Cellulite, characterized by dimpled skin, is a common concern for women, even those who are physically fit. If you’re bothered by cellulite on your legs, you’re definitely not alone. The desire to reduce or eliminate cellulite has fueled the development of numerous treatment options. With so many choices available, it’s challenging to determine which, if any, truly work.
Dermatologists have been actively researching cellulite treatments to provide clarity. The good news is that research indicates some treatments can indeed lessen the appearance of cellulite, at least temporarily. Let’s delve into what the research reveals.
Top Cellulite Treatments Backed by Research
Acoustic Wave Therapy
The Bottom Line: Studies confirm that acoustic wave therapy can effectively reduce the appearance of cellulite. Visible reduction requires multiple treatment sessions.
Acoustic wave therapy uses sound waves to target and break down cellulite deposits on the thighs.
Laser Treatments
Various laser treatments are employed to combat cellulite.
One minimally invasive laser treatment, known as Cellulaze™, involves inserting a small laser fiber beneath the skin’s surface. When activated, the laser energy disrupts the tough bands under the skin that contribute to the visible dimpling of cellulite. This treatment also promotes skin thickening, which is beneficial because cellulite-prone areas often experience skin thinning. Thicker skin helps to minimize the appearance of cellulite.
The Bottom Line: Cellulaze™ can be effective in reducing the appearance of cellulite. Patients are experiencing results that can last for a year or longer. However, further research is needed to fully ascertain the long-term benefits of this laser treatment.
Other laser treatments have also shown promise in reducing cellulite in some patients. Results can last for six months or more; however, some dimpling typically returns over time.
Subcision (Cellfina™)
Cellfina™ is a medical procedure where a dermatologist inserts a needle just beneath the skin to sever the fibrous bands that cause cellulite.
The Bottom Line: Cellfina™ is proven to reduce the skin dimpling associated with cellulite. A study involving 232 patients showed that 99% were satisfied with their results. The effects can last for two years and potentially even longer.
Vacuum-Assisted Precise Tissue Release
This procedure also targets the tough bands responsible for the appearance of cellulite. During this treatment, a dermatologist utilizes a device equipped with small blades to cut these bands. Once the bands are released, the tissue rises to fill out the dimpled skin, resulting in a smoother surface.
The Bottom Line: Vacuum-assisted precise tissue release shows promise as an effective cellulite reduction treatment. A small study indicated that many patients experienced reduced cellulite for up to three years after treatment. While long-term results are still under investigation, the initial findings are encouraging.
Understanding Cellulite vs. Fat
It’s important to distinguish cellulite from general body fat. Treatments that effectively eliminate fat may not necessarily impact cellulite.
Weight Loss
The Bottom Line: Excess weight can make cellulite more noticeable. For some individuals, losing weight and maintaining a healthy weight can reduce the visibility of cellulite. However, if weight loss leads to loose skin, cellulite may become more apparent.
Exercise
The Bottom Line: Increased muscle mass contributes to smoother and firmer skin. Replacing fat with muscle through exercise can also diminish the appearance of cellulite.
Treatments Showing Potential for Cellulite Reduction
Carboxytherapy
This medical procedure involves injecting carbon dioxide (CO2) gas just beneath the skin. It’s important to note that CO2 is different from carbon monoxide, which is harmful. Potential side effects of carboxytherapy include discomfort during treatment and temporary bruising.
The Bottom Line: Early research suggests carboxytherapy may reduce cellulite. One study involving ten women who underwent eight treatments showed a slight reduction in cellulite.
Cellulite Creams and Lotions
The Bottom Line: Research indicates that certain creams and lotions can have a modest effect on cellulite.
Applying cellulite cream regularly may help to temporarily reduce the appearance of cellulite on legs.
Products containing caffeine may dehydrate cells, which can temporarily make cellulite less noticeable. Consistent daily application is necessary to maintain these results.
Products with 0.3% retinol may also offer some benefit for cellulite. Some users report a slight reduction in cellulite appearance. Retinol can help thicken the skin, potentially lessening the visibility of cellulite. Consistent use for six months or longer is typically required to assess retinol’s effectiveness.
Before using any cellulite cream or lotion, it’s recommended to test it on a small area of skin first to check for allergic reactions.
It’s also important to be aware that some products containing aminophylline have been linked to anxiety and rapid heartbeat. Individuals using asthma inhalers should especially avoid products with aminophylline, as even topical creams can cause breathing problems.
Endermologie®
Offered at spas, endermologie® employs a device that provides a deep massage while simultaneously lifting the skin with a vacuum-like tool. The U.S. Food and Drug Administration (FDA) has approved it as a medical device with a low risk of harm, but has not endorsed its effectiveness for cellulite reduction.
