Combining mechanical subcision with buttock fat transfer offers superior aesthetic results and is a patient-pleaser, according to Walter W. Tom, M.D., a cosmetic surgeon who practices in California and Hawaii.
Dr. Tom, who presented “Optimal Cellulite Treatment with Concomitant Subcision and Fat Grafting,” earlier this year at the American Academy of Cosmetic Surgery’s annual scientific meeting in Las Vegas, says the issue of cellulite and the need to treat it is hard to ignore. Women have different reticular fibers than men, which predisposes them to the development of cellulite, regardless of whether they’re skinny or overweight.
Although aesthetic physicians address cellulite alone, they should also tackle cellulite around the buttocks to achieve optimal results when gluteal fat grafting (Brazilian butt lift), he says.
“Many times despite the amount of fat that we can place in the buttocks, there will be areas where, instead of a bubble butt, there will be flattening of the contour of the buttocks. And that’s related to those same reticular fibers that cause cellulite in women,” Dr. Tom says. “It may not be noticed initially in women, especially if they’re younger. But, even as we try to expand the envelope of the buttock, these reticular fibers tether the skin and prevent us from getting that nice full bubble butt region.”
Dr. Tom uses mechanical subcision with the Cellfina system (Merz) to release the tethering fibers. He uses fat grafting to fill the empty areas left after subcision. That prevents indented scarring and smooths the skin’s contour around the buttocks, according to Dr. Tom.