Pittman Plastic Surgery

Cellulite Treatment

Qwo: A Non-Surgical Injectable Treatment for Cellulite

Love your butt, but not the cellulite? Both men and women can develop cellulite, but it is more common in women. Up to 90% of adult women have cellulite, most often in the buttocks and thighs. Cellulite affects people of all ages, races, shapes, and sizes. Diet, lifestyle, hormones, and genetics all play a role in cellulite development.

Cellulite can vary in severity, ranging from mild to moderate to severe, depending on the number of deep depressions in the skin and the degree of sagging or draped appearance of the skin.

The good news is — you don’t have to live with cellulite anymore! QWO is an injectable treatment for moderate to severe cellulite in the buttocks. Keep reading to learn more about this innovative treatment.

What is Qwo?

QWO is the only FDA-approved treatment for cellulite. It is administered by injection to treat moderate to severe cellulite in the buttocks of adult women. The active ingredients in QWO are collagenase clostridium histolyticum-aaes. They are two naturally occurring collagenases (enzymes that break down collagen) that are obtained from bacteria.

How does Qwo work?

The enzymes in QWO release the fibrous septae (bands of tissue) that pull the skin towards the muscle layer, causing the skin to dimple. QWO targets both type 1 and type 3 collagen that is found in the fibrous bands. An aesthetic provider can inject QWO under the skin in the target area of the buttocks. 

The enzymes work together to break down the bands that cause cellulite. This releases the dimples and gives the skin a smoother surface. QWO does not get absorbed into the bloodstream. It stays in the local area where it is injected and only expands to about the size of a quarter.

When will I see results? How long will they last?

You can expect to get visible improvement in cellulite 10 weeks after your QWO treatments. Our aesthetic team will assess the final results 28 days after the third treatment. Results can vary from person to person.

Because the enzymes in QWO break down the collagen that causes skin dimpling, the results of the treatment are permanent. You can enjoy smoother skin and the elimination of cellulite as long as you eat a healthy diet and exercise regularly.

Does Qwo really work?

Endo Aesthetics, the makers of QWO, conducted one of the largest clinical trials in cellulite treatments to determine the safety and efficacy of this injectable treatment. More than 800 adult women in the United States with moderate to severe buttock cellulite were enrolled in the trial. When compared to the placebo group, the group that received QWO had a greater reduction in cellulite on the cellulite severity scale.

Am I a candidate for Qwo?

Your Pittman Plastic Surgery provider will evaluate you before offering QWO. QWO is suitable for all skin types and skin colors. However, people with an allergy to collagenase or any of the other ingredients in QWO cannot receive this cellulite treatment. Also, injection treatments are not recommended in people with an active skin infection in the treatment area.

At the time of your consultation, be sure to tell our team if you have a bleeding problem. Also, if you are pregnant or breastfeeding or planning to become pregnant, your provider may recommend waiting until you are done having children.

You should also tell your provider about all the medications you take, including herbal supplements. Some medications can increase the risk of bleeding with injection treatments like QWO.

How does Qwo compare to Cellfina and Cellulaze?

You may have heard about Cellfina, which is also an FDA-approved treatment for moderate to severe cellulite in the buttocks and thighs of adult women. Cellfina involves using a microblade (needle-like device) to cut the fibrous bands in the skin that cause cellulite. Results are long-lasting (up to 3 years). 

Cellfina is a minimally invasive procedure but requires a fair bit of recovery. There’s also a risk of scarring because the needles used to cut the fibrous bands are quite big. Cellulaze is a laser device that cuts the fibrous bands with what is essentially a hot knife. Again, there is a fair bit of recovery required. In contrast, QWO offers permanent results with minimal recovery.

So, what are you waiting for? Talk to our team at Pittman Plastic Surgery today about QWO – the non-surgical injectable treatment for cellulite with proven safety and efficacy – and say goodbye to dimpled skin forever.

QWO has been studied in all types of cellulite-affected skin and found to be effective. The most common adverse effects are bruising and pain at the injection sites. Some people experience redness, discoloration, itching, swelling, warmth, and nodule formation. When performed by a licensed provider, QWO is quite safe, and adverse effects are reported in less than 1% of patients.


QWO is a non-surgical treatment that is performed at Pittman Plastic Surgery. The injections take around 10 minutes to complete. Each buttock can receive up to 12 injections during a treatment visit. You will need a total of 3 treatment visits spaced 21 days apart.






Charlotte has been CANS-Certified since 2018, and is one of ONLY eight CANS-Certified RN’s in the entire State of Georgia!

What does CANS-Certified mean? Certified Aesthetic Nurse Specialist (CANS) certification provides professional recognition for aesthetic nurses who hold the value of education, clinical practice, and professional growth in the highest regard.

 Ultimately, CANS certification can assure you that your aesthetic nurse has gone above and beyond to ensure you receive the optimal level of care for your cosmetic needs. It is also supported by the American Society for Aesthetic Plastic Surgery (ASAPS).

Charlotte is constantly training on new injection techniques and procedures to better herself — and her patients reap the rewards!

Pittman Plastic Surgery


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