In order to be a good QWO candidate, you must have cellulite dimples in the actual buttocks when it is completely at rest with feet hips' width apart. Dimples in the legs or gluteal crease cannot be treated with QWO. If you are not sure if you are a good candidate, please reach out to the office prior to your appointment.

QWO requires a series of up to 3 treatments spaced 3 weeks apart.

You may not be a good candidate for QWO if:

  • If you take a medicine that prevents the clotting of your blood (antiplatelet or anticoagulant medicine) or have a bleeding abnormality.
  • Are pregnant or actively trying to get pregnant.
  • Are breastfeeding.
  • Have had an allergic reaction to a QWO injection or a collagenase injection in the past.

Be sure to tell your healthcare provider about all medicines you take, including prescriptions and over the counter medicines, vitamins, and herbal supplements. Especially tell your healthcare provider if you take a medicine that prevents the clotting of your blood (antiplatelet or anticoagulant medicine) as you may not be a good candidate fo treatment.


  • Compression or tight fitted clothing worn after treatment for the first few days can be helpful in decreasing discomfort and bruising. Please bring or wear to your treatment.
  • Thong underwear is preferred day of treatment. If you can wear the same underwear for each session that is helpful in documenting progress.
  • To minimize bruising avoid the following list of medications/supplements for 7 days prior to treatment. These are blood thinners and will cause you to bruise more easily. Note: DO NOT discontinue baby aspirin or any blood thinners prescribed by a physician before checking with THAT PHYSICIAN. Baby Aspirin, Aleve, Motrin, multivitamins, vitamin E and D, fish oils, alcoholic beverages.
  • Sunburnt skin can sometimes be painful when treated. We always recommend using sunscreen to protect your skin when outdoors.
  • Please discontinue products containing any exfoliating agents on the area to be treated (retinoic acid, tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.) 24 hours before treatment.
  • Do not shave, receive laser hair removal, electrolysis, waxing, threading, and use of depilatory creams the day of procedure.
  • Do not apply creams or lotions to the area being treated on the day of your procedure.

Possible Side Effects:

The most common side effects of QWO include bruising, pain, areas of hardness, itching, redness, discoloration, swelling, and warmth in the treatment area. Bruising can be extensive and last up to 3 weeks in many cases.

QWO may cause serious side effects including but not limited to:

Allergic (hypersensitivity) reactions, including anaphylaxis. Call your healthcare provider right away if you have any of these symptoms of an allergic reaction:

  • Hives
  • Trouble breathing
  • Low blood pressure
  • Swollen face
  • Chest pain
  • Dizziness or fainting

If you have any concerns about receiving this treatment, please contact our office or your provider in advance of your appointment.


  • Extreme physical activity and exercise should be avoided within the first 24 hours post-treatment. Elevating your core temperature and increasing your heart rate via exercise will cause more swelling.
  • Compression undergarments (like Spanx) or tight fitted pants should be worn for the first few days in order to help decrease discomfort and bruising after treatment.

You may or may not experience the following conditions in and/or around the treatment areas:

  • Severe bruising that develops 4-5 hours after treatment and can last for up to 3 weeks in some cases
  • Areas of firmness or hardness under the skin
  • Swelling (generalized redness) surrounding the treatment area
  • Mild bleeding
  • Numbness, tingling, or sensitivity changes
  • Tenderness and pain Itching


  • Tanning or prolonged sun exposure for duration of treatment which can increase the risk of discoloration. Use sunscreen if the area is exposed.

Contact our office if you experience:

  • Excessive bleeding from the treatment site
  • Fever greater than 100 degrees
  • Any side effect or unusual symptom of concern

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