Paul M. Parker, M.D., F.A.C.S., medical director of the Parker Center for Plastic Surgery in Paramus, N.J. believes the best available option for reducing cellulite is Cellfina (Ulthera), a motorized reciprocating blade that releases fibrous bands associated with cellulite.
However, candidates first need to be carefully evaluated to ensure that “they indeed have cellulite rather than some loose skin,” Dr. Parker tells Cosmetic Surgery Times. “What Cellfina does well is treat the dimples of cellulite; hence, when examining the patient, you want to carefully examine and stretch their skin. When stretching the skin, the dimple should not go away. This tells you that the dimple is held in place by a shortened fibrous band.”
Dr. Parker, who paid $65,000 for the cart-based device 1 year ago, has treated about a dozen patients, all female and between the ages of 25 and 65. The two most popular treatment sites are the buttocks and the thighs.
Major components of Cellfina are a holder for an intravenous bag that is filled with local anesthesia or wetting solution, tubing to transmit the fluid into the patient, a vacuum chamber to hold the tissue in place, and a plastic guidance platform attached to the vacuum chamber, which has grooves for both a 22-gauge spinal needle to introduce the anesthesia fluid and for a 0.5 mm reciprocating blade to release the bands. The only hardware is a motor that connects to the blade.