Cellulite Reduction Tools

Cellulite structure and physiology

Cellulite is a condition that affects 80-90% of the western women population over the age of 20. Men may also have cellulite but in very low incident rates due to a basic difference in the structure of the subcutaneous (under the skin) fat layer which is a result of gender difference between male and female hormone levels.

Cellulite is caused due to a combination of conditions that are typical to women post puberty. These conditions include enlargement of the fat cells in the adipose (fat) layer of the hypodermis, weakening of the dermis layer of the skin and hardening of the connective tissue in the adipose layer. In addition, areas infested with cellulite tend to have a lower circulation and metabolism rate, inducing water retention in the area which makes the cellulite appearance worse.

The subcutaneous adipose layer in females is composed of fat cells enclosed in between columns of connective tissue on two sides, the dermis from above and muscle below. After puberty these fat cells grow in size while at the same time the connective tissue becomes less flexible. In addition, the dermis layer of the skin becomes weaker due to reduction in collagen and elastin production, causing the skin to become lax.
Enlargement of the fat cells and hardening of connective tissue that surrounds them, forces the fat to push up against the weakened dermis, causing the uneven, dimpled texture typical to cellulite.
In men, the fat cells in the subcutaneous adipose tissue are organized between connective tissue organized in a crisscross pattern; hence the fat is not pushed up against the dermis but is locked between strands of connective tissue, preventing the formation of cellulite.

Technologies that tackle cellulite

It is important to emphasize that none of the technologies mentioned below actually eliminate cellulite. Cellulite cannot be removed it can only be reduced or its appearance improved. In addition, the best results will be obtained from combining technologies.
To effectively reduce the appearance of cellulite, changes need to occur on a few levels. The size of the fat cells in the subcutaneous adipose layer should be reduced in size, the dermis should be strengthened and thickened to reduce the effect of the bulging fat cells. It will also help if the connective tissue in the adipose layer becomes more flexible, hence enabling the compartments that store the fat in the adipose layer to expand rather than push up against the dermis. This article will evaluate the main technologies available on the market for cellulite reduction. It will not cover methods that do not involve technologies such as creams, wraps, exercise diets etc’

LPG- Endermologie

Endermologie technology, developed by LPG France, was the first treatment approved by the FDA for “temporary reduction of cellulite”. The Endermologie technology was introduced in the 1980’s as a non-surgical method to treat scars of burn victims. The treated patients noticed the improvements in skin texture and cellulite reduction leading to an additional indication for use of this technology.
Cellu M6, the device that uses this technology, is a massager device comprised of 2 rollers and a gentle suction action that deploys mechanical stimulation that, according to the manufacture, activate natural processes in the treated area, these include stimulation of new collagen and elastine production along with induced lipolysis in the subcutaneous adipose tissue. The company claims that this deep massage action also stretches the strands of connective tissue in the adipose tissue below the skin, causing them stretch and soften, hence resulting in the reduction of compression in the chambers that box the fat cells therefore reducing the effect of bulging, bumpy skin typical to cellulite. Treatment involves 14-28 sessions once or twice a week followed by a monthly maintenance treatment.
LPG has also developed a home use device, the Wellbox, for use by the client in the comfort of their own home. The Wellbox uses less suction power than the professional devices to ensure the safety of the patient therefore delivering less results however, the client can use the device as often as desired. Another down fall of the Wellbox is its high price compared to the temporary results it delivers.


Ultrasound cellulite treatment involves emitting high-frequency sound waves from a transducer. These waves vibrate the tissue, penetrating deep into the dermis and subcutaneous fat areas of the skin. This vibration creates heat in the affected tissue which increases blood circulation, in addition, the vibration causes pockets of low-pressure and high-pressure waves in liquids, leading to the formation of small bubbles with lower internal pressure (vacuum), when these bubbles collide with fat cells in the adipose tissue they collapse and cause the fat cell to break due to the large difference between the pressure in the fat cell which is much higher than that in the vacuum bubble (cavitation ). This causes destruction of fat cells and release of their content into the extra cellular matrix. The released fat is then reabsorbed into the body via the lymph and vascular system.

Ultrasound treatments can be dangerous if performed by unprofessional practitioners. If indeed a device emits focused ultrasound, it can easily damage blood vessels and bone.

Acoustic Wave Therapy (AWT)

AWT is characterized by the application of acoustic sound waves to the affected body regions. The sound waves cause vibration in the treated area which penetrates into the skin and subcutaneous fat layer causing an increase in temperature and an increased metabolism rate. In addition, according to device manufacturers, the vibration causes softening of the connective tissue columns in the subcutaneous fat layer enabling them greater flexibility, hence enabling the subcutaneous fat compartments to expand therefore reducing the pressure of the fat cells on the dermis above. The sound waves cause a vibration that induces the process of lipolysis (break down of fat) in the fat cells. In addition, the vibration changes the permeability of the fat cells increasing the secretion of lipolysis bi-products out of the fat cells into the area surrounding the cells. From there the bi products are cleared via the lymphatic and vascular systems to the liver or urine. The heat generated by the vibration induces heat in the dermis, causing the collagen to tighten.

Treatment protocol consists of about 30 minutes sessions and, depending on the degree of cellulite, 6 to 10 sessions at 3 to 4 days intervals. Treatments should be accompanied by 30 minutes physical exercise per day, a low-fat diet and 2 to 3 liters of liquid per day to ensure rapid elimination of waste products.

Radio Frequency

Radio Frequency treatments for reduction of cellulite are very popular and effective. Radio Frequency induces an increase of temperature in the treated tissue. This temperature increase causes release of fatty acids from the fat cells in the adipose layer causing them to shrink. In addition, the thermal effect achieved in the dermis causes tightening of existing collagen and stimulation of new collagen formation in the dermis. The combination of fat cell size reduction along with the tightening of the dermis causes an improvement in the appearance of cellulite and in skin texture. There are many radio frequency (RF) technologies available, mono polar RF is the first generation of RF. The treatment area is less controlled and the energy applied is very high. This can cause some discomfort. Bi polar RF is the second generation of RF. Bi Polar RF is more focused but the penetration depth of the energy is limited and therefore most Bi Polar devices add suction to the treatment to enable working on a larger volume. This suction can be very painful, especially on the inner thigh area. TriPollar RF is the 3rd generation RF technology. TriPollar RF uses 3 electrodes inducing very focused and effective energy to the treated area, hence enabling good thermal heating without the need of suction or high power causing TriPollar RF treatments to be very pleasant and effective.

It is also possible to perform TriPollar treatments in the comfort of your own home using the TriPollar Pose device.
The protocol of TriPollar RF calls for 6-8 weekly treatments followed by monthly or Bi monthly maintenance treatments.



The TriLipo technology combines TriPollar RF with Dynamic Muscle Activation simultaneously. TriLipo technology affects three layers: Muscles, subcutaneous fat and the dermis. Combining the RF effect with muscle activation enhances fat drainage from the fat cells because the contracting muscles push up against the fat cells inducing a squeezing effect of the fat tissue. In addition, the muscle activation enhances the circulation in the treated area, improving the drainage of the bi products of the fat release. The muscle activation in the TriLipo technology adds an additional benefit of muscle toning of the muscles below fat tissue affected by cellulite. Improving the tone of these muscles helps with improving cellulite appearance too.
TriLipo protocol calls for about 6 treatments that can be performed on a weekly or bi-weekly schedule.


To Sum It Up

There are a few technologies that claim to target cellulite. None of the technologies mentioned above eliminate cellulite completely. When searching for cellulite treatments it is important to keep your expectations closer to reality and also to combine the treatment with lifestyle changes that include exercise and healthier food.