This is a very common concern for many patients. It is estimated to affect at least 85% of women. It is normal fat that is surrounded by dense, fibrous tissue that creates the dimpling effect. It is most commonly seen as a dimpled or lumpy appearance on the thighs and buttocks, although other areas including the stomach, hips, and even arms can also be affected.

There are several contributors to cellulite, including increased oestrogen levels, poor diets high in carbohydrate, poor circulation, smoking and simply genetics.

These are the most commonly used methods that the we recommend at 23MD to reduce the appearance of cellulite:

  1. Devices – These deliver energy to break down fat so the body can eliminate it through its natural detoxifi­cation process. At 23MD, we advise a combination of treatments utilising more than one type of energy to break down the fibrous tissue and reduce fat to optimise outcome.
    • Exilis® Ultra 360 uses radiofrequency and laser energy to produce a gentle heat that breaks down the fat cells, as well as contracts tissue below the skin’s surface to promote skin tightening.
    • Coolsculpting® on the other hand, reduces cellulite by freezing fat cells, using a method called Cryolipolysis. Since fat cells are more sensitive to cooling than skin cells, these treatments damage the fat cells while leaving the skin intact. The frozen fat cells die and the inflammation triggered allows the body to carry away the damaged cells through the lymphatic system.The reduction in the fat cells and reduced pressure inside the fat compartments,  produces less dimpling overall.
    • Ultherapy®. – although not licensed for this, Ultherapy® is another very effective add-on treatment to help smooth and tighten skin. This uses ultrasound energy, and continues to be the treatment that patients come into my office requesting for skin lifting and tightening
  2. Non-invasive injections
    • Mesotherapy, also called Lipodissolve, is a fat-removal process that was invented in 1952 by Dr. Michel Pistor.
    • It uses a series of injections delivered into the area between the dermis and subcutaneous layers of skin to dissolve fat, including cellulite. The injections contain combinations of medications, botanicals, vitamins and/or minerals to treat fat deposits. Once the cocktail is delivered into the area, the fat cell walls are broken down and turned into liquid that can be easily removed by the body.
    • The most commonly used ingredients in mesotherapy include phosphat­idylcholine, deoxycholate, aminophy­lline and L-carnitine, along with other extracts, vitamins and minerals.
  3. Hormone Re-Balancing– Our hormones play a huge role in our health and appearance. Their levels change with age, environmental exposure, and stress levels.
    • Estrogen may be partially responsible for the appearance of cellulite on the skin. Estrogen serves to weaken the septa, causing the “lumpy” appearance. Estrogen may also promote increased storage of fat cells. A phenomenon called estrogen dominance, which is often categorised by PMS and other extreme fluctuations during the menstrual cycle, may also increase cellulite. It is possible to use another natural hormone, progesterone to combat some  effects of oestrogen. However, progesterone is not considered a cure for cellulite.
    • Measure and boost our testosterone level, not just because too little can promote fat deposition, but because too much estrogen in relation to testosterone can lower thyroid hormone, which in turn, may worsen cellulite.
    • Boost your thyroid hormones, as these play a key role in metabolism, and can therefore affect fat storage and cellulite. Try to avoid foods that may trigger adrenal stress, such as caffeine, since these foods may disturb normal thyroid levels. Also seek a healthy hormonal balance of progesterone and estrogen, since Finally, take supplements that may enhance thyroid production, such as selenium, folic acid and iodine, reports Science-Talks-Cellulite.co.uk.
    • Check for insulin resistance. This occurs when the body response to normal levels of insulin is reduced, and can pre-dispose to diabetes. By checking your fasting levels of insulin and glucose, we can get an idea how much insulin you need to make to keep your body sugar level eve