How to Correct Butt Cellulite

This 31 year old caption names a lower body lift, high definition vaser liposuction of the back and flanks, and a Brazilian butt lift done to correct her butt cellulite. It does not name subcision, an Attiva treatment, or the heart-shaped excision. She is not the 26-year-old above.

How to correct butt cellulite

To correct butt cellulite, the account starts with what cellulite is. Cellulite is the undesirable appearance of the buttock, posterior thigh, and lateral thigh skin. The contour shows sporadic skin dimples surrounded by global skin pouting and redundancy. The indentation is created by oblique tethering ligaments that attach to the center of the dimple. Tension in that dimple displaces fat cells to the outskirts. Around the dimple, the skin pouts in a circle and is redundant. That pouting comes from an enlarged and higher density of fat that herniates outward because the ligaments there are loosened. The most prominent component is the skin redundancy that surrounds the sporadic dimples.

A single dimple, as this page describes it, has a center and a rim. The center is held down by the oblique tether. Fat that would have sat in that center is pushed outward by the tension. The rim is the circumferential pout, where the fat is enlarged and more dense, and where the ligaments are loose enough for that fat to herniate. The skin over the rim is redundant. The page ranks that redundancy as the most prominent part of the look, ahead of the dimple itself. The sites for this contour are the buttock, the posterior thigh, and the lateral thigh. The 26-year-old caption is a back, flank, buttock, and hip-dip fat transfer, and it does not place a dimple on her. The 31 year old caption includes back and flank liposuction inside a cellulite correction, together with a lower body lift and a Brazilian butt lift, and it does not say which of those three cut a tether.

The steps used to correct butt cellulite

The treatment goals are three, and they pull in opposite directions. First, release the tethering ligaments that attach to the central dimple. Second, tighten the loosened ligaments in the pouting skin around the dimples. Third, reposition fat from the high-density areas in the pouting and redundant skin into the dimples, where the fat-cell density is low. In severe cellulite, a lateral thigh and buttock tuck is advocated. The order used to correct butt cellulite is not written as interchangeable. The tether is released only after the scissor is inside the dimple, so the loose ligaments at the rim stay intact for the tightening step. Those rim ligaments are the ones the Attiva wand heats. The fat move comes last, from the rim into the center the tether had been holding down. The tuck is not a fourth step for every case. It is the operation this page substitutes when the redundancy is severe and extensive.

Subcision of the tether

Subcision means releasing the tethering bands under the dimple while preserving the loosened ligaments around it. The tool named here is an endoscopic scissor with a retractable blade. The blade stays retracted so the scissor can enter the center of the dimple without cutting those surrounding loosened ligaments. The blade is then engaged and cuts only the tethering ligament. Preserving the loosened ligaments is the reason for the retractable blade. If those ligaments were cut on the way in, the later tightening step would have no intact ligament left to heat. The blade therefore travels in while closed, and it opens only for the tether. The page does not name a second instrument for that cut.

Tightening the loosened ligaments

The loosened ligaments in the pouted and redundant skin are treated with the Attiva radiofrequency tool. A thin wand is introduced into the subcutaneous tissues. It delivers a thermal treatment through those pouted and redundant areas. The page says the ligaments tighten at once, and the skin retracts down to the underlying tissues.

Moving fat, and the warning against filling the crater

Redistributing fat is the final maneuver. Liposuction harvests fat from the pouting skin, and that fat is transferred back into the central dimples. The herniated fatty areas are what get moved into the dimple.

A separate note says cellulite deformities cannot be filled with further fat grafting. Filling a dimple is a frequent request from people who want the crater corrected. The page says that request is not very effective. Adding volume in the region only increases the prominence of the herniation. It is made worse if the tethering ligament is released at the same time. Both accounts stay: fat is moved from the pout into the dimple, and adding further fat into the crater is described as the wrong correction. The difference is where the volume comes from. In the accepted step, volume leaves the herniated rim and enters the dimple. In the rejected step, volume is added into the region, and the herniation becomes more prominent. Releasing the tether during that added-volume step is the combination the page says makes the herniation worse.

When the correction is a lateral thigh and buttock tuck

When cellulite is severe and the skin redundancy is extensive, a lateral thigh and buttock tuck is used to eliminate that redundancy. A heart-shaped excision is designed and completed. It removes the redundant skin and lifts the buttock, the lateral thigh, and the posterior thighs to the new location.

The definitive correction is that same lateral thigh and buttock tuck. The excision sits along the upper buttock. It is curved so that it marks the junction of the buttock and the lower back, and so that the buttock looks heart-shaped. The page says the leverage from this upper buttock cut is strong enough to eliminate cellulite even in the lower buttock. The heart-shaped plan is an excision, not a graft. The curve at the junction of the buttock and the lower back is what produces the heart-shaped buttock. The lift that follows reaches the buttock, the lateral thigh, and the posterior thighs. The lower dimples are not given a separate excision in this account. The upper cut is the leverage credited for them. The lateral thigh and the posterior thigh appear twice. They are part of the skin where cellulite is described, and they are part of what the heart-shaped excision lifts. The buttock is on both lists as well. Once redundancy is extensive, the tuck is aimed at those same surfaces, not at a new body area. Subcision, the Attiva wand, and fat redistribution act on the tether, the loose ligament, and the fat density. They do not remove the redundant skin. When that redundancy is the prominent problem and it is extensive, the page moves to the excision. The 31 year old caption includes a lower body lift in her cellulite correction. The page does not say that lift used this heart-shaped upper-buttock pattern.

The American Society of Plastic Surgeons describes liposuction, sometimes referred to as lipo by patients, as a surgical procedure that involves the removal of excess fat from specific areas of the body. That sentence matches the harvest of fat from the pouting skin. It does not describe subcision, the Attiva wand, the heart-shaped tuck, the warning against filling the crater, or either of these two patients.