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Advanced Cellulite Treatment 

80% of women struggle with cellulite — the rippled, “orange peel” skin that develops on the buttocks, hips, thighs, and stomach and makes you want to cover up. If you’re ready to get rid of your cellulite and stop hiding your skin, Holcomb - Kreithen Plastic Surgery & MedSpa offers excellent treatments to improve this condition. 

Smooth skin can be yours

Cellulite is a very stubborn problem for many individuals. Until recently, most cellulite treatments have only been minimally effective, and attempts at diet and exercise often fail to improve cellulite. This is because cellulite is not just caused by fat. It’s actually caused by a structural problem deep beneath the skin. In fact, cellulite can occur even in those who are young, physically fit, and in shape.

What causes cellulite?

There are several factors which may contribute to cellulite. These include aging, genetics, hormonal changes, smoking, lack of exercise, poor diet, accumulated toxins, and weight fluctuations. Cellulite develops when the connective tissue bands beneath the skin stiffen and pull down on the skin while the surrounding fat cells swell and bulge up against the skin. This causes the hills and valleys that create that orange peel appearance. While both men and women can develop cellulite, the problem overwhelmingly affects women due to the way women store fat and hormones. 

The telltale signs of cellulite are actually caused, on part, by the way female skin differs from male skin. Underneath the surface of the skin is septae, the bands of connective tissue that pull skin down but also cause fat pockets to bulge up. In women, the septae are vertical bands, while men tend to have septae that form a tighter cross pattern — which holds fat in check. Furthermore, estrogen levels play a role in the development of cellulite. It is believed that estrogen may harden the septae, which causes them to shrink and pull down on skin. Most women find that cellulite begins to develop after puberty.


We are very pleased to offer a revolutionary treatment for cellulite. Cellulaze™ from Cynosure® is a minimally invasive procedure which effectively targets the structural problems beneath the skin responsible for cellulite. Cellulaze uses advanced laser technology to find the bulging pockets of fat and release the fibrous bands beneath the skin, while also tightening the underlying tissue and skin. Cellulaze is the first and only FDA-approved treatment that addresses cellulite on a structural level below the skin that can achieve results after just one session. Cellulaze treats mild to moderate cellulite and it is backed by years of clinical research, with studies showing it increases skin elasticity by 29% and skin thickness by 25% to flatten and smooth the surface of the skin. 

Cellulaze treatment details

The Cellulaze procedure is performed in office under local anesthesia with oral sedation or light IV sedation. Areas of cellulite are marked prior to treatment, and very small incisions are made in the treatment area about the size of the tip of a pen. A small cannula fitted with the Cellulaze laser fiber is inserted, and laser energy targets fibrous bands and excess fat while stimulating new production of collagen. The laser fiber may be turned so it is horizontal with the skin to break up tight septae holding down the skin and causing dimpling, and then 90 degrees up or down to find and break up fat. Once septae have been severed, they do not grow back into the vertical pattern that is problematic for women. Treatment takes 1 to 2 hours, and only one treatment is needed for each treatment area.


How many Cellulaze treatments will I need?

You will only need one Cellulaze treatment to see results. These results will continue to improve over the course of several months.

How long do Cellulaze results last?

Clinical studies show that results last for one year or more. Maintaining a healthy weight and diet and exercise regimen can help results last longer.

Does Cellulaze leave scars?

The incision sites are incredibly small (about the size of a pinpoint), so any scars will be very hard to notice.

How soon can I return to work after Cellulaze?

Most patients can return to work within a few days after a Cellulaze treatment.

Cellulaze recovery and results 

Cellulaze requires minimal recovery, with most patients returning to work the next day. You will need to wear a compression garment for at least one week, and bruising and tenderness may be present for 1 to 2 weeks, which is when most patients begin to see results. Work and other normal activities can be resumed within several days, though more strenuous activity will need to be postponed for one to two weeks. Final results will be apparent in up to six months, when the body spikes in its production of elastin and collagen. Most patients see an improvement in cellulite immediately, although further improvement takes place over months. Cellulaze offers long-term results.

Candidates for Cellulaze

Cellulaze works on all types of cellulite, although it provides the best results if there is not excessive loose skin. The procedure offers the best results for cellulite that resembles a mattress or orange peel when you are standing, or if there are depressed or raised areas without loose skin.

