2011; 3: Pages 342-343. https://academic.oup.com/asj/article/31/3/342/2770607
How Does Cellulaze Work?
Unlike other forms of cellulite treatments, which use radio frequency6 or laser energy7 over the patient’s epidermis, Cellulaze treats cellulite from under the skin. The laser cellulite removal treatment’s unique bidirectional laser beam is used to liquefy fat cells and to cut septae (connective tissue), which cause the appearance of dimpled skin.
Cellulaze is effective for treating any area of the body where dimpling skin has developed. Cellulaze is most commonly used for treating the back of a patient’s legs, buttocks, thighs and abdomen.
6. Albornoz-Cabello, M. (2017) Efficacy of monopolar dielectric transmission radio frequency in panniculus adiposus and cellulite reduction. Journal of Cosmetic Laser Therapy. 2017; 19(7): Pages 422-426. https://www.ncbi.nlm.nih.gov/pubmed/28678582
7. Fritz, K. (2018) Clinical evaluation of simultaneously applied monopolar radiofrequency and targeted pressure energy as a new method for noninvasive treatment of cellulite in postpubertal women. Journal of Cosmetic Dermatology. 2018; 17(3): Pages 361-365. https://www.ncbi.nlm.nih.gov/pubmed/29524305
What are the Risks/Side Effects?
The Cellulaze laser cellulite removal procedure carries very low risk8. The primary cause of complications in surgeries is the use of general anesthesia or IV sedation. Because it is a minimally invasive surgical procedure, Cellulaze is performed using only local anesthesia.
A mixture of lidocaine, epinephrine and sodium bi-carbonate are administered on the treatment area to thoroughly numb/anesthetize where Cellulaze will be performed. This is the safest form of anesthesia, as the patient remains awake, decreasing risk during surgery. Local anesthesia’s effects last several hours post-procedure, decreasing the need for narcotic pain medications post-surgery. For patients feeling anxious about being awake during Cellulaze, they do have the option of taking an oral sedative prior to the procedure.
Post treatment, mild bruising will occur, but typically resolves with in 2-4 weeks. The patient will wear a compression garment for 2 weeks post-surgery. During this time the swelling and bruising from the Cellulaze procedure will diminish.
8. DiBernardo, Barry E., MD. (2016). A multicenter study for a single, three-step laser treatment for cellulite using a 1440-nm Nd:YAG laser, a novel side-firing fiber, and a temperature-sensing cannula. Aesthetic Surgery Journal. 2016; 33(4): Pages 576-84. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127477/
Preparing for Cellulaze
Weeks before the Treatment
To reduce the risk of bleeding and additional bruising, patients should discontinue all supplements (with the exception of Arniva—more on this below), including fish oils, aspirin and ibuprofen a week before the Cellulaze procedure. Patients should also limit alcohol consumption several days leading up to the procedure.
For faster resolution of bruising, many patients start taking Arnica pellets 2-3 days in advance of their procedure. Arnica Montana is an herbal supplement and can be purchased at many drug stores or health food/vitamin shops.
Patients will also begin taking an antibiotic the day before the procedure.
The Day of The Treatment
On the day of the Cellulaze procedure, patients can eat a light meal before arriving for treatment as they will be awake during the procedure. If a patient chooses to take the oral sedative (anti-anxiety medicine), they will take that upon arrival at our office.
Once a patient’s vitals have been taken, Dr. Cox will mark the area(s) of cellulite to be treated using a stencil and marker, denoting both the fatty pockets and connective tissue bands.
Pre-procedure “Before” photos are also taken at this time.
What to Expect During the Procedure
The procedure begins with the infusion of lidocaine into the fat, the same technique Dr. Cox uses in the Smartlipo laser liposuction procedure. This is administered through tiny incisions or punctures, about the size of the tip of a ballpoint pen. Once healed, these incisions are virtually invisible.
After the patient is completely numb, Dr. Cox inserts the SideLight 3D Cellulaze laser fiber. The heat from the laser melts the trapped fatty pockets, cutting and releasing the fibrous bands that pull the skin down, creating the dimpled depressions most common with cellulite.
