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    Examining Cellfina in the cosmetic practice

    More than two months into the much anticipated Cellfina (Merz Aesthetics) launch, we asked two cosmetic doctors to share their experiences with the FDA-cleared, minimally invasive treatment for cellulite.

    This is what they had to say.

    Dr. PalmDermatologist and cosmetic surgeon Melanie D. Palm, M.D., MBA, director, Art Of Skin MD, Solana Beach, Calif., and volunteer assistant clinical professor at University of California San Diego, says she treated her first dozen Cellfina patients as of May 2016.

    The technology is remarkable, Dr. Palm says, but it does rely on good operator judgement, planning and technique.

    "If the correct patient is selected, meaning a patient that is of stable weight, reasonably fit and has stubborn, discrete, dimple-like cellulite, the results are superb and quite visible even at a three-day follow up," Dr. Palm says. "Patients need good skin tone — too lax of skin is likely to yield less-than-ideal results. A younger population is better suited, especially those patients that remember having discrete cellulite lesions since early adulthood."

    A poor candidate, according to Dr. Palm, is one who has subtle, wavy textural abnormalities on the buttocks and thighs, which are more attributable to skin laxity, and not discrete lesions of dimple-like cellulite. Those patients are better served by skin tightening modalities, according to Dr. Palm.

    "Also, aggressive treatment of near adjacent lesions with too much overlap can create an unnatural result. I have not seen this in my own patients but have seen photos of others where this has occurred," she says. "… treatment in the banana roll is ill-advised. This is an extremely important anatomical structure and interrupting it is likely to result in an aesthetically unpleasing result. Again, I have not seen this in my own population but have seen results where over-judicious treatment was taken in this area. Lastly, patients that bruise easily and pigment easily (post-inflammatory hyperpigmentation) should be cautioned that bruising can be significant and its resolution slow. Encouraging these patients to avoid anti-platelet medications, and using topical or oral homeopathic remedies may prove helpful."

    NEXT: A Steep Learning Curve

    Lisette Hilton
    Lisette Hilton, president of Words Come Alive, has written about health care, the science and business of medicine, fitness and wellness ...

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