ENHANCED cellulite reduction

For patients with mild cellulite or only a small number of dimples and indentations (which may not warrant a more invasive Cellfina treatment), Dr. Emer can perform manual, in-office subcision. For this minimally invasive technique, he inserts a small blade or the tip of a needle beneath the skin’s surface to break apart the tethered bands that create cellulite.

Dr. Emer follows the subcision procedure with Bellafill injections. Bellafill is a dermal filler that contains tiny polymethyl methacrylate (PMMA) microspheres suspended in a collagen gel. Once injected, the collagen gel plumps the depressed skin, and the PMMA microspheres bind to the tissue and create a scaffold beneath the skin. The microsphere structure boosts natural collagen production to create additional volume, further reduce the appearance of cellulite, and promote long-lasting results.

For those seeking cellulite reduction as well as improvement in the size and contour of the buttocks, Dr. Emer uses his innovative “BellaLift” treatment (a combination of Bellafill and Sculptra). Dr. Emer’s BellaLift technique works to create a “perkier” buttock and enhanced shape that builds over time. BellaLift requires several initial treatments in a single year followed by maintenance treatments one to two times per year.

Non-invasive radiofrequency (RF) or ultrasound energy-based devices can be used to enhance cellulite reduction treatment results. When expertly delivered to the deeper layers of the skin, RF and ultrasound energy stimulate new collagen formation and fibroblast cell production to improve skin texture and tone.

Benefits of energy-based treatments can include reducing the appearance of sagging and crepey skin and promoting smoother, tighter skin over time. Energy-based devices can also slow down age-related degeneration of collagen to delay visible signs of aging.

Depending on your treatment needs, Dr. Emer will select from Thermage, Vanquish, Venus Legacy, BTL Exilis Ultra, InMode Forma/Contoura, and Body FX to achieve maximum cellulite reduction results. With regular treatments, you can maintain healthier, more youthful-looking skin for an extended period of time.

Microneedling RF devices provide non-surgical skin rejuvenation that complements cellulite reduction treatments. Microneedling RF devices, such as InMode Fractora, InMode Morpheus8, and EndyMed Intensif, introduce heat into the skin without damaging the skin’s surface. The controlled RF heat helps to remodel loose and unhealthy collagen.
Through microchannels of energy, microneedling RF stimulates the formation of new collagen. Microneedling RF prompts subdermal skin tightening and improves skin elasticity for remarkable short-term and long-term results. Fractora, Morpheus8, and Intensif are also effective preventative treatments that can delay signs of aging to help you maintain a more youthful skin texture.

Some patients notice skin tightening effects immediately after microneedling RF treatment. More significant improvements appear with subsequent treatments at 4 to 12 week intervals.

Shockwave and massage therapy treatments (such as Cellutone, eVIVE, and ZWave) deliver high frequency vibrations to enhance micro-circulation and oxygen supply in the affected area. Vibration and shockwave therapy can break up scar tissue, improve blood flow, tighten the skin, smooth the skin’s surface, and improve muscle definition. Dr. Emer often recommends a combination of shockwave therapy and external RF treatments at regular intervals to best maintain cellulite reduction results.

Sagging skin occurs in many parts of the body with aging, and it often accompanies cellulite. Non-surgical thread lifting can subtly lift drooping skin to reduce the appearance of cellulite and restore a more youthful look.

Dr. Emer often performs Silhouette InstaLift thread lifting in the buttock area, where cellulite most commonly occurs. Silhouette InstaLift can corset and lift the skin of the buttocks and the buttock roll and increase collagen production.

Silhouette InstaLift sutures contain sugar-based cones that are activated once inserted beneath the skin. In the weeks to months following the treatment, the cones dissolve and new collagen forms in their place, promoting long-term improvements in skin tone. Results can be maintained and enhanced with periodic thread lifting procedures as recommended by Dr. Emer.

Eliminating excess fat can help reduce the visibility of cellulite, especially when combined with skin tightening and collagen-stimulating treatments. Dr. Emer often pairs cellulite treatments with non-invasive or minimally invasive fat reduction procedures.

As an alternative or complement to injectable fat-reducing treatments such as Kybella, Lipodissolve, and Mesotherapy, Dr. Emer may recommend fat reduction with:

truSculpt iD – Cutera’s truSculpt iD uses RF energy and targeted, subdermal heating to achieve permanent fat reduction in just 15 minutes per treatment area and session. Up to six handheld applicators are applied directly to the skin during a single treatment, either in a single location or in multiple areas simultaneously. The applicators send targeted pulses of precisely calibrated radiofrequency energy below the skin’s surface to deliver deep subdermal heat that permanently destroys stubborn fat cells.

CoolSculpting – CoolSculpting, or cryolipolysis, is a one-of-a-kind, non-invasive treatment that freezes fat cells. Once the treated fat cells are crystallized (or frozen), the cells die and are naturally processed and eliminated from the body over the course of about two to six months. CoolSculpting often involves multiple treatments at 8 to 12 week intervals to achieve optimal results.

BTL Vanquish Me – This non-invasive treatment uses radiofrequency energy to damage fat cells. The affected fat cells are then processed out by the body’s own lymphatic system. In addition to reducing fat, Vanquish can have a skin tightening effect. BTL Vanquish Me is often paired with CoolSculpting as part of Dr. Emer’s “Fire & Ice” fat reduction and skin tightening protocol.

For patients who are looking not only for cellulite improvement but also for more dramatic fat reduction, body contouring, and skin tightening, surgical cellulite reduction procedures may be a good option. Surgical intervention is often the best option for patients affected by both cellulite and severe skin laxity. Dr. Emer and his expert plastic surgeons can achieve comprehensive and long-lasting transformations by performing:

Hi-Definition Liposculpture – An HD lipo procedure can include VASER liposuction, fat grafting, and “shrink wrap” skin tightening with Renuvion and FaceTite/BodyTite. There are only a handful of highly skilled HD Liposculpture specialists like Dr. Emer who can tighten skin, reduce cellulite, correct botched procedures, improve indentations, and remove, purify, and repurpose excess fat to sculpt and define the whole body in one procedure.

Surgical body lifts – To resolve severe skin laxity that can worsen the appearance of cellulite, Dr. Emer and his plastic surgeons may recommend a surgical butt lift, arm lift, thigh lift, or combination lift procedure to best address your cosmetic concerns. Surgical lifts eliminate excess skin and reshape the treatment area to create tighter, smoother contours and improve skin tone.