About 9 out of 10 women will have cellulite in their lifetime. That means your tough workouts and healthy eating habits are fantastic for your fitness and overall wellness—but won’t do much to reduce your cellulite. Despite its prevalence, cellulite is considered one of the hardest conditions to treat because (contrary to popular belief) cellulite is not fat. As many women have found out the hard way, even following a strict diet and workout schedule, sometimes cellulite just will not budge.
The dimpling on our skin comes from what is known as “fibrous septae”, collagen-rich structures in the dermal layer of our skin. These structures act as connective tissue between the skin and the cellulite fat, and they tend to get pulled tauter and tauter with age, diet, or even hormones.
This pulling and tension being created are what causes the outer layer of skin to be drawn down to the deeper tissue, creating the dimple effect we’re all too familiar with – this is what we have come to know and love (to hate) as cellulite.
QWO is the first and only FDA-approved injectable cellulite treatment (no cutting necessary) for moderate to severe cellulite on the buttocks of adult female patients.
The enzymes within QWO (called collagenases) help to target the structural causes under the skin, where cellulite starts, to release the fibrous bands and redistribute fat cells within the dermal layer while stimulating the growth of new collagen in our skin. Multiple injections into each fibrous septae will slowly release the fibrous strands. The entire treatment process is fast, virtually painless, and requires zero recovery time.
QWO requires is a series of 3 injection treatments spaced 3 weeks apart, for a total of 3 visits. After your final visit, we will schedule a two-week follow-up visit for final evaluation and photos.
Patients will begin to see results in as few as 10 weeks as the body begins to produce more collagen following the treatments. Once the fibrous septae that cause skin dimpling begin to relax, one can expect to see visible reductions in the appearance of cellulite in the buttocks.
Long-term studies of QWO are ongoing, but all indications are that QWO can last for years with no reduction in effects once treatment is completed.
If you are interested in getting the QWO treatment, we do require a quick in-person complimentary consultation prior to scheduling your appointment to ensure you are a candidate.
Ideal candidates are adult women who have moderate to severe cases of cellulite in the buttocks. This product is not currently indicated for men or other parts of the body such as thighs.
We want to avoid treating laxity as opposed to a true cellulite dimple. As the dermis thins and elastin fibers fragment, the skin loses its ability to recoil back like it once did. This causes the skin to sag. This results in a wavy appearance on the surface of the skin that looks similar to cellulite. This is different from true cellulite dimples which are caused by a thickening of fibrous septae. Differentiate between a true dimple and laxity by lifting the skin above the indentation. If the dimple goes away, it is an indicator that it is laxity and not a true cellulite dimple.
QWO injections are given 21 days apart for 3 treatment visits. The final results are evaluated 28 days after the third visit. The full treatment course is approximately 71 – 90 days.
$2145 – For Mild Cellulite
$2395 – For Moderate Cellulite
A complimentary consultation with our expert staff is needed to determine your specific needs and cost.
Appropriate dimples for treatment are well defined and evident when the patient is standing relaxed with her feet apart. The buttock muscles should not be engaged when choosing dimples to treat. Dimples near the gluteal crease should not be treated.
Photos will be taken prior to any injection. Each dimple will be marked with a dot and circled with a surgical marker. Photos will be taken to document the treatment and to help evaluate the results at the next patient visit.
While the patient is lying face down on a table, QWO is injected into the fat (subcutaneously) of each circled cellulite dimple. There is no need for a numbing agent. There is a limit of either 6 or 12 dimples per buttock during a treatment. That is a maximum of 12 or 24 dimples being treated on the visit. The entire injection procedure should take 10 minutes. After the injections, the patient needs to remain prone for 5 minutes.
There will be soreness as if you had a good workout. This will resolve in a few days. Do not participate in rigorous exercise involving the bottom half of your body for the first few days.
Nodules may be felt, but they will resolve in 7-10 days. It is a normal side effect of the treatment.
Expect to get injection site bruising following treatment. 84% of the QWO treated patients in the clinical trials experienced bruising. Due to the mechanism of action, there is often rapid and profound bruising after injection of QWO. It is believed that there is leakage of small blood vessels near the injection site due to the breakdown of collagen supporting those blood vessels.
Bruising following the first round of injections is the most profound. With each subsequent round, there is a decrease in incidents, severity, and duration. In the clinical trials, there was a decrease in the portion of subjects experiencing treatment-related injection site bruising with each of the treatment sessions. In addition to the reduction of bruising with each treatment, there was also a reduction in bruising severity in subsequent treatment sessions. In the clinical studies, the majority of patients with severe bruising reported no or mild pain.
It is encouraged for patients not to schedule injections close to events in which they may want to wear something more revealing like a swimsuit. Bruising may be visible.
The buttocks are home to plenty of fatty tissue, making QWO injections far less painful than neuromodulator or dermal filler injections to the face for instance. In fact, in our practice, many of our patients have rated their level of pain during and after the procedure a 0 or a 1 on a 0 – 10 scale.
The post-procedural bruising is very pronounced but is also not very painful. When soreness has been reported, patients have equated it to the soreness you feel after a really good workout.
Bruising is expected. Patients are more likely to get profound bruising at the site of the needle injection if they are taking aspirin or ibuprofen; these medications thin the blood and increase bleeding which causes the bruise. You should also let your provider know before treatment about any supplements they are taking, even if they are “natural,” because some (such as fish oil, Ginkgo Biloba, St. John’s Wort, and vitamin E, just to name a few…) also thin blood.
If you are taking any of these medications or supplements, you may want to consider stopping these 2 weeks prior to your treatment. Please consult with your primary care physician before stopping any prescribed medications or supplements.