Cellulite is an extremely common condition and is seen in 9 out of 10 adult females. Although completely harmless, the appearance can be somewhat displeasing. Cellulite shows up as lumpy, dimpled flesh, typically on the thighs, hips, buttocks, and abdomen.
Cellulite is caused by structures called fibrous bands which are located under the skin’s surface. These bands pull the skin inward, and as a result, fat is trapped between them, giving the skin a “dimpled” appearance. Unfortunately, since the result of cellulite is caused by a change in the skin’s architecture, its severity is not improved by diet or exercise.
The best treatment for cellulite reduction is the mechanical or chemical relaxing of these bands in combination with the addition of volume to the skin. Once the bands are relaxed, the tension on the skin’s surface is decreased, helping to reduce the appearance of dimples. In addition, a volumized, thicker skin will resist further downward tension and help the skin to appear smoother.
Qwo® is the only injectable that is FDA-approved for cellulite reduction. It's made up of an enzyme that dissolves the fibrous bands (fibrous septae) that cause cellulite. The result is visibly smoother skin and less dimpling.
Qwo works by initiating a process called enzymatic submission and remodeling. The injectable dissolves the fibrous bands and causes the fat cells to reorganize and spread more evenly underneath the surface of the skin.
Qwo is a collagenase clostridium histolyticum enzyme which has the ability to dissolve collagen. This medication has been used for more than a decade, but for different purposes. This enzyme was first approved by the FDA in 2010 under the trade name of Xiaflex for the treatment of Dupuytren’s contracture. In this condition, fibrous bands of collagen accumulate in the palm of the hands, preventing fingers from straightening. In 2013, the FDA approved this enzyme for the treatment of Peyronie’s disease, a condition of excessive collagen accumulation on the penile shaft preventing the shaft to fully extend. Injection of clostridium histolyticum enzyme into these fibrous bands resulted in relaxation of these bands and resolution of symptoms. In 2020, the FDA approved the use of clostridium histolyticum enzyme under the trade name of Qwo for the treatment of cellulite on the buttocks.
Radiesse is an injectable filler that contains microspheres made up of phosphate and calcium. These two substances are naturally found in the body and help stimulate your skin’s own collagen production. Radiesse immediately fills out areas that lack volume, and as time goes on, the microspheres encourage the body to generate new collagen. Depending on the person, Radiesse can last for 1 to 2 years. It’s a great treatment for volume loss in various parts of the face like the temples, jawlines and for lifting the jowls by treating the lateral cheek bone. Radiesse is Dr. Khorasani’s filler of choice for general lifting purposes.
Hyperdiluted Radiesse with lidocaine and saline may also be used for global skin texture enhancement and rejuvenation. The extent of dilution of Radiesse with lidocaine and saline depends on the area to be treated. For instance, a 1:1 ratio is used for the dimples from cellulite on the buttocks and a 1:4 ratio may be used for improvement of skin texture of the entire buttocks. The most popular areas we treat with Hyperdiluted Radiesse include:
- Age related lateral neck lines
- Décolletage (orange peel looking chest skin)
- Sagging buttocks skin
- Cellulite dimples on the thighs and buttocks
- Crepey skin around the knee and elbows
- Excessive skin laxity of the abdomen
- Post pregnancy abdomen
Since the beginning of his medical career, Dr. Khorasani has dedicated himself to mastering minimally-invasive body-contouring therapies to ensure each patient is provided with optimal aesthetic results. This expertise is used to craft an individualized therapy plan that accounts for your overall health, lifestyle restrictions, and cosmetic goals. We will work with you to find a treatment that best meets your needs.
Dr. Khorasani is triple-board certified in Dermatology, Cosmetic Surgery, and Facial Cosmetic Surgery and used his expertise to lead the Division of Dermatologic and Cosmetic Surgery at Mount Sinai for 10 years. His passion for providing patients with cutting-edge treatments to facilitate their cosmetic goals has led to his involvement in multiple research projects investigating novel applications and advanced clinical techniques for minimally-invasive body sculpting. Dr. Khorasani’s internationally recognized proficiency in cosmetic surgery has led many health professionals to seek his mentorship and learn from his best practices so that they too can provide their patients with optimal aesthetic outcomes.
Armed with this advanced clinical and academic competency, Dr. Khorasani carefully crafts a therapy plan for each individual that adheres to the highest standards of medical care and is optimized to produce the greatest results possible. Personalization is infused into every aspect of our practice, from the treatment itself to our highly-skilled office personnel that are available 24/7 to answer any questions or concerns. Together as a team, we can help you achieve your ideal body contour.
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 347-574-8500. For more information about how to get in touch:CONTACT US