What is the Cause of Cellulite?

Cellulite can be seen as dimpling in the lower body, including the butt, thighs, and abdomen; this is where fat typically accumulates. 90% of postpubertal women struggle with this issue. Cellulite is a skin concern that bothers people of all genders, ages, ethnicities, and sizes. While it is mostly thought to be caused by excessive weight, there are a number of different factors that can cause cellulite, namely hormones, body fat, age, and genetics. Keeping cellulite under control is mostly a rather challenging issue. However, thanks to medical advancements, recently a new cellulite treatment has been released, which promises to permanently eliminate the frustrating signs of cellulite. This treatment is called Collagenase Clostridium Histolyticum (or QWO in short). The QWO treatment is clinically proven to make the appearance of cellulite on the skin less obvious. It uses an injectable drug for cellulite that is fully approved by the FDA to treat cellulite in the buttocks of women. If properly injected, QWO cellulite will effectively reduce or even eliminate moderate to severe cellulite.

This new procedure for cellulite removal works on fibrous septae – the fibrous bands that create tension between the fat, fascia, and dermis. This is among the primary reasons why cellulite looks the way it does. This is a minimally invasive treatment that reduces and eliminates cellulite from the skin surface without bringing forth the complications of a surgical intervention, including the required time for recovery.

As the fibrous septae pulls the dermis down, the fat cells protrude beyond the limits of the fibrous septae; as a result dimpling and bumpiness shows in the skin. This is basically how cellulite is created giving a bumpy appearance to the outer layer of the skin.

If you struggle with cellulite and it negatively affects your self-confidence, then QWO can be the solution you are looking for. Dr. Schwarzburg is a well- known expert in the field of cosmetic medicine and dermatology. He offers QWO treatment to his clients at his boutique medical spa Skin Genity which is located on the Upper East Side of Manhattan, NYC. Apart from QWO, a number of different skin tightening and rejuvenation treatments are offered at Skin Genity.

QWO cellulite treatment

What is Cellulite and What Are the Causes of Cellulite?

Cellulite is a skin condition that bothers mainly postpubertal women in the areas of the lower body, such as the buttocks, abdomen, and thighs. Fat is most commonly accumulated in the mentioned body parts. Cellulite does not have any gender, age, size, and background limitations. Besides being so frustrating, it also does not go away very easily and quickly. Cellulite can be caused by a number of different factors, like hormonal issues, genetics, age, weight, underlying medical conditions, and even diet. These factors can add up and bring forth the unpleasant phenomenon of cellulite, making it a challenge for the experts in the field to develop procedures to get rid of cellulite.

Once the fat pockets below the skin herniate, lumpy dimples become obvious above the skin surface layer creating what we call cellulite.  Fibrous septae are narrow fibrous bands that pull the skin downward. This factor hugely  contributes to the appearance of cellulite, especially when the fat that is present in the problem area transcends the depth of the fibrous septae and protrudes outward, forming dimpling. As a result we see the unwanted cellulite dimples on the skin. The American Academy of Dermatology (or AAD) has proven that cellulite can affect anyone. And yet, women are more inclined to struggle with it due to the hormonal factor. It is not a secret that cellulite is often associated with being overweight. However it can be observed among people of all shapes and sizes in various forms. The formation of cellulite mainly depends on the thickness and elasticity of the skin, genetics and some other factors.

Fat is among the main causative agents of cellulite and does make the appearance of cellulite more eye-striking. Most women suffer from cellulite because of higher estrogen levels that increase the size of fat cells under the skin. This means that cellulite is not necessarily caused by being overweight.

Generally speaking, excessive fat can cause visible cellulite. This is a normal phenomenon, especially when speaking of women. The Journal of European Academy of Dermatology and Venereology has conducted a study, based on which it has classified three grades or types of cellulite: Grade 1: mild superficial dimpling with 1 – 4 slight depressions in the skin; Grade 2: moderate to deeper rippling of the skin with 5 – 9 medium depressions in the skin; Grade 3: severe deep rippling of the skin with 10 or more deep depressions. The 2nd and 3rd grades of cellulite are easier to notice. No matter which grade, all types of cellulite can be overly frustrating, especially when you’ve tried almost everything in an effort to minimize their appearance.

