Comparison Of Treatments For Thigh Cellulite: Thermage/Cool Sculpting/Exilis/Endermologie?

Would someone please provide some guidance on the key differences of Thermage/Cool Sculpting/Endermologie/Exilis? I am 5'4 and weigh 118 lbs, 43 years old, workout 5 days a week, have extremely healthy diet. Still have some cellulite in thighs/hips/buttock area that is frustrating and I cannot seem to resolve through diet and exercise. What procedures would be the most effective and provides the fewest follow up visits. Any insight would be appreciated! Dawn G.

Doctor Answers 14

Treating Cellulite and Thighs

I have found that the best combination in treating the thighs is Thermage and Coolsculpting.  I utilize the Cool fit or Cool smooth applicator depending if it is the inner or outer thighs that have extra bulges. Then if there is any areas that have cellulite and need skin tightening I use Thermage a week after.  This combination is highly effective and results will be visible within a few months.

Velashape III best FDA approved device for Cellulite Management

Exilis and other RF, radiofrequency devices by themselves will not get rid of cellulite. Probably the best devices are Cellulaze which requires a surgical procedure or the Velashape 3 device which is comfortable, non surgical and no down time.

VelaShape is the ONLY non-invasive treatment FDA cleared to reduce the appearance of cellulite. VelaShape III is a unique, no downtime, comfortable, deep therapeutic body contouring treatment that delivers consistent results. The Vela body contouring line is the only non-invasive body shaping product to combine four different technologies including IR (infrared), Bi-Polar RF (radio-frequency) and mechanical tissue manipulation using pulsed vacuum and massage rollers. The combination of these technologies provide a localized reduction in skin laxity, volume, and cellulite, as well as an increase in circulation and lymphatic drainage promoting healthy skin structure. More than 3.5 million independent treatments have been performed globally to date confirming both the safety and unique efficacy of this technology.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 76 reviews

Cellulaze will help with cellulite

My suggestion is to consult with your surgeon about Cellulaze; it is the first long-lasting cellulite reduction treatment. If there are areas of lumpy dimpling skin then you are a candidate for Cellulaze. Please consult with your surgeon.

Bruce E. Katz, MD
New York Dermatologic Surgeon
4.0 out of 5 stars 16 reviews

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Cellulaze and Cellulite options

Based on my experience with these technologies, in a nutshell, Thermage tightens the skin but it is minimally effective compared to newer technologies, CoolSculpting "melts"  the fat under the skin in small quantities but does little if anything for cellulite, Endermologie for cellulite - save your time and money, Exilis - I don't have any experience with. The best technology today for cellulite is the Cellulaze treatment. See a board certified physician in your area with an expertise in Cellulaze to see if this kind of treatment has the ability to deliver the results you are looking for. Good luck!  Best, Dean Vistnes, M.D.

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 36 reviews

Cellulite Treatment

If you truly have cellulite,  cellulaze may be a good option for you. Cellulaze uses a laser under the skin to attack the anatomic causes of cellulite. It is a minimally invasive procedure that takes 1-2 hours and can be safely done  under local or just IV sedation.  It is an FDA approved treatment for cellulite and requires only one treatment.  Hope this is helpful.

Dr. Sugene Kim

Cellulaze Best for Cellulite Reduction

Cellulaze is the only minimally invasive laser procedure designed to attack the structure of cellulite beneath your skin. It delivers longer-lasting results after only one short treatment. It is the first and only cellulite laser treatment that treats the actual problems underneath the skin to deliver a proven longer-lasting result from just one simple treatment. Cellulaze is backed by many years of clinical research. Studies have shown it increases the thickness of your skin by 25% and the elasticity of your skin by 29%—significant claims that haven't been made by any other treatments. Thicker and more elastic skin can help flatten and smooth the skin surface to improve the appearance of cellulite. In addition, 93% of patients surveyed were satisfied or very satisfied with their results at one year post their procedure, and all would recommend the Cellulaze cellulite laser treatment to a friend.

Cellulite treatment

I would recommend Cellulaze, it is the only FDA-approved, one time, minimally invasive treatment for cellulite.  It treats the cellulite by correcting all three anatomical aspects that cause cellulite.  By utilizing a side-firing laser fiber optic, it removes the fat that causes the bulges, it treats the fibrous septae that cause the dimpling, and it stimulates collagen synthesis to contract and smooth the skin, something no other treatment modality can do.  Satisfaction rate with Cellulaze has been over 90 percent.  Cellulaze treatment is not for everyone.  I would recommend consulting a board certified plastic surgeon who has experience with Cellulaze to see if you are a candiate for the treatment. Good luck!

Robert Kratschmer, MD

Cellulite Removal Procedures

Dear Aurora,


Without physical examination and photos, it is a hard to recommend the best for your case.

Nonetheless, if you the "stubborn" fat remaining in your abdomen, flanks and back areas even after a religious workout schedule and a healthy diet, I believe that you will benefit from Cool Sculpting - a non-surgical, non-invasive method of getting rid of this excess fat permanently.

The Zeltiq (cool sculpting) will freeze the fat cells (cryoplipolysis) without affecting other tissues; the fat in the adipocytes (fat cells) will freeze at a controlled temperature inducing cellular apopotisis (programmed cell death) hence a permanent solution.


As for your cellulite, cool sculpting does address that issue but Cellulaze does - a recently FDA approved procedure with commendable results.


I hope this helps.

Thank you for your inquiry.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 178 reviews

The Cellulaze treats all components and is the best current treatment for Cellulite

Cellulaze is a new treatment approved by the FDA within the past year that treats all aspect of cellulite including releasing fibrous bands, reducing fat bulges and tightening the skin.  Improvements are now 2 years and holding.  It is my opinion that this is the best treatment investment if you are serious about permanent improvement in your cellulite

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.0 out of 5 stars 15 reviews

Definitive Treatment for Cellulite

As some of my colleagues have suggested, I would recommend you consider the new FDA approved Cellulaze procedure.  Unlike other treatments currently available, Cellulaze actually attacks the underlying causes of cellulite below the skin.  It requires only one treatment and have long lasting results (with 1-2 year followup in published studies).  Hope this helps.

Dr. Basu

Houston, TX

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.