Cellulite is a term to describe the dimpling and lumpy appearance that most often develops on the thighs, legs, buttocks and abdomen. There are creams that claim to remove cellulite. Other more intense treatments like endodermology or mesotherapy are also available. Finally, some resort to liposuction, hoping it will rid cellulite.
What are the differences between these treatments? And which ones work and which do not?
First, knowing what cellulite is and where it is located, helps in understanding how to treat it. Cellulite is pockets of fat, just below the skin in what is called the superficial fascia. This superficial fascia is connected under the skin, pressing the fat against the underside of the skin. So, as a result what you see on the surface are these lumpy fat pockets.

DIET AND EXERCISE
Many, regardless of how much they work out, cannot eliminate cellulite. Contrary to the myth, it is not related to obesity, since it occurs in overweight and thin women. Because cellulite rests in the area just under the skin, it responds minimally to diet and exercise. Therefore, even extreme diet and exercise will reduce body fat but will not effect cellulite much. Dehydration and poor nutrition tend to worsen its appearance. Some studies claim a diet high in antioxidants, fruits and vegetables can help reduce advancing cellulite. Avoiding processed foods, coffee, salt and alcohol, which contribute to dehydration, can also help.

CREAMS, LOTIONS AND POTIONS
There is a huge market of creams, soaps and massage devices, claiming to reduce cellulite. They tend to contain ingredients such as aminophylline, caffeine, retinol or alpha-hydroxys. However, look closely at their claims. They only claim to reduce the appearance of cellulite, by targeting the skin with smoothening ingredients. These treatments are generally unsuccessful because they only target the appearance of skin on top. It is unlikely that any store bought cream will contain ingredients in levels that will penetrate deep enough to melt the cellulite away.

ENDERMOLOGIE
Endermologie is another cellulite treatment. The procedure involves the use of a motorised device with two rollers. The rollers are moved over the cellulite area, causing suction and pulling. This delivers a smooth and regulated deep tissue massage. The theory is that with ‘kneading’ of the tissue, the fat layer softens so that blood flow and lymphatic drainage increase. So this is supposed to help with elimination of excess fluid and metabolites. Endermologie does not remove the fatty pockets.
Unfortunately, little medical evidence is available to show that endermologie has any effects. You may also read that endermologie is FDA-approved. It is approved as a Class I medical device, which is subject to the least regulatory control. Some examples of class I FDA medical devices are bandages and examination gloves. Treatments are generally 35 minutes in duration, twice a week. Most women need 15 to 25 treatments, with monthly follow-ups to maintain results.