Cellulite generally not treated by liposuction

Otto Joseph Placik, MD answers: Does liposuction cause cellulite?

I wont get lipo if it means cottage cheese thighs afterwards. Should i be concerned about cellulite will result from lipo surgery?

Otto Joseph Placik, MD
12 months ago

In many ways, cellulite is more related to the way the skin is attached to the muscle and not necessarily the fat.

That is why you can have an anorexic individual who is underweight, yet has cellulite on their thighs.

Some people believe it is related to the fluid that spreads among the fat cell layer and some of the more successful treatment modalities will target reducing the water content (Endermologie).

To answer your question, liposuction does not generally treat cellulite. When performed well, it does not usually make it better or worse. Somne techniques have been described that are performed simultaneously with liposuction ot minimize the appearance of cellulite but they have met with mixed success. These include special knives which cut the attachments of the skin to the muscle/fascia.

It is a complex problem which is not completely understood. I hope this helps to simplify and explain the condition.

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More answers to Does liposuction cause cellulite?

A: Cellulite and liposuction

Bahram Ghaderi, MD
13 months ago

Liposuction does not treat cellulite. Liposuction is meant to improve the contour of a specific area - such as "saddlebags" or "love handles" - that has localized fatty deposit that is resistant to diet and exercise. One risk of liposuction is contour irregularities postop. I believe that is what you are referring to when you say liposuction may make cellulite worse. To minimize the downsides - you should have good skin tone and treat only a localized area. The larger the area, the more likely you will have contour irregularities. Look for a board certified plastic surgeon and have a comprehensive consultation to discuss your concerns.

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A: Liposuction but could result in what appears to be cellulite

David  A. Ross, MD
25 days ago

No, Liposuction does not cause cellulite but could result in what appears to be cellulite.

Cellulite is the dimpled skin look that is seen in women and results from a specific structural design of the female skin not found in men. One of the challenges we surgeons face with liposuction is in determining how evenly the fat has been removed.

There are no devices to measure how uniformly distributed the remaining fat is. Basically, the surgeon relies on on pinching and feeling the skin to tell if the remaining fat will yield a smooth skin surface after everything heals. As you might recognize this maneuver is highly subjective and relies on the the experience of the surgeon.

The surgeon's task is made even more difficult by swelling that develops during the surgery that might mask irregularties in fat removal. Even in experienced hands it is possible to leave or remove unequal amounts of fat. This then leads to irregularities in the form of dimples after surgery that mimic cellulite. Fortunately, these surface irregularities are relatively minor and can be corrected by revisionary surgery.

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