Dumbo ears. Bat ears. These are some of the more ridiculous descriptions of protruding ears. Fortunately, otoplasty surg

A procedure that permanently moves protruding ears closer to the head.

An otoplasty procedure can be beneficial for patients who have genetically large ears that also stick out from the head. This surgery can simultaneously reduce the size and correct the angle the ear protrudes from the head. The earFold procedure, which is an alternate approach to an otoplasty and produces similar results, may be less invasive but cannot account for adjustment in ear size and may not help patients whose ear projection originates from any place other than the antihelix. 

Before an otoplasty surgery, the ear will be cleansed and injected with a local anesthetic. Depending on the extent of the procedure the patient may also be sedated or placed under general anesthesia. An incision will be placed behind the ear to expose the ear cartilage. Next, the cartilage will be removed and shaped to a smaller size. If a substantial amount of cartilage is removed, the surgeon will likely also have to remove excess skin. Once the ideal size is achieved the angle will be perfected to be closer to the sides of the head. The incisions will be closed and bandages applied.

Otoplasty

An otoplasty (a.k.a. an ear-pinning procedure) is an ear surgery to correct overly protruding ears into a more desirable appearance.

Ear Shape

Ear Pinning Solutions

Head

Dumbo ears. Bat ears. These are some of the more ridiculous descriptions of protruding ears. Fortunately, otoplasty surgery can correct protruding ears.

Change the size and shape of your ears that might be too large, droopy or damaged in some way.

Alternative to otoplasty surgery. Inserts small implants that correct protruding ears by bending the ear.

The earFold implant is a small device used to push the ears towards the head to reduce a protruding appearance. This treatment is less invasive than the traditional otoplasty, or ear pinning, that removes pieces of ear cartilage and leaves patients with a larger scar behind the ear. This procedure also has the advantage of a non-surgical pre-implant that shows patient's what their results will look like before the actual implant is in place. 

On the day of surgery, the ear will be thoroughly cleansed and a local anesthetic will be injected into the ear cartilage. Once the area is completely numbed the area, a small incision will be made where the implant will be inserted, about 1 centimeter in length. The skin will be lifted away from the ear, revealing the underlying ear cartilage. The implant will be placed and released to the predetermined fold, creating a more desirable ear shape for the patient. The procedure, which takes approximately 20 minutes, will finish by re-draping the skin over the implant, closing the incision with dissolvable stitches, and applying a small adhesive dressing.

earFold™

An earFold™ is an alternative to an otoplasty (a.k.a. ear-pinning procedure) that corrects ear protrusion without the removal of skin or ear cartilage.

This procedure aims to repair a stretched or torn earlobe and greatly improve ear proportions and facial aesthetics.

Earlobe surgery is one of several procedures done to improve the shape, size, or contour of the ears. Earlobe surgery is done specifically to correct tears or splits in the earlobe caused by trauma whereas a similar surgery, earlobe reduction, is performed when the skin on the earlobe begins to droop and sag. This surgery can correct partial, full, or multiple tears in the ear. Partial tears are commonly caused when a pierced ear is elongated and stretched with large gauges or heavy earrings.  Full tears occur when the bottom lobe of the ear is completely separated. Multiple tears are caused by either external trauma or when multiple earring holes are torn completely through the bottom lobe. 

Before surgery begins, the area will be cleansed and marked for the planned excision. The earlobe will be infiltrated with a local anesthetic to provide comfort for the patient during the simple 10-15 minute procedure. If the tear in the lobe is partial and does not break through the bottom of the ear, the elliptical tear will be excised and sutured.  If the tear is in the lower third of the earlobe, your provider may extend the tear completely through the ear, excise the skin, and suture the ear into a pointed shape.

Earlobe Surgery

An earlobe surgery or earlobe repair is a plastic surgery to correct a torn earlobe or split earlobe for improved appearance, facial symmetry, and proportions.

Uses only sutures to reposition prominent ears closer to the side of the head with no cuts or incisions

Ears that protrude abnormally from the head can greatly affect confidence and self esteem. While prominent ears can be hidden with long hairstyles or hats, it is only a temporary solution. There are several cosmetic surgeries for ears that stick out, such as the traditional otoplasty and the earFold device. However, the incisionless Fritsch otoplasty technique is less invasive and still produces permanent results. 

