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Over 90% of women struggle with cellulite, causing this prevalent issue to be one of the most commonly discussed skin concerns in dermatology. Cellulite treatment and body contouring are two of the most popular procedures performed in the boutique New York City office of board-certified dermatologist, Dr. Michele Green. Everyone wants to know how to get rid of the ripples and dimples in the skin that appear on the upper thighs, buttocks, and abdomen. The appearance of cellulite is a frequent source of frustration for our patients and one that Dr. Green treats daily. Cellulite can occur in patients of any background, size, or age, and is most frequent in women. The exact underlying cause of cellulite is unknown, but for those who have it, the one question that they ask Dr. Green as their dermatologist, is ‘what is the best cellulite treatment’.

Cellulite reduction treatment has expanded in the last few years to include a myriad of lasers and injectables. Cellulite is caused when the underlying fat pockets herniate and bulge below the skin, leaving a lumpy and dimpled appearance. As we age, the prevalence of cellulite increases, and is directly linked with changes in our body’s hormones. The appearance of these herniated fat cells, and the decrease in the skin’s elasticity and firmness, is what causes the appearance of cellulite to become more noticeable.

Dr. Michele Green is an expert when it comes to the treatment of cellulite and she utilizes the best laser treatments, from radiofrequency based Thermage laser® and Candela’s Velashape® laser, to improve the appearance of cellulite. With the introduction of the first injection to permanently treat cellulite, QWO, Dr. Green is able to offer her patients the best cosmetic results in eliminating the appearance of cellulite. When it comes to treating cellulite, Dr. Green is here to help. Dr. Green is consistently nominated as one of the Best Doctors in New York City for her cutting edge laser resurfacing treatments, best Botox injections, dermal fillers, skin tightening lasers, CoolSculpting, and other non-invasive cosmetic skin treatments.

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What is Cellulite?

Cellulite is an accumulation of fat beneath the skin which causes the appearance of rippling or lumpy skin, mainly in areas such as the thighs and buttocks (though cellulite may also appear on the abdomen, breasts, and upper arms). Cellulite is formed when the septae, the connective tissue that connects the muscle to the skin, also known as the fibrous bands, causes the fat to protrude, resulting in a dimpling of the skin. When fat cells increase and expand, they begin to bulge towards the surface of skin. The fibrous bands pull back against the fat cells and create the appearance of dimples, creating the texture of skin which characterizes cellulite.

According to the AAD (American Academy of Dermatology), cellulite affects ninety percent of adult women in the United States. Anyone can develop cellulite, although women are much more predisposed to developing cellulite than men. Cellulite can be found on individuals of all sizes and is not limited to people who are overweight. The severity of or the overall appearance of cellulite, however, can vary depending on the thickness and elasticity of ones skin. Ultimately, the amount of cellulite an individual has is based not just on their percentage of body fat, but also on genetics.

Is Cellulite Fat?

Cellulite is not synonymous with fat. However, fat is one of the three major contributing factors for the appearance of cellulite and, unfortunately, can lead to an increase in the appearance of cellulite. As cellulite is created by the tension between fibrous bands and fat cells across the surface of the skin, an excess or an increase in the amount of fat cells in the affected area can lead to further cellulite. However, the majority of women who have cellulite simply have more sizable fat cells under the surface of the skin due to higher estrogen levels. Estrogen’s effect on fat cells also seems to explain why cellulite is far more common amongst women than men.

What Causes Cellulite?

There are several components that can lead to the development of cellulite, though the exact underlying cause is largely unknown. Fat cells are a contributing factor to the appearance of cellulite, but are not themselves the direct cause of cellulite. A deeper layer of fat lies deep within the dermis, beneath the connective tissues. As the fat cells in that lower layer increase and expand, they push against the honeycomb pattern of the connective tissue, creating the dimpled skin appearance of cellulite. In some areas they bulge and in others they are held in place by the tougher fibers above. This combination of fibers and fat is pushing and pulling in different directions within the skin is what causes the dimples and ripples that make up cellulite.

