Thank you for your question. Vanquish targets the fat cells and destroys those cells through gentle heating. The focus of this therapy is a reduction in fat cells and it can help patients loose those last couple of inches that exercise and diet cannot fix. Cellulite formation is caused by fibrous septae bands that connect the dermis to the underlying tissues. As these bands contract and stiffen, they pull down on the dermis creating dimples. Vanquish, while it may slightly improve the appearance of cellulite, is not the optimal treatment. Cellfina, while more invasive than Vanquish, is a wonderful procedure in regards to treating cellulite. It has just received FDA clearance for three years, which is the best any treatment for cellulite has ever received. My patients feel only minimal discomfort, it is mostly pressure, and have all loved the results. It is best to consult with a board certified dermatologist or plastic surgeon prior to deciding on the best therapy for you.