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Do cellulite treatments work?

        Health | Spa Health

Types of Cellulite Treatments

If you've ever taken a look at Peter Paul Rubens' painting the "Three Graces," you know that cellulite has been around a while. Those classy ladies looked like they were having a good time despite a few physical imperfections. There's a lesson in there somewhere.

Cellulite treatments fall into a few broad categories. Some can be performed at home, while others must be administered by a licensed technician or dermatologist. Some, like ointments, work from the outside (noninvasive), while others are applied under the skin using surgical procedures. They approach cellulite on a number of fronts to do one or more of the following things believed to reduce the appearance of dimples and bumps:

  • Smooth or eliminate fat deposits under the skin
  • Change the texture or underlying structure beneath the skin to make it firmer (like a girdle)
  • Cut connecting tissues to reduce the tension that makes fat more visible.
  • Increase circulation to eliminate fluid buildup
  • These are some of the popular cellulite preparations you'll find on the market.

Creams and ointments - If you want a fast, painless and convenient way to combat orange peel skin, applying a topical cream is probably it. American consumers spent over $13 million on cellulite creams in 2011, and creams are among the oldest known treatments for cellulite. You typically have to use a cream for months to see any results, and after you stop using it, problems with dimpled skin will often come back. [source: Krieger]

Some of the most popular creams use phosphodiesterase inhibitors or methylxanthines like caffeine to dehydrate fat cells and break down fat. This sounds pretty neat, but the clinical results aren't all that stellar. Some experts contend that topical application probably isn't a very effective delivery method. The jury is still out, though. Other popular creams use retinol to help build collagen and toughen connective tissues to make them thicker and stronger.

There are also dozens of herbal creams for cellulite on the market. Most haven't been tested by independent labs. If you want to try one or two, take a buyer beware approach and avoid products that promise unrealistic results.

  • Massage, kneading, suction and friction - Giving your skin (and underlying tissues) a good rubdown may loosen or redistribute fat and help build collagen and increase the strength of connective tissues. Before you grab a rolling pin and a bottle of baby oil, though, know that most of these methods offer only a temporary reduction in the appearance of dimples. Collectively, these techniques are referred to as lipomassage and can be performed in the home with the purchase of special handheld massage equipment, in a dermatologist's office and even at some spas.
  • Radiofrequency massage - This technique takes the idea of lipomassage to the next level by using massage with heat to sculpt fat and help stimulate collagen production to thicken the skin.
  • Subcision - Subcision is an invasive surgical technique that uses a small cutting tool inserted under the skin to snip connective tissues that exert tension on the skin's surface. Reducing the tension makes fat deposits less noticeable. This technique has been used for years to treat deep acne scars.
  • Mesotherapy and Liposuction - Both these invasive surgical techniques eliminate fat by either suctioning it away (liposuction) or using chemical detergents to liquefy it (mesotherapy). Both can cause scarring and still leave areas of pocked or dimpled skin behind. Surgical procedures also have the risk of infection and temporary discomfort from swelling and tender skin.
  • Lasers - Laser therapy is another treatment method that employs skin irritation to stimulate collagen production. One method marketed under the name Cellulaze uses a laser inserted under the skin in a minimally invasive procedure that does three things: sever connective tissues (like subcision), melt and vaporize fat pockets (for a smoother appearance) and heat the skin from the underside (to increase its thickness and elasticity). Cellulaze treatment has been approved by the FDA and can be administered under a local anesthetic. Laser techniques may be used in combination with other methods on this list for more comprehensive results.