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Before & After
Before & After

* Individual results may vary.

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View before-and-after pictures of real patients of Dr. Laurie A. Casas

Courtesy of Cellfina
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Cellfina treated my Cellulite Dimples, It Really Works

I am 115 lbs, 5’3″, and 37 years old. I work out 4 days a week and my work outs consist of yoga, barre class, crossfit and running. I would say I eat a pretty healthy diet and live a healthy lifestyle. No matter what I did, I could not get rid of the cellulite and dimples on my butt and thighs. I talked to Dr. Casas about different treatment options because I saw no improvement regardless of the number of squats I did. Dr. Casas explained that cellulite comes from the fibrous bands that connect to the skin and there is no great treatment options besides cutting those fibrous bands. Dr. Casas recommended the new treatment Cellfina for my cellulite. She explained that Cellfina uses a tiny blade to cut these bands and once they are released, the skin smooths out. After she marked my cellulite, she injected lidocaine and then used a special tiny blade. I had the procedure on a Friday. I wore compression pants for the weekend and went to work on Monday with no issues, except a little soreness when I sat down. I am SO happy with the results! I’m so excited for summer and will no longer be embarrassed in my shorts and bathing suits.”
* Individual results may vary

Smooth Cellulite Dimples with Cellfina™

Cellfina™ is an effective, reproducible, long-lasting, and FDA-cleared, minimally invasive one-time procedure that releases the dimples in cellulite that appears on the skin of the buttock and thighs.. Cellfina results in long-term smoothness of the treated areas. This safe, in-office procedure, is now performed at Casas Aesthetic Plastic Surgery to improve the cellulite appearance in the thighs and buttocks of adult females. Cellfina™ is the only FDA-cleared clinically proven, true minimally invasive procedure that treats the skin tethering that is the primary cause of the dimples in cellulite skin. The clinical studies show results for at least two years. This FDA stated duration of cellulite improvement is the longest cleared for any cellulite treatment on the market in 2016.

Cellfina has a vacuum tissue stabilized guidance system for the infiltration of local anesthesia to prevent pain during the procedure and for the precise subcision of the connective tissue bands that cause the cellulite dimples. These connective tissue bands are called fibrous septae.

What is Cellulite?
Who gets Cellulite?
What are the causes of Cellulite?

As women, we all understand the value of a safe, reliable and truly minimally invasive treatment for the structural causes of cellulite. The medical terms for cellulite are adiposis edematosa, status protrusus cutis and orange peel skin. 98 – 85% of females regardless if they are thin, normal weight, or overweight develop some degree of cellulite after puberty. This cellulite is most often on the buttocks, thighs and abdomen. (1,2) Most clinicians believe the causes are multifactorial, ranging from hormonal, genetic, diet and exercise habits and possible inflammatory changes. (1,3, 5,6)

Hormones, like estrogen, insulin and prolactin may all play a role in the development and worsening of cellulite. (1) Researcher Enzo Emanuele and his co-authors published their findings in 2010 demonstrating that the ACE and HIF1A genes may be involved in predisposing females to developing cellulite post-puberty. (7) A lifestyle that includes a poor diet, fad yo-yo dieting, lack of physical activity, and chronic dehydration may all contribute to increasing in the appearance of cellulite.

Reasons to have Cellfina™

After you have developed a healthy nutrition and exercise daily regimen and your cellulite on your buttock or thighs is not improving consider Cellfina™. Dr. Laurie Casas will perform a comprehensive examination with each patient individually to determine if she is a candidate for Cellfina™.

What to Expect

During your in-depth consultation, Dr. Casas will review your specific health history, dietary, exercise and hydration habits, and hormonal history. She will also review your options for treating the cellulite of your buttock and thighs, which may include Cellfina™. If you are a candidate, Dr. Casas will explain the pre-procedure diet, supplement requirements, and the post-procedure expectations as well as long-term expectations. Cellfina™ is performed in Dr. Casas’s in-office procedure room under local anesthesia. To date every patient has driven to and from the procedure. 100% of the patients felt that the only part of the procedure that was slightly painful and very short-lived was the infiltration of local anesthesia. To minimize bruising, swelling and discomfort, Dr. Casas will place you in an absorbent dressing with cushioned pads and a compression pair of shorts or Capri length yoga type exercise pants. Following the procedure, all patients experience some swelling, bruising, drainage of the local anesthesia, and soreness at the treated areas. Patients may return to normal activity immediately following the procedure. Dr. Casas will see you in follow up to assure a quick seamless recovery. Most patients return to their normal workouts at two weeks following their Cellfina treatment but can resume upper body workouts immediately.”:
Dr. Casas and her team use Alastin Products with Tripeptides and Hexapeptides to improve and hasten your recovery following procedures.  Her research shows that using topical treatment following procedures, there is less postprocedural swelling, pain and discomfort. There is also an overall improved skin quality visually and to the touch.   Here at Casas Aesthetic Plastic Surgery, we strive to optimize patient experience and satisfaction following procedures. Read her research here…
Topical Treatment with Tripeptide and Hexapeptide Following Body-Contouring Procedures Improved Patient-Reported Recovery Outcomes

