Apparently the BBL era is now over and the most dangerous cosmetic procedure is now on the wane. Big butts are gradually going out of fashion and a slimmer, or at least more balanced look, is now the new trend. The Kardashians are reported to have apparently reversed their BBLs - although they never admitted them in the first place and although millions of women around the world copied the non-admitted BBLs…
Flax seed oil, anti-aging and cellulite
In today’s Western world people consume not only too much saturated, hydrogenated or fried fats/oils, which are widely accepted as unhealthy. Such oils*, especially hydrogenated and fried fats/oils, are known to cause anything from heart disease to cancer to arthritis and of course overall aging, including skin aging and cellulite. Something which is generally unknown to most people is that we also consume too much omega-6 polyunsaturated oils, which are found literally everywhere: from processed foods, condiments, pastry and desserts to meat and chicken…
Protein, collagen and elastin vs skin looseness and cellulite
One recurring theme in the last 25 years I work cellulite reduction and skin tightening is lack of protein. Skin is made of the proteins collagen and elastin so a low protein diet will unavoidable lead to skin laxity and cellulite. Regardless of what diet you follow it is important to take enough protein and polyphenols (found in vegetables, fruits and herbs) and exercise regularly to maintain your elastin and collagen levels in your body. Luckily in the last 10 years things started to change in young women but the message has not reached yet most 40+ women. Read more…
RF microneedling for cellulite and skin tightening: does it work?
Microneedling radiofrequency is based on damaging skin with both excessive high intensity RF and the actual needles, hoping cellulite fat tissue will be broken and dissolved and that skin will repair itself and build scar tissue, which will will to skin tightening. As it aims to cause damage, this technique is inherently…
Can acoustic wave therapy (AWT) cure lipedema?
We had a question by a website visitor a few weeks ago: “Thank you for your ‘Acoustic wave therapy for cellulite: does it work?’ page. What about lipedema (lipoedema)? If it doesn't work on soft fat, what about the hard fat that forms from lipedema? I have lipoedema, as do 1/10 women. I'm not sure what stage, as doctors don't know much about it. Just wondering if you have tried AWT on lipedema, as there is no research so far.” I have to say this is a very smart question and (unless ones has specifically studied the anatomy of adipose tissue and the science of AWT) makes a lot of sense. However, the devil is always in the detail. So let’s look at the details.
How to really get rid of cellulite?
This is a very common question that we hear at the clinic and also a very common question all over the internet. People believe the beauty industry marketing hype and all the extra extraordinary miracle claims, and then, when those claims do not materialise, they get disappointed. Well, after seeing literally thousands of clients over more than two decades, and after researching the subject continuously for the last 20+ years, let me put it as clearly, as honestly and as bluntly…
Does cellulite go away?
Unless cellulite is very recent and/or very little (pre-cellulite or Stage 1) it does not go away on its own, with a non-surgical treatment or with surgery (especially not with surgery). This is because by the time cellulite is noticeable by most people (Stage 2) permanent, non-reversible changes have occurred in the connective tissue under the skin. So don’t believe the smooth operators who promise for “cellulite to go away”. With cellulite that has been around for some time or it is Stage 2, 3 or 4, it is about reducing it to about…
Berries, polyphenols, resveratrol, pterostilbene and cellulite
Many nutrients are touted as “anti-cellulite” or “good for skin” or “circulation boosters”, but few actually deliver. One of those select nutrients is resveratrol, together with its more absorbable, more potent ‘cousin’, pterostilbene. In this article we summarise the benefits of those nutrients and the foods that contain them.
Adipolysis vs lipolysis vs for cellulite removal
You may have seen the terms adipolysis and lipolysis in marketing blurb of different cellulite / fat reduction treatments or even in scientific literature. And you may have correctly got the general impression that they both mean fat loss. But if they both mean fat reduction, why the two different words? The answer is: because those two words mean actually two different things.
Cellulite diet | How to get rid of cellulite
A diet that can help prevent or improve most or all of those changes, is the ideal cellulite diet. The diet components described below - always together with exercise / physical activity - address all seven facets of cellulite. As the same things that cause cellulite are also responsible for most whole body / skin ageing and degenerative diseases of the Western world, the ideal anti-cellulite diet is also the ideal healthy / anti-ageing diet…
Does birth control cause cellulite or make your butt bigger?
Estrogen is the most important cause of cellulite. In fact it is the basis of cellulite. Without estrogen you may get weight gain and/or skin looseness, but you won’t cellulite - and that’s why men* don’t get cellulite. Yes, in addition to estrogen you do need to consume excess calories / eat unhealthily etc, but you need estrogen to turn those excess calories into…
Cellulite and the ketogenic diet
The ketogenic diet is one of the most popular diets, used for weight loss and to help manage specific health conditions (diabetes, epilepsy, multiple sclerosis and more). The ketogenic diet involves consuming a very small - to negligible - amount of carbohydrates, in order to lower glucose and insulin levels and lead to the production of ketones by the body. In the absence of glucose from carbohydrates the body produces ketones, which provide energy to the brain and other organs in glucose’s place...