In general, the best candidates for Cellulaze are those who:

  • Are in good overall health and don’t smoke
  • Have moderate cellulite
  • Are able to maintain healthy weight
  • Have realistic expectations for the treatment


Holcomb - Kreithen Plastic Surgery & MedSpa is proud to be the first practice in the Sarasota-Bradenton area (and one of the first in Florida) to offer the breakthrough Cellfina™ system for treating cellulite. Cellfina helps smooth away cellulite dimples on the buttocks and thighs for long-lasting results. It is the only FDA-approved minimally invasive procedure clinically proven to improve the appearance of cellulite for at least two years. In just one 45-minute treatment, Cellfina treats the primary structural cause of cellulite and leaves your skin smoother and healthier — a look that will inspire you to wear bathing suits, shorts, and higher hemlines with renewed confidence.

How Cellfina works

Cellfina combines a proven approach with innovative, proprietary technology to produce precise, long-lasting results. The Cellfina system treats the primary structural cause of cellulite — the connective bands woven throughout fat in the thighs and buttocks. These tight bands pull down the skin like a rubber band, creating the puckering seen on the surface of the skin. Cellfina selectively breaks up the problem-causing bands and, once released, the treated skin bounces back to smooth itself out.

Before & After

“It was our commitment to finding the most advanced and effective treatments for our patients that led us to Cellfina. Cellulite has long been a complaint of many of our patients. It has been especially frustrating for women who are otherwise fit and active yet still experience dimpling and waves. Cellfina is a truly effective weapon in the war on cellulite, and we are pleased to be able to offer it to our patients before any other practice in west Florida. We are already experiencing an increase in request for Cellfina, and it is an exciting addition to our line of best-in-industry treatments and procedures.”

Dr. Joshua Kreithen

Cellfina recovery and results

There’s very minimal downtime with Cellfina. Patients can often return to work and resume normal activities the next day after treatment. Cellfina patients report high rates of satisfaction with their treatment results.

Patients in a Cellfina clinical study showed: 

  • Significant improvement within three days after the treatment
  • Two years after treatment, 100% of Cellfina patients had noticeable improvement (based on the Global Aesthetic Improvement Scale, or GAIS)
  • At three months, 85% of patients were satisfied
  • At one year, 94% were satisfied
  • After two years, 96% of patients were satisfied, surpassing the patient satisfaction rates of other leading cellulite treatments

These long-lasting results represent the longest FDA clearance for a cellulite treatment (individual results may vary).

Cellulite treatments from Holcomb - Kreithen Plastic Surgery & MedSpa

Holcomb - Kreithen Plastic Surgery & MedSpa is your one-stop-shop for all things aesthetic. With nearly 40 years of combined experience, Dr. Holcomb and Dr. Kreithen have merged their two practices together to provide an in-depth medical spa offering the most advanced non-invasive lasers and procedures, as well as body contouring and cosmetic injectables. Our center is an extremely sophisticated, comprehensive practice with a very competent and compassionate team. We provide the very best in customer support, white-glove customer service, accessibly to a wide variety of technology and therapies, and multiple locations to service all our patients. If you’ve had enough of your cellulite, we can help. Contact us today to schedule a consultation. 

Holcomb - Kreithen


Are there side effects with Cellfina?

No serious adverse events were associated with Cellfina in the pivotal study. The most common side effects reported by patients were soreness, tenderness, and bruising. Just three days after treatment, patients rated their pain as minimal, and most (82%) felt pain only with touch or pressure to the area treated. This minimal pain improved quickly with time. More than 90% of patients had no bruising at four weeks.

Does Cellfina involve incisions?

No. Cellfina relies on a minimally invasive, small, needle-sized device to treat the cellulite-causing bands just beneath the surface of the skin. Each dimple is clearly marked with a circle before the area is numbed with an injection of local lidocaine. A small hand-held device then grabs the skin using suction energy and slides a miniature blade below the surface to precisely cut the connective bands, creating taut and dimple-less skin. Cellfina does not require an operating room or general anesthesia. The procedure itself requires just one 45-minute treatment.

Will the cellulite come back if I gain or lose weight?

Weight fluctuations won’t affect your cellulite in the treated area because Cellfina treats the root of the condition. However, it is always important to maintain a healthy weight.

If I get more than one Cellfina treatment, will my cellulite get even better?

Most patients only need one Cellfina treatment. However, if more cellulite does occur later on, you can most likely have another treatment. This can be discussed during your initial consultation.

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