Cellulite and Buttock Augmentation

Understanding Cellulite

Cellulite is one of the most common, yet least tolerated aesthetic concerns. Cellulite occurs when fibrous bands called septae pull the skin down, creating the “dimpling” effect as fat cells bulge between them. Septae are tough, collagenous bands that connect the skin to underlying muscle, and their tension is a major cause of cellulite’s dimpled appearance. While fat accumulation makes cellulite more visible, the primary cause is the uneven pull of the septae, which occurs more frequently in women due to anatomic differences in their septae’s structure.

Volume loss in the gluteal area can further accentuate irregularities.

Cellulite Treatment Options

• Biostimulatory Fillers (Sculptra®, Radiesse®): Add volume and stimulate collagen for smoother texture and subtle lift.
• Energy-Based Devices: Radiofrequency and ultrasound tighten skin and remodel tissue.
• Combination Approaches: Often the best results come from blending injectables, collagen stimulators, and energy treatments.
• Subcision of fibrous septae: can release their attachment, allowing skin to spring back into place and reduce the appearance of dimpling

Gluteal Augmentation

For patients looking for enhanced volumization and gluteal shaping, biostimulatory fillers can be utilized to promote collagen building and fullness. Typically, Radiesse is used to address both dimpling and providing shaping, while Sculptra is used to volumize (butt lift). Simultaneously, ultrasound device treatments, such as Sofwave, can help tighten skin at a more superficial level to iron our textural irregularities.

Benefits

• Smooths cellulite dimples and irregularities
• Adds subtle lift and contour to the buttocks
• Stimulates collagen for firmer skin
• Improves confidence in swimwear and fitted clothing

What to Expect

• Most treatments require a series of sessions for optimal results.
• Bruising and swelling may occur temporarily
• Results are gradual, developing over several weeks
• Little to no downtime for most procedures

FAQs

• Can cellulite be completely cured? It can be greatly reduced, but maintenance treatments are needed over time
• How long do results last? Injectable and biostimulatory treatments can last 1–2 years.
• Is gluteal augmentation natural-looking? Yes — when performed conservatively with biostimulatory fillers, results are subtle and harmonious. Augmentation can be performed in a stepwise approach to avoid overfilling and to maintain a natural aesthetic that is congruent with one’s body type.

Dr. Brian Hibler combines artistry with Harvard fellowship training in cosmetic dermatology to provide advanced, natural-looking cellulite and gluteal augmentation treatments in NYC. Schedule your personalized consultation today.