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QWO: The Latest Generation Cellulite Treatment:  Botox for Your Butt

Cellulite is a nearly universal problem for women affecting more than 90% of all women. 

What is Cellulite?

Cellulite is an unevenness in the skin surface characterized by dimples and loss of a smooth appearance.  Cellulite has many causes but primarily affects women and is most often seen on the thighs and butt.

Fibrous Septae and Cellulite


Qwo Treats the Fibrous Septae and Improves Cellulite

Qwo is the first and only FDA-approved injectable that treats cellulite.  Qwo is an enzyme that dissolves the fibrous septae that cause cellulite which results in smoother skin.

Enzymatic Subcision and Remodeling (ESR)

Enzymatic Subcision and Remodeling (ESR) describes the process whereby enzymes degrade or dissolve the collagen component of fibrous septae thus releasing the bands causing cellulite.  Qwo is an injectable formulation of two enzymes that degrade the fibrous septae.  Qwo is an enzyme called collagenase which is derived from a bacterium called Clostridium Histolyticum (CCH or QWO).  Qwo is the injectable formuations of two enzymes that degrade Type I and Type 3 collagen in specific tissues to create smoother skin.

In addition to releasing the bands, these enzymes stimulate the production of newer collagen molecules that improve the appearance of the skin in a process called neocollagenesis.

Qwo Treatments

Qwo is a simple office treatment where it is injected into cellulite dimples.  Qwo comes in 2 different sizes and is priced accordingly.  Qwo requires three treatments sessions spaced 2 to 4 weeks apart to get the desired effect.  For optimal results we recommend combining Qwo with Endermologie which helps smooth the skin and speed results and recovery.

Qwo Cellulite Therapy by Dr. John Burns.  1 month after 3 large Vial treatments.  *Results may vary   




Qwo Side Effects

Post treatment bruising is the primary side effect of Qwo.  Pain and swelling tend to be minimum.  Bruising can be decreased with treatments using tranexamic acid (TXA) formulations, Bromolin, or Arnica.  

Qwo Pricing

Qwo is priced between $3600 and $4600 for 3 treatment sessions with the price reflecting whether or not you'll need the larger or smaller vial of product.


Patients see improvement at about 3 weeks after treatment with improvement continuing as collagen remodeling continues.  Three treatments have been shown to be necessary to achieve optimal results.  

Qwo Awards





Dallas plastic surgeon Dr. John Burns, is President of the prestigious Dallas Plastic Surgery Institute and a nationally-recognized expert in body contouring, welcomes the opportunity to discuss Qwo Cellulite Therapy and other cosmetic goals with you.  To make an appointment, simply call his office at 214-515-0002, or send an email through his website.  Online consultations are also available.  Dr. Burns and his staff look forward to meeting you!