Lack of exercise, aging, poor diet, genetics, and hormones are all factors that can contribute to the formation of cellulite. While exercise and diet can be managed in order to try and help prevent cellulite from developing, there is no guarantee. Since cellulite is influenced by ones’ genetics, there are some people who are more prone to developing cellulite than others. While fat cells do contribute to the appearance of cellulite, individuals of any weight, size, and age can develop cellulite.

What is cellulite treatment?

Cellulite is very difficult to get rid of and even lifestyle changes, such as losing weight and eating healthy, may not be enough to see the disappearance of cellulite dimples. Luckily, recent innovations in dermatology have made it possible to reduce the appearance of cellulite through several treatment methods, including QWO treatment, Velashape body contouring, CoolSculpting, and Thermage for skin tightening. Research has also shown that combining treatments may be the most effective way to enhance skin wellness and reduce cellulite. When you have your initial consultation with board-certified dermatologist, Dr. Michele Green, she will help to determine the treatment or series of treatments that will work best for you.

Can Cellulite be removed?

If you have been wondering how to get rid of cellulite, you may have looked fleetingly for a magical treatment online. Up until recently, there were very few cellulite treatments that could truly get rid of cellulite on the skin. However, recent innovations have been able to permanently improve the appearance of cellulite. While cellulite itself cannot be removed, per se, there are many treatment options available to reduce the appearance of cellulite, including non-invasive, non-surgical options available at a dermatologist’s office, such as Dr. Green.

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48 year old female before and after photo (source:

What works for cellulite reduction?

There are a variety of treatment methods that are designed to reduce or temporarily remove the appearance of cellulite from the treatment area. Dr. Green typically recommends treatments such as Thermage and CoolSculpting to reduce the appearance of cellulite or stubborn fat on a variety of areas of the body, and offers a variety of treatment options that all work to rejuvenate the skin and enhance body contouring. Velashape and QWO are her “go to” combination treatment for permanently reducing the appearance of cellulite. When you work with Dr. Green, she’ll be able to create a customized treatment plan that best fits your needs.

What is the Best Treatment for Cellulite?

There are several fat removal and skin tightening treatment options which are used for cellulite reduction and are approved by the U.S. Food and Drug Administration (USFDA) without side effects. The best way to determine the correct treatment for you is by having a consultation with Dr. Green in her New York City dermatology office. The most popular treatments offered in Dr. Green’s office that are all designed to help to improve the appearance of cellulite are Velashape body contouring, QWO injectable treatment, CoolSculpting, and Thermage for skin tightening.

Velashape for cellulite reduction

Velashape is a nonsurgical body contouring procedure which uses a handheld device to administer a treatment which combines cellulite reduction and body contouring. Velashape is a non-invasive treatment which uses heat, infrared light, radiofrequency and vacuum technology to manipulate the fibrous bands beneath the skin to improve the appearance of cellulite. This vacuum technology suction breaks up the lumpy pockets within the skin, while the  infrared light and bi-polar radio frequency energy gently heat the fat cells and surrounding tissue.

How to do cellulite removal with Velashape

VelaShape® procedure is best designed with 5-6 treatments, three weeks apart, to achieve circumferential reduction of cellulite in the treated areas. After Velashape treatment, the skin is visibly smoother and firmer, and results can be seen even after three sessions. The best results are with a total of 5 to 6 Velashape sessions. Velashape® is completely painless, and feels much like a hot stone massage. Each session takes less than an hour and can be done in any season and for all skin types. There is no down time after the Velashape treatment. With the new Velashape® III, Dr. Green can give even faster and better results. Velashape treatments can be combined with other cosmetic treatments such as QWO injections for cellulite dimples to create a smooth, contoured appearance.

What is QWO Cellulite treatment?