Endermologie® providers often recommend multiple treatment sessions to see results, with each session lasting approximately 45 minutes.
The Bottom Line: Study results on endermologie® are mixed. Some studies found no significant difference in cellulite between women who received endermologie® and those who did not. Other studies indicate a noticeable, though temporary, reduction in cellulite for those who underwent treatment.
If results are observed, ongoing treatments are necessary to maintain them. Cellulite tends to reappear within a month of discontinuing treatment.
Ionithermie Cellulite Reduction Treatments
This spa treatment involves applying algae or clay, or a combination of both, to cellulite-affected areas. Electrodes are then attached to the area, which is subsequently wrapped in plastic. During the treatment, a mild electric current is applied. Some individuals find the current painful or unpleasant.
This treatment is purported to reduce the size of the treated area, potentially diminishing the appearance of cellulite.
The Bottom Line: Without independent, peer-reviewed studies, the effectiveness of Ionithermie is difficult to ascertain. Some users report improved skin tone, but cellulite remains visible. Others notice no difference. Any observed results are typically short-lived, lasting only about 12 to 18 hours.
Radiofrequency
Radiofrequency treatments heat the cellulite. One FDA-approved device combines radiofrequency with laser, suction, and massage to target cellulite.
The Bottom Line: Recent studies suggest that some patients experience a slight reduction in cellulite with radiofrequency treatments. However, the results are temporary, and multiple sessions are needed to achieve even minor improvements. Bruising is a common side effect after treatment but usually fades over time.
Treatments with Unclear Effectiveness for Cellulite
Laser-Assisted Liposuction
Liposuction is an invasive procedure effective for removing small amounts of fat.
The Bottom Line: While liposuction excels at fat removal, it is not recommended for cellulite. In fact, it can sometimes make cellulite appear more prominent.
Adding laser treatment to liposuction might help with cellulite, but it’s too early to determine if laser-assisted liposuction is truly effective.
Ultrasound
Ultrasonic liposculpting is a non-invasive procedure designed to target and destroy fat.
The Bottom Line: There is no evidence that ultrasound alone reduces cellulite. However, when combined with other cellulite treatments, ultrasound may enhance results. More research is needed to assess its effectiveness.
Treatments Not Recommended for Cellulite
Cryolipolysis (CoolSculpting)
This treatment freezes fat to eliminate it.
The Bottom Line: While cryolipolysis effectively removes small pockets of unwanted fat, it is not currently effective for treating cellulite.
Mesotherapy
Mesotherapy involves a series of injections into cellulite-affected areas. Various substances, including caffeine, hormones, enzymes, and herbal extracts, are injected. Because the specific blend of ingredients varies among practitioners, it’s impossible to determine the effectiveness of any particular formulation.
The Bottom Line: Limited research supports the effectiveness of mesotherapy for cellulite. Side effects are common and include redness, swelling, tender lumps under the skin, infection, allergic reactions, and skin changes.
Supplements
Some claim that supplements containing ingredients like caffeine, grape seed extract, or gingko biloba can reduce cellulite.
The Bottom Line: There is no scientific evidence to support the claim that any supplement can reduce cellulite.
Consulting a Dermatologist
Before undergoing any cosmetic treatment, it’s crucial to consult a doctor who understands and treats cellulite. The success of any treatment depends heavily on the skill and experience of the practitioner.
Dermatologists are skin experts with a deep understanding of skin structure and underlying tissues. A dermatologist specializing in cellulite treatment can guide you in choosing the most appropriate treatment and address any questions you may have.
Related Resources
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References
Alizadeh Z, Halabchi F, et al. “Review of the mechanisms and effects of noninvasive body contouring devices on cellulite and subcutaneous fat.” Int J Endocrinol Metab. Epub ahead of publication Jul 3, 2016.
Kaminer MS, Coleman WP, et al. “Multicenter pivotal study of vacuum-assisted precise tissue release for the treatment of cellulite.” Dermatol Surg. 2015 Mar;41(3):336-47.
Khan, MH, Victor F, et al. “Treatment of cellulite: Part I. Pathophysiology.” J Am Acad Dermatol. 2010 Mar;62(3):361-70; quiz 371-2.
Khan, MH, Victor F, et al. “Treatment of cellulite: Part II. Advances and controversies.” J Am Acad Dermatol. 2010 Mar;62(3):373-84; quiz 385-6.
Luebberding S, Krueger N, et al. “Cellulite: An evidence-based review.” Am J Clin Dermatol. 2015 Aug;16(4):243-56.
Pianez LR, Custódio FS, et al. “Effectiveness of carboxytherapy in the treatment of cellulite in healthy women: a pilot study.” Clin Cosmet Investig Dermatol. 2016 Aug 22;9:183-90.
