Cellulite and localized fat
Cellulite is skin with an orange-peel look, caused by fibrous bands that pull the skin down while fat pushes up. Localized fat refers to stubborn deposits on the abdomen, flanks, outer thighs or under the chin that do not respond to diet and exercise. Both are treated in the office with minimally invasive procedures, without surgery.
Summary
- Subcision
- Under local anesthetic, a special needle releases the bands that cause the dimples
- Biostimulators
- Improve the firmness of the skin over cellulite
- Localized fat
- Injectable deoxycholic acid in small areas, chosen at the consultation
- Sessions
- 1 to 3 for subcision, and 2 to 4 for localized fat
- Recovery
- Bruising and tenderness for 1 to 3 weeks after subcision
Who it is for
For people with cellulite dimples visible when standing, mild laxity on the thighs and buttocks or small fat deposits with a stable weight. People who want to lose weight or have a large volume of fat need a different approach, and Dr. Karen von Kossel will say so at the consultation.
How it works
You are assessed standing up, and the dimples and treatment areas are marked. In subcision, the area is numbed with local anesthetic and a special needle cuts the fibrous bands under each dimple. Biostimulators can be used in the same session or later, to improve firmness. For localized fat, deoxycholic acid, a bile acid that breaks down fat cells, is injected in small doses into the marked area.
Recovery and care
Extensive bruising is expected and fades in 1 to 3 weeks. Wear the recommended compression garment, keep the bruised area out of the sun and avoid intense exercise for 7 days.
Frequently asked questions
Does cellulite go away for good?
Subcision releases the bands that form the dimples and the result tends to last. Cellulite has hormonal and genetic factors, so new areas can appear over time.
Do injections for localized fat replace liposuction?
They treat small volumes. For larger volumes, liposuction with a plastic surgeon remains the recommended treatment.
Last updated November 10, 2026 · Medical director (responsável técnica): Dr. Karen von Kossel, CRM-SP 107714 · RQE 58534