All about cellulite: a review of the causes, treatments and new technologies

Abstract

Cellulite is an aesthetic condition that affects the vast majority of post-pubescent females worldwide. It is difficult to treat, and any results are difficult to maintain. Subcutaneous fibrous septa, anchoring the skin to the underlying tissue and piercing the subcutaneous fat perpendicular to the dermis, lead to the dimpled or wavy topography of the surface. Treatment to improve cellulite must include release of these septa, as well as strengthening of the dermis. As the causes of cellulite are multifactorial, combination treatments, including surgical subcision, lasers, radiofrequency, microfocused ultrasound, acoustic wave therapy and collagenase, are the best option for significant and long-lasting cellulite improvement. Optimum treatment protocols are yet to be determined.