Hormones, such as thyroid hormones, prolactin, noradrenaline, insulin, and estrogen, are likely to contribute to the formation of cellulite. This is true especially during menopause when estrogen and collagen shift within the connective tissue.

Is Cellulite Permanent?

Those factors that contribute to the formation of cellulite will always be present in the patient’s body unless properly addressed. And in this sense cellulite is permanent. However, it can be treated, with special procedures that address specifically these factors. There is no permanent cellulite treatment. However, cellulite can be permanently eliminated with the help of consistent treatments.

Are Any of the Cellulite Treatments Really Effective?

Sadly, there is no overnight cellulite treatment or cosmetic procedure to get rid of cellulite once and for all. If you intend to get rid of cellulite, you will need to be consistent with follow up visits and continually  take care of your skin and body after receiving your treatment. Cellulite is not a new issue that people face; it has always been a problem that many have tried to solve by means of different skin care treatments and invasive surgical procedures, with little to no success. So how do you treat cellulite? There are tons of treatment procedures, sera and creams on the market that are designed to get rid of cellulite overnight, such as the anti cellulite massage NYC. There are even special diets and cleansers that are supposed to eliminate cellulite. Coffee grounds or sugar scrubs are part  of some skin care treatments that can indeed improve the quality of skin, but do not have the capacity to get rid of the dimpling caused by cellulite, as the real issue lies below the skin surface level.

There are some surgical procedures, e.g. liposuction, that are used to help reduce the appearance of cellulite. Unfortunately, even such radical procedures are not always sufficiently effective. In cosmetic medicine there have even been attempts of filling in cellulite dimpling with dermal fillers such as Sculptra for cellulite. However,  it is easy to notice in fillers for cellulite before and after photos, that those attempts have not enjoyed much success. The reason for the lack of real effectiveness among the mentioned procedures is that none of them addresses the primary causes behind the formation of cellulite dimpling: the fibrous bands and connective tissue beneath the dermis.

No doubt, maintaining a healthy diet and keeping your body fat percentage under control is always useful and may help reduce the possibility of deep cellulite dimple formation. The truth is, though, that no preventative measures have proven to be really successful in fighting against cellulite without the involvement of medical treatments.

And yet, due to the scientific advancements in the field of dermatological medicine, now it is possible to reduce and even eliminate moderate to severe signs of cellulite in a safe and effective way. Targeting the main causative agents of the cellulite formation is the best treatment to get rid of cellulite. So, what is the new cellulite treatment? Collagenase Clostridium Histolyticumaaes has been recently introduced to the world of cosmetic medicine and dermatology; it is known to permanently eliminate cellulite from the female buttocks. This procedure is known to be an FDA approved cellulite treatment since 2020. The positive changes made by the treatment can be observed in QWO before and after photos. This is the latest and the most effective cellulite treatment on the market. The procedure is minimally invasive in nature and requires skillful injections of QWO over the course of three sessions. It might cause heavy bruising, however it does not require any downtime or surgical operations.

Frequently Asked Questions

How Can I Effectively Fight Cellulite on the Thighs or Legs?

In the past, most of the cellulite treatments mainly focused on killing fat cells in the area of concern via liposuction or CoolSculpting thighs for cellulite; the latter is a less invasive method. This was before the development of QWO. Even with the fact that the mentioned treatment options have been successful in addressing and preventing cellulite, if you want to notably improve the appearance of the skin with cellulite, then 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 helped them achieve  real and satisfactory results. Clinical studies have proven that women who have received three QWO treatments 21 days apart were able to see their results in ten weeks. This leg cellulite treatment is not only effective, but also provides the benefits of a minimally invasive and non surgical procedure. The treatment typically takes a maximum  of 10 – 20 minutes, without any downtime associated with it.

QWO - an Injectable Cellulite Treatment Approved by FDA

QWO is the newest treatment that was FDA approved for cellulite reduction in July, 2020. It is designed to address cellulite in the female buttocks. This is an FDA approved cellulite treatment that has been thoroughly researched and tested by means of a large clinical trial on cellulite treatment NYC by Endo Aesthetics. The latter is a pharmaceutical company that produces and distributes the drug. QWO is the first injectable cellulite solution and has already gone viral in the field of cosmetic medicine. Dr. Schwarzburg is one the first specialists to offer this treatment at his NYC medical spa.

