Cellulite Treatment Buffalo, NY

What is Cellulite?

Cellulite is a term that describes the dimpled appearance of skin caused by fat deposits just below the skin’s surface. It is found in women, typically in the skin of the abdomen, lower limbs, and pelvic region.


What Causes Cellulite?

Many women believe cellulite is a fat problem that can be eliminated through diet and exercise. Truth is, you can lessen the appearance of cellulite somewhat by decreasing the fat cells under your skin, but you can’t get rid of it completely no matter how slim you become.

That’s because fat isn’t the problem; the structural makeup of women’s skin is the cause. Women have connective tissue bands under their skin that are like vertical bars, trapping pockets of fat between them. The fat trapped by these tight bands pushes upward against the skin, creating lumps on the surface, next to depressions where the connective tissue is separating the fat beneath. Yes, it’s the orange peel look of cellulite. And it only gets worse as we age and our skin thins.

This is the explanation of why skinny people can have cellulite, while heavy people may not. And men? Less than 10% have cellulite because, unlike the vertical connective tissue under women’s skin, men’s connective tissue is in an X pattern. For women, genetics plays a big role — if your mom had cellulite, you have cellulite. Hormones, aging, and weight also play a part.

Who Is At Risk For Developing Cellulite?

Cellulite affects approximately 85% of post-pubescent women. Women are more likely to experience cellulite results in dimpled, uneven skin with an “orange peel” appearance.

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Can you prevent cellulite from forming?

There isn’t a thing you can do to prevent cellulite formation. It’s both a part of being a woman. It’s simple anatomy.

What Is VASERsmooth™?

VASERsmooth is a cellulite reduction device that reduces cellulite through tissue tightening, cuts cellulite-causing fibers and promotes the creation of new collagen fibers within your body.

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Benefits Of VASERsmooth™

VASERsmooth is safer and more predictable than competing laser technologies because the procedure is 50% faster and works at lower temperatures. Lasers require heat to perform the cellulite reduction procedure. The necessary operating temperature for lasers is very near the point at which skin burns. In addition, lasers by design, destroy the cells they remove. Consequently, the fat cells and stem cells cannot be transferred to indented areas that may require filling.

How is VASERsmooth™ different from other cellulite treatment options?

Cellulite is an almost universal bane for all women. Treatments that have promised to address the appearance of cellulite have had little, if any, effect at all. Topical balms and creams don’t work because they cannot break the fibrous bands that attach the skin to the muscles beneath. It’s those fibrous bands that trap fat and create the dimpled, cottage cheese appearance of cellulite.

VASERsmooth™ uses ultrasound energy to break those connective bands.

This is similar to two other relatively new cellulite treatments, Cellfina and QWO®. QWO® was only introduced in early 2021, and it uses injected collagenase enzymes to break down the connective bands. Cellfina uses a tip that is inserted through a small incision. The tip manually breaks the collagen bands one by one to release the skin and smooth the dimpling of cellulite.

Are VASERsmooth™ Treatments Painful?

Dr. Bertolino applies topical numbing cream to the treatment areas. This keeps the patient comfortable. Because VASERsmooth™ utilizes high-frequency ultrasound energy rather than laser energy, there isn’t any danger of the burns that can occur when laser energy is delivered directly into the dermis.

How Many Treatments You May Need

These are meant to be single treatments on a targeted area. Of course, once you see your results from one area, you’ll likely want to have VASERsmooth™ used on a second or third area with cellulite.

Since the body readily accepts ultrasound energy (it has been used for decades for fetal ultrasound and other diagnostic imaging), there isn’t any reason a patient can’t have VASERsmooth™ done a second time on an area if more cellulite reduction is desired.

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How VASERsmooth™ Cellulite Reduction Works

VASERsmooth™ uses a high-frequency ultrasound at 36,000Hz known as VASER technology. VASERsmooth is specially designed with a cutting edge about 2 cm from the tip of the wand. This instrument cuts the fibrous material that causes the dimpling effect on the skin. Furthermore, the tip of the ultrasound probe delivers energy to mobilize the fat, helping to even out adjacent areas.

Patient Testimonial

“Great experience with Dr Jack, he is always so kind and approachable. He recommends what he thinks is best and right for me. I got filler done, not much, as he suggested we start off minimal and can always add if needed. Well the minimum was just enough and so natural looking. Very happy! 🙂”

Are VASERsmooth™ Cellulite Treatments Permanent?

VASERsmooth™ is a relatively new treatment. VASERsmooth™ is an extension of the VASERLipo platform. The handpiece for VASERsmooth™ breaks the fibrous bands that are the root cause of cellulite.

At this point, without long-term results, it appears the broken cellulite bands are severed for good, but time will tell. It’s unknown if the bands will re-form or if the skin will create new bands to replace those that were severed. These are long-term improvements, and they may turn out to be permanent improvements in cellulite appearance.

PRP And Cellulite Removal

Excess bulging fat can be smoothed out, and areas of persistent indentations can be filled in by redistributing the fat loosened during the procedure, stem cells and/or platelet rich plasma (PRP).

Does Cellulite Come Back After It Is Treated?

As mentioned above, this is unknown. VASERsmooth™ breaks the connective bands that trap fat and create the dimpling of cellulite. Since this is a new treatment, it’s not known whether new connective bands will form or not. As more and more people have this treatment, along with Cellfina and QWO®, it will be interesting to see if these are permanent improvements in cellulite.

At this point, VASERsmooth provides enduring results. The only question is whether they are permanent or not.


Which cellulite treatment is right for you? Please contact us for a consultation at 716-633-6100 or fill out a contact form here. We will discuss your needs and concerns, and determine your best course of action.

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