The incisionless otoplasty, also called a scarless otoplasty, utilizes sutures placed discreetly behind the ear to manipulate the cartilage to a more aesthetically pleasing position. Most patients who desire changes in their ear position will not be a candidate for this minimally invasive procedure as it can only accomplish mild adjustments and is best suited for children and teenagers. 

During the procedure, only local anesthesia is needed. Younger patients may not be able to tolerate sitting still for long periods of time and may require general anesthesia in order to reduce anxiety and allow the surgeon to complete the procedure. Once thoroughly anesthetized, the procedure will begin. Using a small needle, a puncture will be made in the front of the ear on the antihelical fold. The needle will be used to scrape and score the ear cartilage for easier advancement and encourage scar production postoperatively. Next, sutures will be placed in a rectangle pattern on the back of the ear, skillfully manipulating skin and cartilage to pull the ear closer to the head. Depending on the degree of protrusion, several sutures may be needed in order to create the desired effect. 

A wrap will be applied to the head postoperatively. Most patients are recovered within 7-10 days and return to full activity within 3 weeks.

Incisionless Fritsch Otoplasty

An incisionless Fritsch otoplasty is a cosmetic ear surgery alternative to an earFold or otoplasty (ear-pinning procedures) that corrects protruding ears without incisions or alterations of ear cartilage.

Stretched Earlobes

Prominent Ears

Split Earlobes

Ear Surgery (Otoplasty)

As one of the most prominent features of the facial area, the size and shape of the ears make a big difference in overall appearance. Ears that are too large, droopy or that have been damaged or torn in some way can cause an unbalance of your facial proportions. The unsightliness may not be obvious to others, but a change in the appearance of the ears, leading to a pleasing symmetry of the face, can do wonders for confidence levels, leading to a better quality of life.

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- Avoid sunbathing for 2 weeks 
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after 
- No alcohol 2 days prior

Before Treatment

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- Ear is cleansed
- Local anesthesia
- Small incision where the implant will be inserted
- Skin will be lifted away from the ear, revealing the ear cartilage
- Implant will be placed and released to the predetermined fold
- Skin is re-draped over the implant
- Sutures to close

During Treatment

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Immediately After Treatment

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- Mild sensitivity up to 12 weeks
- Do not wear earrings for 2 weeks 
- Most activities can be resumed almost immediately after the earFold
- Keep ear area clean and dry 

1-2 Weeks After Treatment and Beyond

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- Permanent 
- Visible immediately after surgery

Result Notes

earFold is a minimally invasive alternative to an otoplasty surgery that corrects protruding ears. Here is a quick guide for what to expect before, during, and after an earFold procedure.

earFold

Reduces the size of large, pendulous earlobes, that have been caused by a hereditary condition or with age.

Earlobe reductions are performed when the size of the lobe becomes droopy, pendulous, or un-proportionate to the face. This surgery is a quick, outpatient procedure that provides permanent results. Like an otoplasty or earFold procedure, simple changes to the ear can create an entirely new contour to the face and give patients a newfound sense of confidence as well.

The two most common methods for an earlobe reduction are either the wedge or peripheral margin technique. If the wedge reduction method is utilized, the procedure will begin by marking the earlobe in a geometric shape that is to be removed. The area will then be injected with a local anesthesia. The excess earlobe tissue will then be removed and the incision closed with stitches. In the peripheral margin reduction technique, the procedure will begin by marking the outer-edge of the earlobe to the new desired length. Local anesthesia will then be injected into the earlobe and the marked area will be excised. Stitches will then be used to close the earlobe, creating a smaller, more balanced ear.

Earlobe Reduction

If genetics have left you with an unbalanced set of earlobes, aging has caused ear stretching, or heavy earrings have le

Earlobe Restoration Solutions

If genetics have left you with an unbalanced set of earlobes, aging has caused ear stretching, or heavy earrings have left you with inappropriately large holes, a plastic surgeon can utilize various procedures to restore or enhance earlobe appearance.