Recently, the world of dermatology has developed the first permanent solution to cellulite: QWO™ injectable treatment. It’s the first treatment that can confidently answer the question of how to permanently get rid of cellulite dimples on the buttocks, as cellulite reduction can appear after as little as one injection. Cellulite treatment with QWO injections focuses on the break down of those fibrous bands that connect the skin to the underlying muscle and that pull down on bulging fat cells to create the appearance of cellulite. By breaking up the fibrous bands, this then releases the tension against the protruding fat cells and allows for smoothing out of the skin. The fat cells in the area then become more evenly distributed and the dimples that are characteristic of cellulite are smoothed. Additionally, QWO also helps to stimulate the production of more collagen in the skin. Collagen is a protein in the skin that gives it a strong foundation and which keeps your skin looking smooth, firm, and youthful. In just a single treatment session patients can permanently improve the appearance of dozens of cellulite dimples in the buttocks.

How to treat cellulite with QWO treatment

QWO was FDA approved in July 2020 to permanently treat cellulite in the buttocks of women. QWO is able to quickly and permanently remove moderate to severe cellulite by targeting one of the primary biological factors of cellulite, the fibrous bands that connect the muscles to the skin. When patients arrive in Dr. Green’s office for the treatment, she will begin by marking the injection sites of the treatment area. Then, Dr. Green will artfully inject the QWO solution into the marked sites, and, over time, the solution will work to dissolve the fibrous bands, which works to smooth out the surface of the skin. The treatment is most effective when patients receive three sessions spaced three weeks apart. Effects should become visible after 10 weeks of treatment and results are permanent.

How Thermage® helps with cellulite reduction

A single treatment of Thermage® FLX offers a noninvasive method to minimize the appearance of cellulite. Dr. Green is thrilled to offer this procedure at her Upper East Side New York City private office. With the newly designed total body tip, Thermage® FLX is able to penetrate deeper into the skin tissue in a painless and effective way to both tighten and smooth the skin. A single treatment can provide lasting benefits for up to two years. Thermage® FLX stimulates new collagen production by using radiofrequency energy that is designed to tighten skin, which in turn rejuvenates the layers of the dermis, reducing the appearance of stretch marks and puckering as the new collagen is produced. The procedure takes approximately one hour and results are gradually seen over a period of four to six months. Thermage® can be done on all skin types, with no recovery time, so it can be performed all year long.

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CoolSculpting 10 months before and after

CoolSculpting for fat reduction

CoolSculpting®, or cryolipolysis, is a revolutionary, extremely effective treatment method for removing stubborn areas of fat from different areas of the body. The treatment works by freezing fat cells, leaving surrounding tissue undamaged. The body metabolizes the injured fat cells, resulting in a decrease in overall amount of fat present and also helping to improve the appearance of cellulite in a treatment area. CoolSculpting is an innovative treatment option for patients who are seeking for a solution to get rid of cellulite and eliminate fat deposits on the stomach, bra fat, banana rolls (lower buttock), arms, and inner and outer thighs.

Can Cryo help cellulite?

To determine if you are a good candidate for a cryolipolysis CoolSculpting procedure, Dr. Green will evaluate the bothersome area of unwanted fat and determine which applicators would be best suited to treat the area. It is important that although CoolSculpting is a great treatment option for unwanted fat and cellulite, it is not designed for weight loss. Ideal candidates for CoolSculpting are at or near their ideal body weight and are struggling with stubborn fat pockets which are unresponsive to exercise and diet. By reducing the amount of stubborn fat in the treatment area, this can also help to reduce the appearance of cellulite. Many patients observe significant improvement after just one CoolSculpting session, while others may need additional sessions for further fat reduction. A typical session removes 25% of fat in a given area of treatment. Dr. Green will be able to assess the areas during your consultation, and let you know how many sessions will be needed for the best cosmetic results. There is no downtime associated with Coolsculpting, meaning you can resume normal daily activities immediately after your treatment is complete.

Before & After: Velashape III treatment

What is the best non-surgical treatment for cellulite?