Decoding lipedema: from hidden causes to hopeful treatments
Lipedema is a chronic condition characterised by abnormal fat deposition primarily in the arms, hips, buttocks, and thighs, while sparing the hands and feet. For decades little was known about this condition but in the last two decades and especially since 2015 research into lipedema as well as awareness by doctors and patients has increased exponentially. Lipoedema, first described in 1910 by Irving Phillips Lyon as "adipose" or "lipomatosis," was formally delineated in 1940 by Edgar Allen and Edgar Alphonso Hines Jr. as a distinct syndrome involving fat legs and orthostatic edema. Symptoms include pain, bruising, edema, and subcutaneous nodules, which are resistant…
Does multipolar radiofrequency act deep enough to be effective for cellulite reduction?
Multipolar radiofrequency goes deeper than bipolar, so it must be good for cellulite, right? No and no. It doesn’t go deeper than anything and it is not an effective cellulite treatment. Multipolar RF, i.e. tripolar, tetrapolar, hexapolar or octipolar RF, is a type of bipolar radiofrequency and, contrary to marketing nonsense, it does not reach deeper than bipolar RF. Yes, multipolar RF is still a bipolar type of radiofrequency. In nature there are only two types or electricity: plus and minus. With so called multipolar RF, the (+) and (-) poles alternate between 3 or more electrodes. So multipolar RF is still bipolar RF, just with the poles alternating, with no extra benefits incurred for cellulite reduction…
What are the best exercises specifically for reducing visceral fat?
Before explaining the mechanics of visceral fat reduction, let's start with some definitions. Visceral adipose tissue, aka VAT or visceral fat, is the type of fat found deep in your belly and between your organs; subcutaneous adipose tissue, aka SAT or simply ‘fat’, is found just under your skin either on your belly or anywhere else on your body; and hypodermal adipose tissue, aka cellulite, is fat found within the deeper part of your skin itself on the thighs, bum and even stomach and arms. Now let's go back to visceral fat reduction…
Break up the cellulite: does this phrase really mean anything?
It is a common question from clients: “Does XYZ treatment “break down” cellulite?” Of course “breaking down the cellulite” doesn’t mean anything at all. Cellulite is a multifaceted aesthetic condition, comprising four physical manifestations in different proportions: water retention/poor circulation, fat accumulation, fibrosis, skin looseness….
Deep tissue massage for cellulite: does it work?
Some clinics advertise sports/deep tissue massage as an anti-cellulite massage, which could not be further from the truth. Deep tissue massage (aka sports massage) is a massage technique aiming to work DEEP into the muscles to alleviate muscle tightness, pain or injury. On the other hand, cellulite is an aesthetic condition that is characterised by hypodermal fat accumulation. Now the hypodermis may be the deepest skin layer but it is still way more superficial than the muscles. After the hypodermis we have the intermediate fascia, then the subcutaneous adipose tissue, then the deep fascia, then the muscle fascia and then the muscles. Muscles and hypodermis are two very distant tissues. Furthermore, the massage manipulation muscles need is quite different to the massage manipulation cellulite needs…
Cellulite and the role of skin ligaments / "fascia" / septa / "fibrous bands"
Cellulite appears due to the action of enlarged fat globules pushing skin upwards and shortened collagen fibre bundles pulling skin downwards. These collagen fibre bundles are not bothersome, unnecessary for the body tissues that need to be cut out so that fat can perpetually expand upwards without hindrance. These fibres are known to anatomists as retinaculae cutis*, i.e. skin ligaments, and they are there, as all ligaments, to keep two parts of connective tissue attached…
Fibrosis reduction with radiofrequency or RF microneedling: does it work?
Over the last 24+ years I have seen countless clients with post cosmetic surgery fibrosis - and even after harsh non-surgical procedures and as such procedures become more and more popular, the number of people with fibrosis increases. Body cosmetic surgery (such as liposuction, cellulaze, vaser, smart lipo etc) as well as harsh non-surgical treatments (such as RF microneedling, extreme intensity HIFU, cryolipolysis, extreme intensity radiofrequency etc) can result in fibrotic lumps or entire fibrotic regions of hard skin around the stomach, thighs, buttocks etc. Fibrosis refers to previously inflamed hardened skin or other connective tissue (or even hard lumps) comprising of scar tissue-type, randomly aligned collagen fibres. This is in contrast to firm, healthy skin, which is comprised of functional, properly aligned collagen fibres. This is sometimes the result of a surgeon doing a bad job; sometimes the result of your body reacting really badly to even the best surgeon’s work; and sometimes the procedure itself being unsafe. After all that I have seen over the decades, I would never undergo…
What do you prefer to use for cellulite at LipoTherapeia: radiofrequency or cavitation ?
We typically use radiofrequency-only when cellulite is combined with skin laxity (most common); and ultrasound cavitation-only when skin laxity is not a concern (less common). In many cases we use a mix of those technologies. But in all cases we now combine RF and/or cavitation with high-power LED red/infrared light therapy, as it provenly enhances the results of RF and cavitation. However, every body is different and there are many considerations on whether to use…

