Face

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- Stop taking blood thinning medications for 2 weeks

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- Wedge shape mark is made on the ear
- Local anesthesia 
- Tissue removed
- Sutures to close

During Treatment: Wedge Method

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- Do not submerge the sutures in water
- No strenuous activities for 2 days 
- Stitches will be removed after 5-14 days

1-7 Days After Treatment and Beyond

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Earlobe reduction surgeries are performed to reduce the size of large, pendulous earlobes. Here is a quick guide for what to expect before, during, and after an earlobe reduction.

An earlobe reduction is a plastic surgery to reduce the appearance of drooping, overly large, or pendulous earlobes for improved facial symmetry and proportions.

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- Ear is cleansed, marked, and numbed
- If the tear in the lobe is partial and does not break through the bottom of the ear, the elliptical tear will be excised and sutured
- If the tear is in the lower third of the earlobe, your provider may extend the tear completely through the ear, excise the skin, and suture the ear 

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- Permanent 
- Results affected by ear stretching or heavy earrings

Earlobe surgery is a simple, outpatient procedure to repair stretched or torn earlobes. Here is a quick guide for what to expect before, during, and after earlobe surgery.

Permanent hair removal method which uses a tiny needle with an electric current to kill hair follicles.

Unwanted Hair

The only permanent form of hair removal is electrolysis. While other methods of hair removal such as laser hair removal or IPL treatments may be known for making unwanted hair disappear, these treatments only slow down the growth of hair. Some individuals may turn to treatments such as waxing or threading for their cost effectiveness, however the monetary savings will never amount to permanent hair removal. 

There are three different forms of electrolysis, the first being galvanic. Galvanic hair removal uses a chemical reaction to destroy hair. The fine probe used to slide into the hair follicle is as thin as a piece of hair. The galvanic method utilizes a direct current through the probe to create a reaction to help the hair break away from other components, never to join again.

It is similar to an electrical current in a chemistry experiment that separates salt water into its basic components. As such, the galvanic method uses the saline base of hair follicles to help sodium hydroxide, hydrogen gas, and chlorine gas form, with the sodium hydroxide assisting in the destruction of the hair follicle.

The galvanic process can be slow and time-consuming, taking approximately two to three minutes to get rid of one hair follicle. It's for this reason that the method isn't used as often and works best on thick and coarse hair, like body or male facial hair.

The second method of electrolysis is thermolysis. Like the name implies, the thermolysis method works to deliver heat energy to the hair follicle to get rid of it. Is electrolysis technically defined as thermolysis? No, because thermolysis doesn't use two electrodes, an external circuit, or electrolytic cell to send electric currents. Nevertheless, thermolysis is electrolysis in the vernacular of the cosmetic procedure all the same, when people discuss this second method of performing electrolysis.

Instead, thermolysis creates heat at the base of the hair follicle when the needle sends high-frequency vibrations to the hair follicle and produces heat that takes only seconds to remove each hair.

Galvanic electrolysis hair removal is more effective than thermolysis, but the thermolysis method is faster, with the electrocoagulation of thermolysis working best on fine hair destruction. 

Third method of electroylsis combines the previous two techniques into what is known as the "blend" method. The blend method takes the best of both worlds and uses the galvanic electrolysis and thermolysis methods blended together as one to remove hair. Currents create sodium hydroxide while vibrations cause heat energy to be disbursed, taking only seven seconds or so to destroy each hair.

Also known as the "dual-action method," the blend method is quicker than the galvanic process, and more effective than thermolysis alone.

Electrolysis

Rid yourself of any unsightly and unwanted body hair you may have on several regions of your body.

Hair Removal

As natural as it may be, for most women (and many men), society has long considered body hair to be unsightly, shameful, and even taboo. While a full head of lush, beautiful hair is ideal for both men and women, the opposite is true when it comes to the rest of our bodies. In fact, while hair loss is a huge concern when it comes to the hair on our heads, our society goes to great lengths to remove body hair completely—or at least to keep it well under control, and has done so for decades.

Body

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- Stop hair removal treatments 2-3 weeks prior
- Shave 5-7 days before 

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A fine probe is inserted into individual hair follicles and uses an electric current to help the hair break away from other components, never to join again.

During Treatment: Galvanic

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A fine probe is inserted into individual hair follicles and heats up the hair to help the hair break away from other components, never to join again. 

During Treatment: Thermolysis

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The third method combines the previous two techniques into what is known as the "blend" method. Electric currents and heat energy destroy each hair more effectively and quicker than the galvanic and thermolytic methods alone.

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- Redness or swelling 
- Minor scabbing which can develop 24-48 hours after the procedure 

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- Scabbing heals in 7-14 
- Do not use any temporary hair removal methods
- Do not touch treated for 48 hours
- Avoid sun exposure
- No strenuous exercise for 1-2 days
- Avoid skincare products for 24 hours

1-14 Days After Treatment and Beyond

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- Permanent once desired effects are achieved
- Number of sessions needed will vary
- Most patients return once every 1-4 weeks

Electrolysis is the only FDA approved method of permanent hair removal. Here is a quick guide for what to expect before, during, and after electrolysis.  

Electrolysis 

Electrolysis is the only FDA-approved permanent hair removal method. This procedure can be used to treat unwanted hair growth with either chemicals or electricity.

A system used for scar management that relieves skin tension after a wound or surgical incision.

Scars

After surgery, patients are concerned with having a swift, healthy recovery and whether or not a scar may develop. Raised scars occur when an overproduction of collagen elevates the skin. Collagen is responsible for creating youthful volume, but when there is too much during the healing process, bumpy, keloid scars can form. By decreasing the amount of tension on the incision, collagen production is better controlled. 

The embrace scar therapy kit includes applicators and silicone dressings. Once staples and stitches have been removed and the incision is closed and dry, the dressing is applied directly over the incision, drawing together both sides and relieving tension. Tension is primary cause of scarring. Embrace is best suited for fresh incisions but can be used on scars that have formed in the last 6 months with treatment lasting around 60 days.

Embrace® Scar Therapy

Scars tell stories. If it’s a story you’d rather forget, we can help with that.

Scar Solutions

Skin

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- Clean the incision site with soap and water
- Wipe incision site with alcohol and allow skin to dry
- Do not apply any lotions or ointments prior

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- Keep incision site flat
- Position the applicator and dressing directly over the scar and cover completely
- Press and hold the dressing to the skin 
- Remove the applicator
- Leave on the skin for up to 10 days
- When edges begin to lift, carefully remove dressing
- Wait 12-24 hours before applying a new dressing

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- Results are gradual
- Results seen in as little as 4 weeks up to 1 year

Embrace is a system used for scar management that relieves skin tension after a wound or surgical incision. Here is a quick guide for what to expect before, during, and after treatment with embrace scar therapy. 

Embrace scar therapy

Embrace® scar therapy is a topical scar management and scar prevention system to promote better wound healing for a less noticeable and more aesthetically pleasing appearance of scars.

Non-invasive rejuvenating treatment for female wellness.

Female Sexual Wellness

EmFemme by BTL is a non-invasive treatment that uses radiofrequency energy for a personalized approach to intimate health concerns. RF energy stimulates collagen production creating natural and significant feminine health benefits without the invasiveness of surgical procedures.

Emsella by BTL Aesthetics can also address women’s health and wellness concerns and is slightly less invasive into the vaginal area than BTL EmFemme 360.

EmFemme 360

Sexual Health treatments use gentle energy-based technologies to improve vaginal tissue health, pelvic strength, and sex

Sexual Health procedures support vaginal rejuvenation and pelvic health. These non-surgical technologies are designed to increase local circulation, stimulate collagen remodeling, improve tissue tone, and support lubrication and sensitivity.
Treatments are typically performed in-office with little to no discomfort and require no downtime. Over a series of sessions, patients may experience improvements in urinary stress incontinence, vaginal laxity, dryness, and overall sexual satisfaction. Because these therapies encourage natural biological processes, results continue to evolve over several weeks and are maintained with periodic follow-up sessions.

Sexual Health

Sexual Health treatments use energy-based technologies to enhance vaginal and vulvar tissue health, support pelvic floor function, and improve sexual wellness.