For patients who are frustrated with the appearance of cellulite but do not wish to “go under the knife” and receive surgery, there are many non-surgical options for reducing the appearance of cellulite, which are very safe and effective. With many treatment options available at Dr. Green’s office, including Velashape, QWO, CoolSculpting, and Thermage, it is important to note that no one treatment is inherently “better” than another – it is, rather, most important to determine the treatment, or series of treatments, that will work best for you. Dr. Green will also often combine treatments, which target different aspects of the appearance of cellulite. For example, Dr. Green may combine QWO treatment to break the fibrous bands below the surface with Thermage to then tighten the skin.

Cellfina® for cellulite reduction

Cellfina® is an FDA approved subcision technique that targets and improves the dimples in skin that are associated with cellulite. The Cellfina procedure involves utilization of a device that has a blade the size of a small needle, which is used to physically break up the connective bands beneath the skin that cause the lumpy appearance of cellulite dimples on the skin’s surface. The total number of Cellfina treatments required to smooth out the appearance of the skin is dependent on the number of dimples which are present in the skin in a treatment area. The dimples that are targeted during a treatment session are typically permanently removed, although new cellulite dimples do have the potential to form. There is unfortunately no way yet to prevent cellulite dimples from forming.

There is a few days of downtime after having a Cellfina procedure and patients can expect swelling, bruising, and tenderness in the treatment area for several days afterwards. There may be some discomfort associated with the procedure itself, though a local anesthesia is typically utilized to help reduce patient discomfort. The treatment results can be observed just a few days after the procedure and are long-lasting.

Carboxytherapy for cellulite treatment

Carboxytherapy is a procedure that can be used to improve the appearance of several different skin concerns including cellulite, dark under eye circles, and stretch marks. The procedure entails utilizing carbon dioxide injections under the subcutaneous tissue in order to improve blood circulation in the targeted treatment area. Carbon dioxide is a gas which is naturally produced by the body and is carried away by red blood cells in exchange for oxygen. The carbon dioxide is simply exhaled by the lungs after being transported by the red blood cells. The increased blood flow to a treatment area helps improve the elasticity of skin which in turn helps to improve the overall appearance of cellulite.

In carboxytherapy, the physician may inject carbon dioxide into bulging fat cells, causing them to rupture. The destroyed fat cells are excreted by the body naturally. By reducing the amount of fat cells that are protruding underneath the skin, the carboxytherapy procedure helps to smooth out the appearance of cellulite dimples. As far as downtime associated with the treatment, there is some recovery time needed. Patients may experience mild amounts of bruising at or near the injection sites, though this resolves on its own within a few days of treatment. The procedure itself is relatively painless and has been approved by the FDA as a safe and effective method for reducing cellulite.

What is Cellulaze® cellulite treatment?

Cellulaze® is an invasive cosmetic treatment that is designed to temporarily improve the appearance of cellulite on the buttocks and thighs. A Cellulaze procedure works by targeting the cellulite underneath the surface of the skin, breaking apart the fibrous bands/septae under the skin that make cellulite much more noticeable. During the treatment, a laser fiber is inserted beneath the skin into the subcutaneous tissue. The heat energy from the laser fiber effectively breaks apart the fibrous bands that intensify the look of cellulite dimples. Not only does the treatment break up the septae in the skin, but it also helps to melt away some of the excess fat cells that are bulging and contributing to the appearance of cellulite.

Additionally, the laser energy from Cellulaze induces collagen production within the skin, boosting the elasticity of skin and improving the thickness of the skin. This also helps to reduce the look of cellulite by making the underlying fat cells less visible. The total number of treatments required to observe optimal cosmetic results varies depending on the severity of cellulite and the number of areas being treated with the procedure. Results may be observed after just a single treatment, though typically several treatment sessions are required to achieve the best results. There is several weeks of downtime associated with Cellulaze and patients can expect bruising, swelling, and soreness in the treatment areas following the procedure. Generally, the results from Cellulaze can last for up to twelve months.

Can IPL help cellulite?