QWO Cellulite Treatment NYC

QWO has been recognized as the most effective cellulite treatment. It uses an injectable medicine for cellulite designed 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. These enzymes break down fibrous bands and relieve the pulling tension on the dermis. This technique makes the skin smoother and less dimply. The results typically do not take long; you will be able to enjoy them after just three sessions which are to be performed 21 days apart from each other. The treatment does not require downtime.

Who Is the Manufacturer of QWO Cellulite Treatment Product?

Endo Aesthetics is the company that successfully develops QWO cellulite treatment. It is a branch of  Endo International, which is an international pharmaceutical company known for urology, men’s health, orthopedics, and endocrinology.

What Should I Expect During My QWO Treatment?

If you’re searching for ways to correct, or even completely eliminate your stubborn cellulite, then this treatment may be what you need. First of all you will need to have a one on one consultation with Dr. Schwarzburg preceding the actual treatment. Such a consultation is a good opportunity to discuss your concerns and problem areas with a highly experienced physician, as well as go over the details involved in the treatment. Based on the outcome of the consultation Dr. Schwarzburg will be able to determine if you are a candidate for the QWO. And if you are a good candidate for the treatment, then Dr. Schwarzburg will develop a unique treatment plan that will meet your individual needs and suit your goals and body specificities. Once these steps are completed you will move on to the treatment itself. During the procedure, Dr. Schwarzburg will sanitize the area of treatment and mark the dimples, after which he will carefully inject QWO into the problem areas.  Generally, most patients have reported the procedure to be  painless. However, even with that a topical numbing cream may be applied on the treatment area to reduce any possible discomfort. No recovery time is required after the completion of the treatment, which basically means that the patients can go back to their regular activities right after the procedure. However, take into account that there might be moderate to severe bruising at the site of injection that will subside in 2 weeks.

Is It Possible to Get QWO Injections for Cellulite?

QWO injections are approved by the FDA to reduce the appearance of cellulite in the buttocks and upper thighs among adult women who suffer from moderate to severe cellulite. The QWO cellulite injection treatment is specifically designed to improve or ideally eliminate dimpling and cellulite. It is focused on fibrous septae which is the primary cause for the formation of cellulite that can be observed on the skin. The treatment does not impose the necessity of downtime and the results can be visible within ten weeks after the procedure.

How Long Does It Take the QWO Cellulite Treatment to Eliminate the Cellulite?

According to the clinical studies performed on the QWO cellulite treatment the more obvious results can be seen after three treatment sessions which should be spaced out three weeks apart. After the third QWO session, the patients tend to experience smoothness and reduction of dimpling in the skin. When compared to other cellulite reduction procedures, the QWO treatment has proven to be significantly more effective.

What Are the Side Effects that Come with QWO?

Bruising is considered to be the most common side effect that comes with the QWO treatment. Apart from bruising, there may be some pain, there is the risk of nodule formation, pruritus, erythema, discoloration, swelling, and warmth around the treatment area. However, all of the mentioned side effects are temporary and completely treatable.

If you have hypersensitivity in your medical history related to any collagenase injections for fat loss or to any of the components of the treatment itself, as well as if there is some kind of infection around the site of injection, then  you need to avoid undergoing this treatment. The treatment may cause bruising that is above average if you have any history of bleeding abnormalities or are going through an antiplatelet or anticoagulant therapy.

What Is the Cost of QWO Cellulite Treatment?

The Cost of QWO cellulite treatment is formed based on the severity of the case, the number of the treatment sessions that are required, the geographical location of the clinic, as well as the qualifications of the performing specialist. On average, the cost of QWO treatment in NYC can be anywhere from $2000 to $3000 in total for three sessions. Typically three sessions are needed to treat severe cellulite and improve its appearance. For the majority of other cellulite reduction treatments several follow up sessions are required that should be completed within a year in order to reduce the appearance of cellulite. In contrast to that with QWO you will need around three injection sessions for optimal results which can be maintained with a healthy lifestyle and diet.

Are There Any Other Effective Cellulite Treatments?