Vagina

Groin

EmFemme 360 1

- Depending on the candidate, your provider may advise you to avoid taking certain medications or using certain topicals in the days leading up to your session.

EmFemme 360 2

- EmFemme 360 is performed by an expert provider using an applied device that delivers targeted radiofrequency energy in short several minute sessions.

EmFemme 360 3

- Patients should expect minimal, if any, discomfort and redness to the treated area immediately following the procedure.

- The first 24 to 48 hours after EmFemme will have most patients experiencing complete resolution of any minor side effects that may occur.

1 to 2 Days After Treatment

EmFemme 360 5

- Results usually begin to become noticeable within a few weeks of a session. 
- Full results evolve over an average of three sessions.

EmFemme by BTL is a non-invasive treatment that uses radiofrequency energy for a personalized approach to intimate health concerns. RF energy stimulates collagen production creating natural and significant feminine health benefits without the invasiveness of surgical procedures.

Want less fat and more muscle without the gym? EmSculpt Neo is the body sculpting solution for you.

Excess Body Fat

EmSculpt Neo is a non invasive body treatment that combines HIFEM and radiofrequency energy for body contouring. This unique procedure creates high intensity (supramaximal) muscle contractions to build muscle and improve muscle tone. At the same time, EmSculpt Neo uses radiofrequency heating to eliminate fat cells for fat reduction.

Emsculpt Neo

Fat Reduction

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟒𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐅𝐚𝐭 𝐑𝐞𝐝𝐮𝐜𝐭𝐢𝐨𝐧 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓.

Emsculpt Neo 1

- There is minimal preparation needed prior to an EmSculpt Neo session. 
- Depending on the individual candidate, your provider may advise you to avoid taking certain medications or using certain topicals in the days leading up to your appointment.

Emsculpt Neo 2

- EmSculpt Neo is performed by an expert provider using an applied device that delivers targeted HIFEM and RF energy in 30 minute sessions.

During treatment

Emsculpt Neo 3

- Patients should expect mild discomfort and redness to the treated area immediately following the procedure.

Emsculpt Neo 4

- The first 24 to 48 hours after EmSculpt Neo will have most patients experiencing soreness  to the treated areas.

Emsculpt Neo 5

- Results are usually noticeable immediately after a 30 minute treatment. 
- Full results evolve over 90 days.

Emsculpt® is a non-invasive, FDA-approved muscle enhancing treatment using high-intensity electromagnetic waves.

Abdominal Contour

Arm Shape & Size

Leg Shape & Size

An Emsculpt® procedure can cost anywhere from $1,000 to $4,000. The actual cost of Emsculpt® is dependent upon location, board certified provider, and length and involvement of the cosmetic procedure.

Emsculpt® is approved by the United States Food and Drug Administration to build muscle through high-intensity focused electromagnetic waves (HIFEM) in 30 minute treatments with no downtime. Emsculpt® builds muscle by improving muscle tissue, muscle mass, and muscle tone. This body contouring treatment generates supramaximal contractions for building muscle quickly and effectively.

The updated Emsculpt® Neo treatment combines the benefits of HIFEM with radiofrequency (RF) for fat reduction. Emsculpt® treatments provide body contouring, body sculpting, and body shaping to the abdominal muscles, buttocks, chest, arms, and legs.

Emsculpt®

Ever wonder what it would be like to sculpt your ideal body as if from clay? A plastic surgeon can help with that.

Body Contouring Solutions

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- Emsculpt® hands-free attachments are strategically placed and activated
- Patients experience moderate to severe contractions
- In the case of Emsculpt® Neo, there is also a warming sensation due to the RF
- Sessions last 30 minutes

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- Return to normal activities 
- Mild swelling and redness
- Bloating may persist for several days

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- Results from Emsculpt® therapy require at least four initial sessions
- Results will continue to evolve over a few weeks after the last session
- Fat reduction from Emsculpt® Neo treatments continue for 12 weeks
- Maintenance sessions are available

Emsculpt® is a non-surgical muscle enhancement procedure. Here is a general guide for what to expect before, during, and after Emsculpt® use:

⁣Emsculpt® by BTL is a non-invasive, FDA-approved muscle enhancing treatment using high-intensity electromagnetic waves.

