Be realistic about cellulite treatment

Brent Moelleken, MD answers: What's the best anti cellulite treatment?

I'm looking for a good cellulite treatment. Are there any cellulite treatments that are more effective than others? What are my options?


Brent Moelleken, MD
13 months ago

The best single way to reduce cellulite is to lose weight through a great diet and regular exercise. Everything else we provide as doctors is second best to this solution. True cellulite is caused by irregularities in the very superficial fat of the skin. Unfortunately, that is very close to where the blood supply of the skin is, in the subdermal plexus.

Treatments such as superficial liposuction, lasers all risk severe irregularities, discoloration, burning or even perforation of the skin. There is in my opinion and the opinion of most plastic surgeons no reliable safe way to "tighten the skin from the inside" with a laser without risking the problems above. Endermologie can temporarily improve the appearance of cellulite.

Liposculpture at deep levels can sometimes break the septae, or interconnections of deposits of fat, and thereby reduce (not eliminate) the appearance of cellulite. It can certainly make the appearance of cellulite better. So be realistic, and don't fall for any snake oil!

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A: Micro canula liposculpture is the best we got at this time although not 100% effective

David Hansen, MD
13 months ago

Cellulite is caused by excess fat cells pushing out on the skin from underneath and fibrous bands pulling in on the skin. Endermologie temporarily improves the look but if you stop the treatments, 2 months later all the cellulite is back.

Microcanula liposculpture improves cellulite by breaking these little fibrous bands and by removing the fat cells pushing out on the skin. It is done under local anesthesia and is probably the only permanent way to help cellulite. Although it is not 100% effective, it is the best we got at this time.

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