VelaSmooth™ Cellulite Reduction
The VelaSmooth™ was FDA approved for the temporary reduction in the appearance of cellulite. The VelaSmooth™ also received clearance for the relief of minor muscle aches, pain and spasm and the temporary improvement of local blood circulation on June 13, 2005.
Until June 13, the device was currently being used under an IRB that allows only 70 physicians to utilize the device to determine its effects and to provide data as to the safety and efficacy to the FDA, so that it will grant clearance for this indication. The scientific principles involve the increase of oxygen to the fat cells which result in an increase in metabolic activity.
The treatment consists of 2 biweekly visits for 7-8 weeks. Maintenance treatments need to be performed once per month to retain the effect. Previous studies performed by two dermatologists and presented at the American Society for Dermatologic Surgery showed approximately 30% improvement as well as an average reduction of 3-5 cm. of the circumference of their thighs. There were no adverse events reported.
Results on our patients have been promising. The patients that have received 8-12 treatments claim their clothes fit better and their personal trainers have noticed a definite improvement, so much so that they want to pursue the treatment for themselves and are recommending it to their clients.
Many devices have been marketed in the past for the reduction of cellulite yet most have not lasted due to lack of reproducible and maintainable results. The VelaSmooth™ represents a new generation of high tech medical spa equipment that has measurable, reproducible, and maintainable results and a wide appeal to many people of all ages.


After 10 VelaSmooth™ treatments.
What is VelaSmooth™?
The VelaSmooth™ was FDA approved for the temporary reduction in the appearance of cellulite. The scientific principle involves the increase of oxygen to the fat cells which result in an increase in metabolic activity. The treatment program consists of 2 biweekly treatments for 7-8 weeks. Maintenance treatments need to be performed monthly to retain the effect. Many devices have been marketed in the past for the reduction of cellulite yet most have not lasted due to the lack of reproducible results and maintainable results. The VelaSmooth™ represents a new generation of high tech medical spa equipment that has measurable, reproducible, and maintainable results and a wide appeal to many people of all ages.
VelaSmooth™ is a device that combines elôs (light energy between 700-2000nm and radiofrequency energy) with mechanical rollers and gentle vacuum suction to improve the appearance of cellulite in the skin. Body contouring benefits and reduction in circumferential measurements may also be achieved in some, but not all patients. The treatment protocol is an initial 14-16 sessions over a 7-8 week period. After the initial series, monthly maintenance treatments will be needed.
The VelaSmooth™ was FDA approved for the temporary reduction in the appearance of cellulite and for the relief of minor muscle aches, pain, and spasm, and the temporary improvement of local blood circulation on June 13, 2005.
Previous studies performed by two dermatologists and presented at the American Society of Dermatologic Surgery showed approximately 30% improvement as well as an average reduction of 3-5cm of the circumference of their thighs. Our patients have had promising results, claiming that their clothes fit better, their skin is smoother and more toned.
Who is a candidate?
Anyone who wants improvement of the appearance of cellulite in the thighs, hips, buttocks, or abdomen who understands the risks, costs, and time necessary to achieve the full benefit of the procedure and who has realistic expectations of the ultimate outcome.
Because there is deep tissue heating (up to 10mm), patients who have any superficial metal or conductive implants, rods, plates, or pins in the treatment area should not undergo VelaSmooth™ treatments. Treatments may not be performed on pregnant women an on the abdomen in patients who have a hernia.
What is VelaSmooth™ like?
The VelaSmooth™ treatment is described as a warm, massaging sensation. The mechanical rollers and vacuum suction “pull up” the skin so there is gentle stretching of the skin surface as the applicator is passed over the area. If the radiofrequency coupling is broken with the skin during a pass, a pinching sensation may be felt
The treatment protocol is an initial series of 14-16 treatments over 7-8 weeks. Treatments are performed twice a week. After the initial series, maintenance treatments will be necessary. The frequency of maintenance treatments is slightly variable but the average is one session per month.
How does VelaSmooth™ work ?
The application of elôs is intended to heat the adipose tissue contributing to cellulite. The hyperthermic effect on these fat cells increases the metabolism of stored energy (lipolysis), thereby reducing or shrinking the size of the actual fat chamber. Shrinkage of the fat chamber reduces the bumpiness of the skin, which is caused by distended fat cells protruding up from the anchored connective tissue. The mechanical action of the rollers gently kneads the skin and facilitates deeper penetration of heat. This may also stretch the connective tissue temporarily giving the skin surface a smoother appearance which may be visible in as little as four treatments. The suction that is applied to the skin dilated the blood vessels and improved local circulation to the skin.
What type of equipment is used?
The VelaSmooth™ device combines elôs (light energy between 700-2000nm and radiofrequency energy) with mechanical rollers and gentle vacuum suction to improve the appearance of cellulite in the skin. It is manufactured by Syneron™ and should only be handled by well-trained experienced personnel.
What desired results can be expected?
Understanding cellulite and the contributing factors helps to explain why the condition can only be temporarily improved. Body fat levels, diet, lifestyle, fluid retention and distribution, hormones, and genetics all affect the appearance of cellulite. In clinical trials, cellulite was improved from the VelaSmooth™ treatments without any other lifestyle changes such as diet and exercise. While this indicates when the VelaSmooth™ efficacy is not necessarily dependent upon patient compliance to a diet and exercise regime, patients should expect that improvement in the appearance of cellulite is temporary and a maintenance program should be continued. Healthy eating patterns, adequate water intake, regular exercise, and healthy lifestyle choices are recommended for maximum results.
Are there any negatives?
There are very few negatives with this treatment program.
If the radiofrequency coupling is broken with the skin during a pass, a pinching sensation may be felt. The treatment area may appear flushed or pink from the heat for a short while, and may feel warm for several hours after treatment. Bruising is also uncommon, although the risk increases if you take aspirin products or are on blood thinners. Bruises are temporary and resolve in 1-2 weeks.
What happens after VelaSmooth™?
The treatment area may appear flushed or pink from the heat for a short while, and may feel warm for several hours after the treatment.
After the initial series, maintenance treatments will be necessary. The frequency will depend on how much improvement was achieved from the initial series of treatments. Maintenance is generally recommended on a monthly interval.
Is there another way to get the same effect?
Alternatives to this treatment therapy include topical treatment, liposuction, mesotherapy, endermology, and ionithermie.
How is this different than other procedures?
The treatment is non-invasive with minimal risks and no down-time. Liposuction is a surgical procedure involving anesthesia, injection, and potential risk of infection. In addition, liposuction is for reducing fat pockets and doesn’t usually help cellulite. Mesotherapy may be effective but there are few if any clinical trials, it is not approved for use in the
Can this be combined with other treatments?
This treatment program may be combined with other treatment methods such as topical therapy to potentially increase results.
What is the cost of VelaSmooth™?
The cost of these procedures is based on a program rate. Please call Advanced Dermatology for a consultation and the Cosmetic Coordinator will develop a personalized treatment protocol with you.




