QWO:  Like Botox for Your Butt

The problem of cellulite is almost universally present in females.  Cellulite results from connective bands connecting fat to the skin surface.  These bands create the cellulite dimple.  Qwo is an FDA approved medication which dissolves the cellulite band AND stimulates collage to smooth the skin.  Qwo is a simple office procedure which takes only a minute and improves cellulite in 3 treatment sessions spaced about 3 weeks apart.  
Patients in the Qwo clinical study showed significant improvement after 3 treatment sessions and the results were maintained throughout the duration of the study.  Qwo patients report high rates of satisfaction with their treatment results. 


What is Cellulite?


3 Things Contribute to Cellulite

Skin As we age, skin will get thinner
Fat  Fat cells enlarge and push up against the thinning skin
Fibrous Septae/Bands The fibrous bands under the skin thicken and cause tension and the signature dimpling on your thighs and butt

How Qwo Works:

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.  






15 minutes


None:  office based


Outpatient:  office based


bruising, mild pain


Pain, bruising, incomplete improvement


Back to work: same day
More strenuous activity: same day


3 weeks after third treatment