Bay Area Cellulite Treatment doctors

	Steven H. Williams, MD San Francisco Plastic Surgeon 4000 Dublin Blvd Suite 300, Dublin		3 answers
	William Ting, MD Bay Area Dermatologic Surgeon 2262 Camino Ramon Suite #200, San Ramon		2 answers
	George Commons, MD Palo Alto Plastic Surgeon 1515 El Camino Real Suite C, Palo Alto
	Larry Fan, MD San Francisco Plastic Surgeon 77 Van Ness Avenue Suite 302, San Francisco
	Shahin Fazilat, MD Mountain View Plastic Surgeon 515 South Drive Suite 25, Mountain View

Recent Answers

Cellulite Creams - What Works, What Doesn't? I've heard that cellulite treatment creams with ingredients like caffeine, ginseng, coffeeberry, etc. really do make your cellulite look better, but I'd like to know which ones work the best (or at all) before I invest in a whole jar.

A: Liposuction and/or Sculptra may be helpful for some patients with cellulite

Cellulite is one of the hardest aesthetic condition to treat. None of topical cream over-the-counter or prescription has been shown to be particularly helpful. You should seek a board-certified dermatologic surgeon or plastic surgeon for evaluation. Some patients with cellulites may benefit from liposuction followed by strict daily application of compression garments for at least 4 weeks. There is some early evidence that stationary cellulite dimples on thighs can be treated with some satisfaction with Sculptra injection (which is off-labelled).

William Ting, MD

Bay Area Dermatologic Surgeon

Any Comments or Advice Regarding Mesotherapy for Cellulite? I am getting ready to go in for mesotherapy for cellulite treatment. I've read good reviews on the process although it is not approved by the FDA. I would be interested if anyone has any advice or comments.

A: Consistent benefit doubtful for mesotherapy for cellulite treatment

You should lower your expectation as mesotherapy or Lipodissolve has not shown to provide a "consistent" benefit to cellulite. Despite the claims of some medical device manufacturers, to date, no other modality has provided a clear-cut clinical benefit for cellulite treatment.

William Ting, MD

Bay Area Dermatologic Surgeon

Is There a Way to Prevent Cellulite? Would I need to exercise more, eat differently, get more massages to get less cellulite? I am just seeing the first signs of thigh cellulite. NOT good!

A: There are things to help with cellulite

Cellulite is a common term referring to skin surface irregularities and dimpling of skin, predominantly in the thighs and buttocks (think cottage cheese thighs). Causes for the appearance have been blamed on differences in connective tissue structure and on adipose tissue biochemistry. Research has confirmed that women get cellulite more often than men. Some physicians have attributed the defect as secondary to enlargement in fat cells in the superficial tissue below the skin, resulting in compartmental bulging between the connective tissue. Since the well-developed and organized septa that make up the connective tissue do not give way to the increased volume in a limited space, this becomes transmitted as surface irregularity between the deeper pockets of fat.

To date, no significant differences in biochemistry, physiology, or blood and/or lymph flow of the tissue and structure organization in cellulite tissue have been demonstrated scientifically.

However heredity can be a factor.

Here are things you can do to help:

Avoid things that will damage your skin (sun, tobacco products).
Avoid weight loss and weight gain.

Be aware that 80% of women can get significant cellulite as they age and it can become a problem as young as 18.

Chasing creams, laser, mesotherapy, massage, etc. tend to leave patients unsatisfied and significantly poorer. There's no great answer for fixing it once it occurs.

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon