Has Cellulite Cure Been Found?

Findings from a new study published in the November/December 2008 issue of Aesthetic Surgery Journal suggest that a combination treatment using laser energy and fat transplantation shows promise in significantly improving cellulite. Cellulite is a common condition that gives the appearance of lumpiness and dimpling across the skin and is most prevalent in the thigh, hip, and buttock areas.

"Cellulite is caused by bands of fibrous tissue that connect the muscle to the skin," says Alan Gold, MD, President of the American Society for Aesthetic Plastic Surgery (ASAPS). "If these bands are tight and the fat between the muscle and the skin bulges out between them, there will be dimpling over each of those bands. There is nothing otherwise special or unique about the fat itself in those areas." Almost all women (and some men) have cellulite, stemming from genetic predisposition, hormonal changes and weight gain.

The treatment presented in the ASJ study first uses 1064-nm Nd:YAG laser energy conducted underneath the skin to stimulate collagen formation, skin tightening and, on a deeper level, to reduce fatty tissue. Laser treatment is followed by injections of the patient's own fat to fill in the depressed areas. Along with visible improvement, there are very few adverse effects, most of which are mild and temporary.

"The search for the cause of cellulite and effective treatments is ongoing, however, the combination of a minimally-invasive pulsed laser treatment and autologous fat transplantation represents a viable option for women who have severe cases of cellulite," says Robert Gotkin, MD, a plastic surgeon in New York, NY and one of the authors of the study. "All treatments have limitations and since cellulite is a chronic condition, the patient must understand that there are no miracle procedures and multiple treatments may be necessary."

The doctors treated 52 women between the ages of 18-47 with severe cases of cellulite who had not undergone previous surgical treatments such as lipoplasty or subcision (cutting scar tissue just below the surface of the skin). After the laser tightening and fat injections, patients received a massage to evenly distribute the fat and returned the next day for physiotherapeutic postoperative treatments. The follow-up period ranged from a year to almost 3 years, and nearly 85% of the patients rated their results as "good" or "excellent".

Various methods of treating cellulite have been proposed including:

• Liposuction

• Fat Injections

• Lower Body Lift

• Endermologie

• Injection lipolysis

• Herbal and dietary supplements

• Creams and lotions

While some of these procedures, such as fat injections and lower body lift, have been shown to be beneficial in appropriately selected patients, others such as injection lipolysis and lotions do not have any scientific data supporting their efficacy. Liposuction, while highly effective in reducing fat deposits and improving contour, sometimes makes cellulite appear worse.