What is Cellulite?
Cellulite is a common, but an unwanted condition. It affects up to 75% of women and 10% of men. Cellulite occurs usually on the buttocks and the thighs and consists of fibrous bands in between the fat pulling down on the skin and causing that dimpling effect. Cellulite can be graded on a scale from 0 to 3.
- Grade 0 means there is no dimpling when the skin is squeezed;
- Grade 1 means no dimpling when standing but dimpling when the skin is squeezed;
- Grade 2 is if you only have dimpling visible when standing but not while laying down; and
- Grade 3 is when dimpling only occurs whether you are standing or lying down.
Treatment of cellulite has been an elusive “holy grail” in cosmetic medicine for decades. Technologies have continued to advance but many cellulite treatments thus far have been mediocre at best. In the past, the treatments for this condition have been very expensive and moderately invasive with a probe having to be inserted under the skin to cut or laser the fibers. Janiga MD’s utilizes two different options for cellulite reduction: EVOLVE and QWO®.

What is QWO®️?
QWO®️ is the first and only FDA-approved injectable that treats moderate to severe cellulite of the buttocks. This noninvasive treatment option can reduce the appearance of cellulite in adult women and treats all three of cellulite’s main causes: thinning skin, enlarging fat cells, and thickening fibrous bands.
The Procedure
QWO®️ consists of enzymes – called collagenases – that work in 3 ways: releasing fibrous bands, redistributing fat cells, and stimulating the growth of new collagen. Together, they smooth out the dimpled skin and create a naturally smoother appearance over the course of your treatment sessions.
These enzymes are injected directly into targeted dimples in the buttocks using a small needle. Injections will be given 21 days apart for 3 treatment visits. At each treatment session the areas of dimpling will be marked and treated, there will be more injections depending on the severity of your cellulite.
Results and Recovery
Injectable treatments such as QWO® require minimal downtime, and most patients can return to typical activities the day following their procedures. Mild to significant bruising at the injection site is expected with the first QWO® treatment, and it usually subsides within two to three weeks. You should have less bruising with subsequent QWO® injections. A shadowed area can persist for a few months after your 3 sessions while your body is completely healing.
What is EVOLVE?
EVOLVE is a noninvasive method of reducing cellulite with radio-frequency technology. This clinically proven method significantly reduces the appearance of cellulite with your body’s own natural recovery process.
The Procedure
EVOLVE uses a combination of radio-frequency and deep tissue heating to synergistically tighten the skin and improve cellulite. There is a warming sensation of the skin, but this is a comfortable procedure with most people experiencing very little discomfort.
EVOLVE is commonly used to treat the thighs, buttocks, or abdomen, but can be used in other areas as well. A package of sessions is recommended for best results and these results are long-lasting for the areas treated. As you develop more laxity or cellulite as you age more treatments may be desired to maintain your smoothed skin.
Results and Recovery
Patients will notice a small amount of redness in the treated area which will subside after a few hours. There is no downtime with EVOLVE, so you can go right back to work and regular activities right away.
Schedule a Consultation
If you have cellulite and would like to have it treated in a safe and effective way, please send us an email or call 775-364-0224 and learn more about which option is right for you.
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