Intense Pulsed Laser treatment, also known as IPL uses different wavelengths of light to treat a wide variety of skin conditions. With different wavelengths, IPL can be used to target pigment within hair follicles, skin cells, or blood vessels. IPL is best used to treat hyperpigmentation, sun spots, aging spots, acne scars, hair removal, rosacea, and broken blood vessels. The treatment can also be used to address skin laxity and improve tone and texture of the skin. When it comes to treating cellulite, Thermage RF treatment is typically what is preferred to address skin laxity.

What is Emtone treatment?

Emtone treatment is an anti-cellulite treatment that works via radiofrequency (RF) technology to address the various causes of cellulite. The Emtone works by applying RF energy and heat to the treatment area at between 108 and 110 degrees Fahrenheit. As a result, the body’s natural production of collagen and elastin are triggered to tighten and smooth out the skin. Acoustic waves are also emitted from the Emtone device to increase circulation in the treatment area and boost skin cell turnover. The Emtone treatment can be used on all areas of the body that may be affected by cellulite, including the arms, legs, buttocks, and abdomen.

What is the best laser treatment for cellulite

There are several laser treatments available to treat cellulite, including Thermage, Cellulaze, RF lasers, and Emtone. The type of laser necessary for cellulite treatment depends on each patient’s unique needs and goals. At Dr. Green’s NYC office, Thermage® is considered the gold standard for reducing the appearance of cellulite and tightening the skin. This dual benefit is provided by the unique Thermage® radiofrequency technology. Thermage® is a comfortable and effective treatment for all skin types, requiring no pre-treatment or downtime.

Dr. Green recommends Thermage® to tighten loose skin around the arms, buttocks, thighs, and tummy and buttocks. Cellulaze is also highly effective at reducing the appearance of cellulite by breaking up the fibrous bands that cause dimpling on the surface of the skin. However, while Cellulaze is effective, the treatment is minimally invasive, meaning a small incision will have to be made, which many patients shy away from. Similar results as Cellulaze can be achieved through QWO injections, which are non-invasive and also work to destroy the fibrous bands.

Does Liposuction Work to Remove Cellulite?

Liposuction is an invasive procedure for fat removal that is performed by plastic surgeons in an operating room. This surgical procedure involves an injection of lidocaine as a local anesthetic as well as an epinephrine injection in order to control bleeding prior to the procedure. Patients also have the choice to opt for general anesthesia, since the procedure can be quite painful. With this type of plastic surgery procedure, the plastic surgeon uses a metallic rod, known as a cannula, to remove unwanted fat cells. This suction technique allows for an increased amount of total fat removal, improved sculpting in the treatment area, and also a quicker recovery time. It is important to note that while liposuction treatment can effectively remove fat, it cannot improve the appearance of cellulite. If reducing or removing cellulite from a treatment area is the cosmetic goal of the patient, liposuction is not the recommended procedure.

If you are looking for a non-invasive way to remove stubborn unwanted fat deposits that have been unresponsive to regular diet and exercise, and you are considering the alternatives to liposuction, which requires significant downtime following the procedure, CoolSculpting may be of benefit to you. CoolSculpting is an FDA approved fat reduction procedure offered in the office of Dr. Green that requires no downtime whatsoever. CoolSculpting works by freezing the fat cells while leaving surrounding tissue completely unharmed. This procedure can be performed on bothersome areas such as the belly, banana roll, upper arms, flanks, thighs, submental area, and bra fat. By eliminating excess fat cells, CoolSculpting can also help reduce the appearance of cellulite. If you are unsure as to whether or not you may be a good candidate for a CoolSculpting procedure, schedule a consultation with Dr. Green in her NYC Upper East Side dermatology office.

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Before & After: Velashape III treatment

Mesotherapy treatment for cellulite

Mesotherapy, a treatment method that is also commonly referred to as liquid-lipo, entails using a special combination of proteins and enzymes that are injected directly into the skin. A meso device is utilized during the procedure, which the provider injects into the subcutaneous tissue, in order to effectively break up the fat as well as to aid in lymphatic drainage. After the procedure, the body then begins to metabolize these fat cells. Any excess fat that was treated during the procedure is excreted from the body through natural processes.