Once these bands are cut, the skin releases, and with it the melted fat that was trapped inside. The heat the laser triggers a healing response in the patient’s body, prompting it to overproduce collagen and elastin. If the cellulite has been present for an extended amount of time, the pushing and pulling of the skin against the cellulite can cause the skin to thin in those areas. As the body overproduces collagen following the procedure, it helps to rebuild these areas with thin skin. This process continues over time in order to rebuild and thicken the skin so that it appears smooth.
Cellulaze is completed using local anesthesia (lidocaine and epinephrine) to numb the treatment area. The numbing fluid is very effective and allows the patient to be comfortable during the procedure. While Cellulaze is being performed, the patient only feels movement and some pressure.
Dr. Cox will prescribe a mild pain medication for any discomfort following the procedure although most patients find over-the-counter pain medications are adequate.
The entire Cellulaze procedure takes approximately 1-1 ½ hours per area; an example of an area would be the backs of both thighs. Cellulaze typically requires one treatment to the area to achieve long-lasting results.
WIFH has patients from all around the country who travel to Atlanta to have Dr. Cox perform their Cellulaze treatment. These patients are able to fly in, have their procedure, and fly out the next day.
Cellulaze Recovery Time
The post-Cellulaze treatment healing time is very quick with the patient able to get back to normal activities 1-2 days post-procedure. Many WIFH patients return to work the next day. The patient may experience some drainage from the incision sites for the first 24-48 hours post-procedure. The patient will also experience mild tenderness for the first few days and should expect significant bruising and some swelling for around two weeks.
Because the incisions are so small, they do not require stitches after the procedure. The incisions heal quickly and are virtually undetectable. Patients are provided with a compression garment to wear for two weeks following the procedure. Strenuous exercise can resume after one to two weeks post-procedure depending on the individual patient.
Follow up post-procedure is very important. Cellulaze results are gradual, and it can be difficult for the patient to see the small changes as they occur. Dr. Cox recommends follow up at 1, 3, 6 and 12 months post-treatment where photos can be taken to track and illustrate the progress of treatment9.
9. Sasaki, GH. (2013). Single treatment of grades II and III cellulite using a minimally invasive 1,440-nm pulsed Nd:YAG laser and side-firing fiber: an institutional review board-approved study with a 24-month follow-up period. Aesthetic Plastic Surgery Journal. 2013; 37(6): Pages 1073-1089. hhttps://www.ncbi.nlm.nih.gov/pubmed/24114294
WIFH believes it is critical for anyone considering a surgical procedure, regardless of how minor, to personally meet with the doctor who will be performing the procedure. For this reason, the patient has a personal, complimentary consultation with Dr. Cox to discuss their goals and to educate them more about Cellulaze.
During the consultation, Dr. Cox will assess the areas needing improvement and provide recommendations for medical treatment. For instance, in some cases, patients benefit more from having Smartlipo or a combination of Smartlipo and Cellulaze, to treat their individual case.
Dr. Cox takes a comprehensive medical history during the consultation, so he and his medical team are aware of any health issues the patient may have.
The cost of Cellulaze is based on the number of areas being treated (meaning the areas where cellulite is located). An example of an area would be the backs of a patient’s thighs, and it would include both the right and left thigh.
Pricing starts at $3,995 for one area. Click here to see WIFH’s current Cellulaze pricing.
Before & After Photos
*Results may vary and are not guaranteed.
What makes Cellulaze different from other cellulite treatments?
What are the main advantages of Cellulaze?
- Easy treatment that boosts long term results
- Tightens and smooths skin
- Promotes skin thickening
- Minimal discomfort
- Results are long lasting
When can patients expect to see results?
Is there any scarring after Cellulaze?
What body regions can be treated with Cellulaze?
Who is a good candidate for Cellulaze?
How would you describe the Cellulaze procedure and recovery?
Do I have to do anything post-treatment?
How many Cellulaze treatments are needed to see results?
*Results vary from person to person and are not guaranteed