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Real Patient Videos

Real Patient Cellfina Dance

Real Patient Before Cellfina

Real Patient After Cellfina

Before & After Photos


This presentation contains unretouched Cellfina patient Before & After photos at baseline and three month follow up, one year follow up and two year follow up.

Before & After
Before & After
Before & After
Before & After

Courtesy of Cellfina
* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Dr. Laurie A. Casas

View Before & Afters


Cellfina works – dimples are gone!

I am 50 years old and despite regular exercise and eating right, I have always been self-conscious about the cellulite on my buttocks and thighs. I scheduled a consultation with Dr. Laurie Casas who examined me, discussed my expectations, and told me realistically what I could and could not expect from the treatment. At the consultation, I was given a folder with information about the procedure; as well as, a vitamin regimen and a list of foods and medications to avoid prior to the procedure. The doctor explained that following this recommended protocol would help promote healing and lessen the swelling.

The morning of the procedure, the nurses took photos and the doctor marked all of the dimples to be treated. I was a little nervous (maybe more than a little), but was put at ease by Dr Casas kind and knowledgable bedside manner. Her nursing staff was also wonderful. The procedure took about an hour and was performed in the doctor’s surgical suite.

First, the doctor applied a surgical type vacuum to my buttocks. I felt a slight tugging on my skin from the vacuum followed by a little pinch where the lidocaine was injected. On a scale of 1-10, I would say it was a 1 or 2. This was done several times until I was numb. After that, my only sensation during the procedure was a slight pressure to the skin—I did not feel any pain.

When the procedure was done, Dr Casas applied a sterile dressing and gave me a compression garment to wear. I was advised to wear a compression type garment for the next two weeks. My Spanx were good for this.

The first night, I had some drainage and discomfort. On a scale of 1-10, I would say my discomfort was a 3-4. I took Tylenol to help with the soreness. The drainage subsided by the next morning. I continued to wear the doctor’s compression garment through the weekend. I was able to do all of my regular activities except lower body exercise (per the doctors instructions).

I was bruised and slightly tender for about 10 days post procedure. After the bruising subsided, I was amazed at the results! I highly recommend Dr. Casas and Cellfina to anyone who is ready to get rid of those unsightly dimples.”

* Individual results may vary



  • Rossi, Ana Beatris R; Vergnanini, Andre Luiz (2000). “Cellulite: A review”. Journal of the European Academy of Dermatology and Venereology 14 (4): 251–62. doi:10.1046/j.1468-3083.2000.00016.x. PMID 11204512.
  • Pinna, K. (2007). Nutrition and diet therapy. Belmont, CA: Wadsworth. p. 178.
  • Avram, Mathew M (2004). “Cellulite: A review of its physiology and treatment”. Journal of Cosmetic and Laser Therapy 6 (4): 181–5. doi:10.1080/14764170410003057. PMID 16020201.
  • Janda, K; Tomikowska, A (2014). “Cellulite – causes, prevention, treatment”. Annales Academiae Medicae Stetinensis 60 (1): 29–38. PMID 25518090.
  • Pavicic, Tatjana; Borelli, Claudia; Korting, Hans Christian (2006). “Cellulite – das größte Hautproblem des Gesunden? Eine Annäherung” [Cellulite – the greatest skin problem in healthy people? An approach]. JDDG (in German) 4 (10): 861–70. doi:10.1111/j.1610-0387.2006.06041.x. PMID 17010177.
  • Terranova, F.; Berardesca, E.; Maibach, H. (2006). “Cellulite: Nature and aetiopathogenesis”. International Journal of Cosmetic Science 28 (3): 157–67. doi:10.1111/j.1467-2494.2006.00316.x. PMID 18489272.
  • Emanuele, E; Bertona, M; Geroldi, D (2010). “A multilocus candidate approach identifies ACE and HIF1A as susceptibility genes for cellulite”. Journal of the European Academy of Dermatology and Venereology 24 (8): 930–5. doi:10.1111/j.1468-3083.2009.03556.x. PMID 20059631.

In the Media

Dr. Laurie Casas is quoted as an expert throughout the world, and can be found on television, online, and in national publications such as the New York Times, The Wall Street Journal and Cosmopolitan Magazine.

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