Mesotherapy can help improve the overall appearance of cellulite dimples and ripples. Typically, multiple treatment sessions of mesotherapy are required to effectively treat the area and reduce or remove the cellulite. Patients note that the procedure itself is associated with minimal pain, but a topical anesthesia can be applied to the targeted area before treatment to help minimize any discomfort. A common side effect associated with the procedure is some swelling and soreness which can typically last for a few days after the treatment. You can, however, resume your normal daily activities immediately following a Mesotherapy® treatment session.

Microdermabrasion to reduce the appearance of cellulite

Microdermabrasion is a cosmetic procedure that works best for patients with grade 1 cellulite. This treatment is performed by a dermatologist who uses aluminum oxide crystals that are designed to exfoliate the skin. The exfoliation of the treated area stimulates skin cell turnover, helps promote the generation of healthy, new skin cells, and improves the overall appearance of the skin. Several treatments are needed to see results, however, this treatment method generally is not as effective for treating the appearance of cellulite when compared to the newer, more innovative laser technologies that Dr. Green prefers to utilize for her patients when reducing or removing their cellulite. During your consultation with Dr. Green, you will have the opportunity to discuss which treatment methods are best-suited to your skin and desired cosmetic results.

What is Endermologie cellulite treatment?

Endermologie is a treatment that entails using a hand held device which delivers a targeted deep tissue massage to an area of the body in order to break apart the cellulite dimples in the skin. The massage effectively tones and tightens the skin, but several sessions are needed to see results. It is common that after completion of the procedure, patients may experience slight bruising and muscle soreness in the treated area. The effects of the Endermologie treatments can last for up to a year.

Acoustic wave therapy

Acoustic wave therapy is an in-office treatment method, during which the provider utilizes a handheld device that uses sound wave vibration to stimulate the connective tissues of the treatment area. The vibration improves circulation and stimulates collagen build up, which ultimately is supposed to improve the appearance of cellulite. Typically, several treatment sessions are needed in order to see results.

What is the best treatment for cellulite on thighs and bum?

QWO injectable treatment is a revolutionary treatment when it comes to improving the appearance of cellulite on the buttocks and upper thighs. Dr. Green is thrilled to offer this treatment to her NYC dermatology patients. QWO was approved in February 2020 and is the first injectable treatment which is able to permanently improve the appearance of cellulite. QWO™ is composed of collagenase clostridium histolyticum-aaes, designed for the treatment of cellulite in the buttocks of women 18 years of age or older. Dr. Green was one of the first dermatologists in NYC to treat patients with QWO in her NYC private dermatology practice.

QWO is able to quickly and permanently remove moderate to severe cellulite by targeting one of the primary biological factors of cellulite, the fibrous bands that connect the muscles to the skin. By reducing the thickness of these fibrous bands, the tension on the skin above it is relieved, eliminating the appearance of cellulite in the affected area. Through this method, QWO is able to reduce and remove cellulite without the need for any invasive procedures or downtime.

How to cure Cellulite on the Stomach, Abdomen, and Back

When looking to improve the appearance of cellulite on the stomach, abdomen, and back, Dr. Green may use a combination of CoolSculpting for fat reduction and Velashape body contouring. Although Coolsculpting is not specifically designed to reduce or eliminate cellulite in a given treatment area, the procedure can be combined with other non-invasive in-office cosmetic treatments such as Velashape to effectively eliminate fat and reduce or remove cellulite. Velashape uses infrared light and radiofrequency energy to provide a contouring effect to the treatment areas, targeting underlying fat cells as well as inducing collagen production in the skin to give it a smoother overall appearance. There is no downtime at all involved with either Coolsculpting or Velashape treatments and very minimal amounts of discomfort for the patient during either procedure. This combination treatment approach has been used to help countless patients to look and feel like their best self and realize their aesthetic body goals.

What is the best treatment for cellulite on your legs?

