How do you get rid of cellulite? No treatment removes it permanently, but some make it less noticeable for a time. According to the American Academy of Dermatology (AAD), the procedures with the best research behind them are those that break up the tough bands under the skin that cause the dimpling. Creams, radiofrequency and massage devices give smaller, shorter-lived changes, and supplements have no evidence at all.
This guide goes through what the research shows for each option.
What cellulite is
Cellulite is fat that causes the skin to dimple. Tough bands beneath the skin are what create the dimpled look. The AAD notes that most women have it, including very fit women, and that it is different from ordinary fat: treatments that remove fat effectively often have no effect on cellulite.
How to get rid of cellulite: what the research supports
The AAD groups treatments by the strength of the evidence. These have the best results in studies:
- Subcision. A needle is inserted under the skin to break up the bands that cause dimpling. Results can last two years and possibly longer.
- Vacuum-assisted precise tissue release. A device with small blades cuts the bands. In a small study, many patients had less cellulite for up to three years.
- Laser treatment. In one minimally invasive type, a laser fiber placed under the skin breaks up the bands and thickens the skin. Results can last a year or longer, though the AAD says more research is needed.
- Acoustic wave therapy. Sound waves from a handheld device can reduce the appearance of cellulite. Several sessions are needed.
These are medical procedures, and not every clinic offers them.
Treatments with smaller or shorter-lived effects
Radiofrequency
Radiofrequency heats the area being treated. The AAD’s assessment: “Recent studies suggest some patients see a little less cellulite. This result, however, is short lived and several treatments are needed to see this minor change.” Bruising afterwards is common and fades.
Radiofrequency is the technology behind several treatments offered at clinics, including ours. The AAD assesses radiofrequency skin tightening separately, describing its results as modest. See our NuEra skin tightening page.
Creams and lotions
The AAD says some may have an effect. Products with caffeine may make cellulite less obvious while you keep applying them daily. A product with 0.3% retinol may help a little by thickening the skin, but it needs six months or more of use. Test any product on a small area first.
Massage and suction devices
Study results vary. Where there is an effect, the AAD says cellulite tends to return within a month of stopping.
Weight loss and exercise
Extra weight can make cellulite more visible, and for some people losing weight reduces it. The AAD adds a caution: if you develop loose skin while losing weight, cellulite can become more noticeable. Building muscle can make the skin look smoother and firmer.
What does not work for cellulite
- Fat freezing. The AAD says it can remove small pockets of fat but “currently cannot get rid of cellulite.”
- Liposuction. It is not recommended for cellulite and can make dimpling more obvious.
- Mesotherapy. Few studies show it works, and side effects are common.
- Supplements. “There is no evidence that any supplement can reduce cellulite.”
Choosing a treatment
The AAD advises consulting a doctor who understands and treats the condition before any cosmetic treatment, and notes that results depend on the skill of the person performing it.
Useful questions to ask:
- What published evidence supports this treatment for cellulite specifically?
- How long do results usually last, and how many sessions are needed?
- What are the side effects?
- What will it cost over a year, including maintenance?
Frequently asked questions
Can you get rid of cellulite permanently?
No treatment in the AAD’s review is described as permanent. The longest results reported are two to three years.
Does losing weight get rid of cellulite?
It reduces it for some people. If weight loss leaves loose skin, cellulite can look more obvious.
Is cellulite a sign of poor health?
No. The AAD says most women have it, including very fit women.
Next step
To talk through what is realistic for your skin, book a consultation. You may also want to read Are hip dips good or bad?
Sources
- American Academy of Dermatology. Cellulite treatments: What really works?
Double Board Certified Nurse Practitioner
Beauté Medical Aesthetics