EmTone is the non-invasive body sculpting solution for you.

Cellulite

BTL EmTone is a non-invasive body treatment that combines mechanical energy and radiofrequency energy for body contouring and reduction in the appearance of cellulite. This unique procedure combines thermal and targeted pressure energy to simulate collagen production and also uses thermal heating energy to eliminate fat cells.

Of note, Emsculpt Neo by BTL Aesthetics also addresses body contouring and cellulite treatment, but also works to stimulate muscle development simultaneously.

EmTone

EmTone 1

- There is minimal preparation needed prior to an EmTone session. Depending on the individual candidate, your provider may advise you to avoid taking certain medications or using certain topicals in the days leading up to your treatment.

EmTone 2

- EmTone is performed by an expert provider using an applied device that feels similar to a hot stone massage in a typically 30 minute session.

EmTone 3

EmTone 4

- The first 24 to 48 hours after EmTone will have most patients experiencing redness, bumpiness, and mild discomfort to the treated areas.

EmTone 5

- Results usually start to become noticeable immediately after a treatment., Full results evolve over several weeks.

BTL EmTone is a non-invasive body treatment that combines mechanical energy and radiofrequency energy for body contouring and reduction in the appearance of cellulite. This unique procedure combines thermal and targeted pressure energy to simulate collagen production and also uses thermal heating energy to eliminate fat cells.

Uses a combination of suction and massage to break up and distribute packets of fat and smooth dimples.

Endermologie is a completely noninvasive method for treating cellulite. Also referred to as lipomassage, the endermologie hand piece is comprised of rollers that simultaneously knead and suction the skin. This action helps to break up pockets of fat that cause the “cottage cheese” like appearance of cellulite as well as soften fibrous tissues that pull down the skin. Multiple treatments are needed to see results as well as monthly upkeep sessions for continued improvement, unlike Cellfina or Cellulaze which can show great improvement in just one procedure. Although it may not be as effective on cellulite, endermologie has been touted for its positive effects on the lymphatic system as well as overall circulation.

Before treatment begins, the patient will change into a body forming suit that allows the endermologie hand piece to easily glide over the skin. The patient will lie face down on a table while the hand piece is guided up and down the entire body, kneading and suctioning the skin. With each pass, it draws up the skin and rolls it around to help break up cellulite. Once the entire body has been treated, the practitioner will continue the massage but focus on trouble areas such as the butt, hips, and thighs. Treatment session typically last 35-50 minutes. When the session is complete, the patient can resume normal activities. Results are noticeable after multiple sessions, typically twice a week for a month with upkeep treatments once a month.

Endermologie®

Fixes the "cottage cheese" appearance of excess cellulite in fat layers through advanced non-invasive treatments.

Cellulite Removal

Cellulite impacts a large number of people, especially women. The “cottage cheese” appearance of cellulite is caused by fat layers poking through pockets of fibrous bands attached to muscle fascia beneath the skin. There are many advanced noninvasive treatments to improve the condition that often appears on the abdomen, thighs, buttocks, and other areas.

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No special measures need to be taken before endermologie treatment.

endermologie2

- Patient will change into a special suit
- Patient lies face down on a table 
- Hand piece is guided up and down the entire body, kneading and suctioning the skin
- Once the entire body is treated, practitioner will focus on trouble areas
- Treatment session last 35-50 minutes

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- Patients able to resume normal activity after treatment
- Patients may experience mild bruising

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- Resume normal activity after treatment
- Drink at least 2-3 liters of water per day to assist in draining the lymphatic system

1-2 Days After Treatment and Beyond

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- Results noticeable after a series of treatments
- Treatments done twice weekly for at least 1 month
- Best results occur after 5-6 months of treatment
- Results may be affected by significant weight gain or loss, subsequent pregnancy, or childbirth

The endermologie system uses a combination of suction and massage to break up and distribute pockets of fat as well as soften fibrotic tissue to smooth out dimples caused by cellulite. Here is a quick guide for what to expect before, during, and after an endermologie treatment.

Endermologie

Endermologie® is an FDA-approved cosmetic procedure to reduce the appearance of cellulite through suction and mechanical massage.

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