Cellulite commonly appears on the thighs and the backs of the legs but can be easily addressed with procedures such as QWO, CoolSculpting, and Thermage. While QWO injectable treatment is only, at present, FDA approved to eliminate cellulite on the buttocks, it has been shown to be an effective off-label treatment for cellulite on the legs. Cellulaze is also effective in destroying the fibrous bands that pull at the surface of the skin, creating a dimpled appearance on the legs. Dr. Green will often pair QWO treatment with CoolSculpting, in order to debulk the area of stubborn fat cells, and Thermage, in order to tighten the skin at the treatment site. When you have your initial consultation with Dr. Green, the two of you will discuss your treatment options and create a custom treatment plan to best address your needs.

Do Cellulite Treatments Work?

Yes! For the majority of patients, targeted in-office cellulite treatments such as Velashape, Thermage, and QWO are highly effectively at either temporarily or permanently removing their cellulite. While each individual patient and their skin is unique, there are a number of curated treatments that Dr. Green often recommends to her patients which are designed to treat cellulite based on its foundational biological factors. By firming the skin and improving its elasticity, disrupting the thickened fibrous bands (septae), and reducing the total number of fat cells that are in the body, the treatments that Dr. Green utilizes – Thermage, QWO, Velashape, and Coolsculpting, – are able to provide patients with healthy, smooth, cellulite-free skin.

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52 year old female before and after photo (source:

How Much is Cellulite Treatment?

The total cost of your cellulite treatment is going to vary depending on the affected areas of treatment, the severity of the cellulite requiring treatment, and the aesthetic goals of the individual patient. Ultimately, Dr. Green always recommends the best possible treatment combination approach for her patients, focusing on long-lasting results that demonstrate the best improvement in the appearance of cellulite on the skin. When you consult with Dr. Green, she’ll work with you to determine the treatment plan that best balances your goals and budget. It is also best to ask if there are any specials as well at the time of your consultation.

How to Get Rid of Cellulite Overnight

Unfortunately for us, cellulite is a complex condition influenced by hormones, aging, and environmental stress, which means that it is difficult to get rid of overnight. This makes cellulite a challenging skin concern to treat successfully despite recent advancements in lasers and other technology. The cellulite is typically determined by three biological factors: fibrous bands, skin laxity, and fat cells. The best approach to treating cellulite is through a combination of laser devices, Velashape treatments, QWO injections, and Thermage. The combination of treatments that is right for you will differ from what might be best for someone else and their skin and can be determined in a consultation with Dr. Green.

What are the different grades of cellulite?

In the Journal of European Academy of Dermatology and Venerology published in 2009, doctors were able to establish a severity scale for accessing cellulite. The cellulite scale established three grades ranging from grade 1 to 3.

Grade 1 – (mild) superficial dimpling with an “orange peel” appearance and 1-4 slight depressions in the skin.

Grade 2 – (moderate) deeper rippling of the skin with a “cottage cheese”-like appearance and 5-9 medium depressions in the skin.

Grade 3 – (severe) deep rippling of the skin with a “mattress like” appearance and 10 or more deep depressions.

What hormonal factors contribute to cellulite?

The presence of cellulite can also be influenced by varying hormones in the body. The hormones which contribute to cellulite production are thyroid hormones, prolactin, noradrenaline, insulin and estrogen. With age, estrogen levels begin to decrease, resulting in expansion of fat cells and reduction in blood flow. Both of these factors contribute to the formation of cellulite dimples and ripples and influence the prominence of cellulite in women and as one grows older. Cellulite is much more prevalent in menopausal women, as the shift in estrogen coincides with a decrease in the amount of collagen production within the connective tissues can contribute to the appearance of cellulite.

How can you prevent cellulite?

Unfortunately, for most of us, cellulite cannot be prevented. The formation of cellulite is just a natural part of the aging process for the majority of women. Many women even develop the first signs of cellulite in adolescence. However, maintaining a healthy diet and exercise routine can help to limit the amount of cellulite on the body. For the majority of patients, cellulite treatments, such as QWO, Thermage FLX, or Velashape, are needed to achieve cellulite reduction.

