Cellulite is an imprecise medical term used to describe the cottage cheese appearance of the thighs seen in some women. It is uncommon in men. The exact cause of cellulite is unknown. It may be due to fibrous bands that go from the skin to the underlying muscle. Excess fat between these bands bulges out, creating the unattractive appearance of cellulite.
There is no good treatment. Attempts to treat this with creams and medicines are not successful. Massage and stimulation of the area may cause swelling that disguises the appearance but is temporary.
A mechanical method of massage called Endermologie was introduced to the United States from France in 1996. It uses a series of mechanical manipulations to the skin using motorized rollers. Some doctors feel that Endermologie mobilizes the fat just beneath the skin so the body can eliminate the fat through natural means. Its use is primarily as a supplement to surgical methods. At this time the American Society of Plastic Surgeons (ASPS) considers that until more rigorous scientific studies are performed its medical value is unproven.
Surgery produces mixed benefits. Traditional liposuction does not usually improve the appearance and may even make it worse. Superficial liposuction close to the skin can improve the appearance but may damage the blood supply of the skin and cause visible irregularity.
Ultrasonic liposuction appears to offer a possible solution because it often removes the fibrous bands. However this is a relatively new technique and it is still too early to assess its full value.
At this time it seems there is no good and scientifically well proven treatment for cellulite.
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