Cellfina Cellulite Treatments

Cellfina Cellulite Treatments; At A Glance

  • Best Results2-4 sessions
  • Treatment Recovery1-3 weeks
  • Procedure Time60 to 90 min
  • Skin SpecialistDavin Lim
  • Duration of ResultsVariable
  • AnaestheticLocal, gas, sedation
  • Back to Work2-7 days
  • Cost$$-$$$$

Cellfina Cellulite Treatments

Cellfina is a subcision device that treats dimples & divots in patients with cellulite. This treatment addresses one of the many causes of cellulite- namely fibrous banding. This treatment is best combined with dermal fillers & radiofrequency devices.

FactsFacts on Cellfina Cellulite Treatments

  • Cellfina is a brand name for surgical subcision of cellulite bands
  • Cellulite bands are responsible for some patterns of cellulite
  • These bands typically cause discrete divots
  • Cellfina subcises these bands surgically
  • Wavy cellulite & cellulite of the inner thighs do not respond to Cellfina
  • Cellfina should always be combined with collagen stimulation methods including dermal fillers & radiofrequency-electromagnetic devices
  • Patient selection is critical for good results

How does Cellfina work?

Cellfina is a surgical treatment for cellulite. It works best for discrete dimples & divots on the buttocks & outer thighs. A vacuum lifts the skin & connective tissue upwards, whilst a blade transects the fibrous bands that cause cellulite. Each divot or depression is manually treated & released.

This procedure is conducted under local anaesthetic & typically takes 40 to 90 minutes to perform. Compression stockings must be worn for 10-14 days post treatment.

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  • Large, deep dimples are best treated with a combination of subcision followed by injection of collagen stimulating material.
  • Multiple deep cellulite dimples are the best candidates for Cellfina or subcision. Many patients have both deep and subtle cellulite and require a combination of subcision, filler, & RF/electromagnetic devices. These can be done during the same treatment session.
  • Patients who have more subtle, wavy-type cellulite are better candidates for collagen stimulating dermal fillers & RF devices.


Does it work on all forms of cellulite?

No. Cellfina & subcision procedures work best on discrete divots or depressions. This subtype of cellulite is very different compared to ‘global’ cellulite characterised by waves & undulations.

Discrete ‘divots’ have fibrous bands that connect the dermal layer of skin to the underlying fat & muscle layer. The Cellfina knife (subcision) cuts these bands. 

How many treatments are required?

It really depends on the number of divots/depressions. Cellfina & surgical subcision addresses each and every depression manually. Some patients have half a dozen whilst others may have over 50. The number of sessions typically ranges from 1 to 3.

Davin’s Viewpoint: Cellfina for Cellulite

I was involved in the European launch of Cellfina in 2016. This device is essentially surgical subcision for those who don’t know how to subcise. Cellfina is a good tool for beginners as the vacuum elevates the underlying skin & subcutaneous tissue, whilst the two-level entry ports allow for controlled subcutaneous incisions with blades.

The majority of plastic & dermatologic surgeons are adapted to free hand sharp blade or cannula dissection & subcision. Generally, we are more accurate, & can customise the depths based upon feel. My preferred subcision method is with free hand instruments. This applies to more difficult subcutaneous subcision of facial & neck acne scarring.

It is important to remember that Cellfina, Celluerase, Cellulase & subcision methods only address the taut vertical – oblique bands of cellulite. Two other aetiologies need to be addressed, namely fat herniation & the thin dermal – hypodermis. Collagen stimulating dermal fillers & energy devices (Radiofrequency) are required to strengthen the dermis & reduce out-pocketing of adipose tissue.

Patient selection is critical to the success of Cellfina & subcision. In this article I have discussed the ideal patient profile, including the presence of discrete bands located on the buttocks & lateral thigh area. Generalized cellulite does not respond well to surgical intervention, hence the use of radiofrequency & electromagnetic devices as adjunctive therapy.

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