DIY Cellulite treatments for cellulite

If you’re wondering how to get rid of cellulite fast, you may be disappointed to learn that making changes in your lifestyle may have a minimal effect on the appearance of your cellulite. Unfortunately, there is no miracle cream, topical treatment regimen, or exercise plan that is guaranteed to remove the dimples in the skin. However, there are a few at-home changes in routine that may help to reduce cellulite. Nevertheless, the best and most effective way to completely and permanently remove cellulite is through in-office procedures. Below are some of the ways that in-office procedures can be enhanced at home.

Exercise for cellulite treatment

Regular exercise and maintenance of a healthy diet can be helpful for shedding extra pounds, ultimately leading to eliminating unwanted fat and improving cellulite. You should focus on exercises that target the areas of the body which are most prone to developing cellulite, such as the posterior thighs and buttocks. Exercise that tones the muscles and burns fat, such as cardio and strength training, will tighten the skin and help minimize the appearance of dimples that are characteristic of cellulite.  A reduction in overall amount of body fat with weight loss methods can often help improve the appearance of cellulite, although unfortunately this is not always the case.

Dry brushing for cellulite reduction

Dry brushing is a form of Ayurvedic medicine that entails using a dry bristled brush on dry skin. Dry brushing is an exfoliation treatment that stimulates blood and lymph flow, removes dead skin cells, and stimulates new skin cell growth. The dry brushing helps to improve blood circulation, which may help to improve the appearance of cellulite. This method is best for improving the look of type 1 cellulite. Dry brushing should be done in upward circular motions, before showering, and can be performed 2-3 times a week for best results. Keep in mind that the benefits of dry brushing should last for as long as the method is practiced.

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Thermage before and after

Which Topical Skincare Treatments are good for Cellulite?

There are a number of topical cellulite creams and lotions available that can be used to help both soften and tighten the skin, reducing the overall appearance of cellulite in different treatment areas. The success of these topical lotions depends largely on the severity of your cellulite. Unfortunately, for grades 2 and 3 cellulite, topical treatments will probably not be the best solution. Topical solutions may be useful for improving the appearance of grade 1 cellulite and can even help to enhance some in-office treatments for cellulite.

Most topical treatments for cellulite work by decreasing the water content of the fat cells or by thickening the outer layer of the skin, resulting in improved appearance of superficial cellulite. When choosing a topical cellulite treatment to help remedy the appearance of dimples and lumps, there are some key ingredients to look for. Some of the most effective over the counter cellulite lotions and creams contain ingredients such as caffeine, retinols, alpha hydroxy acids, and aminophylline. Caffeine as a skincare ingredient works by increasing the blood flow to the skin, improving circulation and in turn, altering the water content of the fat cells in the skin. The result is a softened appearance of cellulite and a smoother skin texture overall.

Caffeine is incorporated into the formulations of many over the counter skincare products, however, one can take advantage of the benefits of caffeine with a coffee scrub made at home! Just be sure that your coffee grounds are not decaf, they won’t provide the same skin benefits as regular coffee grounds. Additionally, Retinol-based lotions work by generating new collagen in the skin, improving both the skin’s tone and texture. Retinol is available in various strengths. The highest strength available should be used for cellulite treatment in order to yield the best cosmetic results. If you’re stumped about the best skincare regimen for managing the appearance of your cellulite, schedule an appointment with Dr. Green. Dr. Green can evaluate your skin texture and help you develop a skincare routine that meets your cosmetic needs and goals and provides you with real, lasting results.

How to get started with Cellulite Treatment

If you’re frustrated with the appearance of your cellulite and are looking for a way to smooth out the appearance of dimpled skin, Dr. Green is here to help. Dr. Michele Green is an expert in cosmetic dermatology and will help you develop a customized treatment approach to achieve tighter, firmer, smoother skin that lasts. For over two decades, Dr. Green has been practicing the best non-invasive body contouring and cosmetic laser treatments in NYC. If cellulite is something that bothers you, don’t hesitate to Contact Us Online or call 212-535-3088 to learn more about cellulite treatment options such as Thermage® and QWO that will help you look and feel like your very best.

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