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Dr Alex has previously been a LanLuma trainer and medical advisory-board member.
What you've noticed
When the dimples start deciding what you wear
You can be perfectly happy with your size and still feel self-conscious about cellulite. Being fit doesn't mean you won't have it, either.
At a glance
What the treatment involves
The plan depends on whether the main issue is a tethered dent, the quality of the surrounding skin, or a mixture of both.
The improvement to look for
Softer dimples and a more even surface
The aim is to soften the dents and orange-peel texture that bother you, so showing your legs feels like less of a decision.
Dr Alex checks which dimples are being pulled down by bands beneath the skin and where the surrounding skin would benefit from collagen stimulation. Releasing a band helps soften that particular dent; LanLuma gradually improves the skin around it.
You'll need to let the bruising and swelling settle, then give the collagen response time to develop. When you compare the change, use similar lighting - a bathroom mirror and bright beach sunshine can give very different impressions.
✓
Is it right for you?
Different kinds of unevenness need different treatment
A few deep dents, fine rippling and loose skin can look similar in a photograph but need different approaches.
A useful boundary
Improvement, rather than completely smooth skin
Cellulite treatment doesn't remove body fat or guarantee that every ripple disappears. If loose skin is the main issue, or the unevenness isn't caused by tethering, releasing more bands may not help. Dr Alex will explain the likely benefit for the areas you show him.
How it works
Release the dent, then support the skin
Subcision and LanLuma do different jobs, which is why they can be useful together.
With subcision, Dr Alex works beneath the skin to release selected fibrous bands that pull it down. Local anaesthetic is used first. LanLuma can then be placed in the same appointment to stimulate collagen and improve the surrounding skin.
LanLuma contains poly-L-lactic acid, or PLLA. The body gradually breaks down the material while producing collagen in response to treatment. For cellulite, the main aim is better skin quality and a more even surface; adding volume is considered only where it would help the particular dent.
Your appointment
Planning the treatment around your dimples
The examination matters: Dr Alex needs to see how the skin looks when you're standing and which areas are actually tethered.

Why Dr Alex
Why choose Dr Alex for LanLuma and subcision?
Dr Alex has previously been a LanLuma trainer and medical advisory-board member. He has attended international training in Barcelona and presented on LanLuma at CCR in London.
For cellulite, he looks beyond the fact that the skin is uneven. A tight band underneath one dent, thin skin around it and a deeper hollow may each need a different part of the treatment. His approach combines subcision with LanLuma where both have a useful job to do.
He'll also be direct about the bruising. A smoother-looking result needs to be worth the recovery for you, so the timing deserves as much thought as the treatment itself.
GMC-registered doctor · 7072776
Full Member of BCAM
International toxin trainer
Aesthetics Awards winner 2021
Side effects and suitability
What should you know before treatment?
Bruising, swelling and tenderness are common after subcision, and bruises can be large. Some soreness may last while the area heals.
Possible side effects
Subcision can cause bleeding or a collection of blood beneath the skin, infection, scarring, altered sensation and unwanted changes in the skin's outline. LanLuma can cause lumps, delayed inflammation and uneven results. It cannot be dissolved with the enzyme used for hyaluronic acid filler.
Injury to or blockage of a blood vessel is an uncommon but serious complication that can damage skin and tissue. Dr Alex will explain the risks of the proposed combination before you decide.
When to get urgent help
Contact SONÜ immediately for unusual or increasing pain, or skin turning pale, grey, dusky or mottled. Rapidly increasing swelling, uncontrolled bleeding, spreading redness or fever also need urgent advice. Seek urgent medical care if you cannot reach the clinic. Call 999 for sudden breathlessness, chest pain or collapse, and mention the treatment.
When treatment may need to wait
Tell Dr Alex about medicines that affect bleeding, bleeding disorders, abnormal scarring, allergies, previous procedures and relevant medical conditions. Don't stop prescribed medicines on your own. Treatment is not offered during pregnancy or breastfeeding, and active infection or inflammation in the area needs assessment first.
You can take time to consider the recommendation before going ahead.
Treatment costs
How much does LanLuma cellulite treatment cost?
LanLuma cellulite treatments are listed from £900, with large-area treatment listed at £1,500. The cost of a combined subcision and LanLuma plan is confirmed after assessment.
Your questions
More about cellulite and subcision
These answers cover the differences between treatments and the practical side of recovery.
Your next step
Talk about the dimples that bother you
Whether it's shorts, swimwear or the gym mirror that brings it to mind, you can show Dr Alex exactly what bothers you at SONÜ in Hale, Altrincham. He'll explain whether LanLuma and subcision could help, what recovery involves and the full cost.

SONÜ Medical Aesthetics
34 Hale Road, Hale, Altrincham, WA14 2EX

Doctor-led treatment in a relaxed, private clinic
Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire