Cellulite: Current Treatments, New Technology, and Clinical Management

Abstract

BACKGROUNDCellulite is a well-known concern for many women; however, treatment can prove challenging because of the complexities of cellulite etiology, the various factors contributing to its appearance, and the multitude of therapies and procedures available.OBJECTIVETo discuss current cellulite treatment options and effective clinical management.METHODSA roundtable meeting was convened to discuss and share views on current cellulite treatment options, new technologies, and clinical management. The participants' views helped guide a narrative review on this topic.RESULTSAdvanced interventions for cellulite treatment—such as physical and acoustic subcision, radiofrequency, and injectable biostimulators—are gradually being established, with accumulating evidence showing efficacy, patient satisfaction, and potentially long-lasting outcomes. Cellulite severity rating scales are necessary for assessing treatment outcomes, but these can be complex to use in clinical practice, and the majority do not include patient or clinician perspectives.CONCLUSIONWith the advent of new treatments and technologies, cosmetic surgeons and dermatologists will need to tailor their approach to each patient's needs and manage patient expectations because multimodal methods are likely to be required to address the various factors underlying cellulite appearance.

Commentary on “Improvement in Cellulite Appearance After a Single Treatment Visit With Acoustic Subcision: Long-Term Findings From a Multicenter Clinical Trial”

“…Currently, combination treatments for cellulite can give the best results, including acoustic or mechanical subcision of the fibrous septae of cellulite, biostimulatory fillers for improvement in dimpling and skin quality, and skin tightening devices for accompanying skin laxity. 4,7,8 However, the high cost of these treatments is a barrier to entry for most patients, and multiple treatment visits are needed. The results can still be subtle after this combination approach.…”