So far, QWO injections are recognized to be the most effective cellulite treatment. In fact, there are some other treatments that may be of help for improving the appearance of the dimpling on the skin as well. There is one thing that is common for all of these cellulite treatment options; it is the fact that they all target specific biological components that cause cellulite. One component that is targeted more frequently than others is fat. Fat, however, is only one factor that contributes to 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 among the most popular non surgical and minimally invasive procedures that aim at fat elimination.

Does CoolSculpting Help with Cellulite?

CoolSculpting and Kybella  are great procedures for fat elimination. However, they do not directly address and eliminate cellulite. Cellulite is formed mainly because of fat and skin laxity, which means that it can be addressed using different skin tightening treatments, such as microneedling, secret RF fractional microneedling, mesotherapy, and Fraxel Dual laser. And yet, these treatments will only bring a slight change as there are other factors that cause the dimpling effect seen in cellulite, such as fibrous septae.

Cellulite is not caused by loose skin only. Hence, a combination of treatments will be the best treatment for cellulite and loose skin. The stimulation of collagen and elastin production will result in a firmer and smoother skin and  temporarily diminish the appearance of cellulite around the treatment area.

As for some other treatments designed to treat cellulite, Velashape, Cellfina, Carboxytherapy, and Cellulaze are among them. Velashape utilizes heat, infrared light, radiofrequency, and vacuum technology that is delivered to the area of treatment  by a handheld device; it targets the fibrous bands underneath the dermis without any surgical interventions and reduces the appearance of dimpling in the skin caused by cellulite. Cellfina works by breaking up the connective tissue found underneath the dermis using a tool that is equipped with a needle. The connective tissue is a contributing factor to the lumpiness on the skin surface. Carboxytherapy involves carbon dioxide injections administered into the tissue underneath the skin; it is supposed to increase blood flow and possibly improve the appearance of cellulite. Finally, Cellulaze is a laser skin tightening for cellulite treatment designed to break down the fibrous tissue underneath the dermis – the very thing that pulls down the skin and allows the fat to protrude upward, giving the skin bumpiness and creating cellulite. The laser heat is meant to break these fibrous bands apart, at the same time improving the thickness and quality of the skin.

Thermage for cellulite before and after results have shown some success. Although its results do not remain for longer than a year. At the end of the day, what is the best treatment for cellulite? After assessing and discussing all the currently available real cellulite solutions, it is safe to say that the best non-invasive cellulite treatment is QWO. True, other treatments have also shown certain efficacy. And yet the results that QWO injections have achieved are by far better than any of the previous attempts on cosmetic cellulite treatment.

Is Body Contouring Helpful for Cellulite?

The majority of patients first try to dissolve their cellulite by improving their lifestyle in general, taking their weight under control, cleaning up their diet, exercising, avoiding weight gain, and maintaining an overall healthy lifestyle. However, this is not sufficient to improve the appearance of cellulite as fat is not the sole causative agent for the formation of cellulite. Treatments like CoolSculpting and Kybella may be helpful, but the bottom line is that by addressing fat alone, you won’t be able to get rid of cellulite.

The simple explanation to this is that fat is not the only causative agent of cellulite. Especially in the case of women, hormones can be a huge contributor to cellulite formation, alongside the fat. The presence of fat in your body is completely normal and healthy. The reason  behind increased size of fat cells is hormonal imbalances. The big  fat cells result in cellulite. Cellulite can be observed even in the bodies of those whose body fat percentage is low,  if the little amount of fat cells they have are larger than average.

Remember that QWO is not a fat targeting procedure. Instead it focuses on the fibrous septae that pulls the dermis downward, as the fat bulges upward, creating cellulite dimples. This is what makes QWO injections stand out and supersed the other  cellulite reduction and elimination procedures available on the market. The QWO treatment causes the destruction of the fibrous septae and stimulates collagen production. As a result, the patient is left with smoother skin, less cellulite, and long-term results.

If you consider giving the QWO injectable treatment a try for it to address your cellulite, then Dr. Schwarzburg is willing to 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. To schedule your personalized consultation with Dr. Schwarzburg feel free to call us at 212-203-7415 or e-mail us at info@skingenity.com.