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Diet, exercise, and liposuction don't really work very well in treating cellulite. A new, two-hour, outpatient laser treatment option, however, promises lasting results that are visible almost immediately, with just one treatment.

The Cellulaze laser treatment for cellulite works on both the fat underneath the skin and the connective tissue that makes it dimple. In the Cellulaze procedure, the doctor makes an incision and places a laser wand beneath the skin.

First, the surgeon uses the laser to melt the fat stored beneath the skin of the thigh, tunneling in a criss-cross pattern similar to the pattern used for traditional treatment of cellulite. Then the doctor uses the laser to release the fibrous bands that cause the skin to arch and make the dimpling effect.

The laser energy stimulates the growth of collagen to fill in the skin while giving it pliability and and more even appearance. Certain wavelengths of laser light also stimulate fat cells to use stored fat for energy, keeping the skin smooth

Cellulaze works because it addresses both of the problems that cause cellulite. There are other ways of "zapping" fat or breaking down connective tissue, but they take more treatment sessions and cause considerably more pain and bruising. Cellulaze is typically a one-treatment cure for cellulite that does not require a long period of recuperation or additional, expensive trips to the plastic surgeon's office.

Frequently asked questions about Cellulaze:

Q. Is Cellulaze really a permanent treatment for cellulite?

A. Chance are that your doctor will "guarantee" that the procedure will keep cellulite away for at least 3 years, and the general expectation is that the procedure will keep the skin smooth for at least 5 to 10 years. The technique simply has not been available long enough for dermatologists to know from personal experience that the treatment will have longer-range effects 15, 20, or 25 years down the line.

Q. Does the procedure require general anesthesia?

A. Cellulaze is performed with a local anesthetic rather than with general anesthesia. People undergoing the procedure feel pressure but not pain.

Q. How long does the procedure take?

A. Typically, a Cellulaze treatment requires about 2 hours in the doctor's office.

Q. How much does Cellulaze cost?

A. A Cellulaze treatment usually costs about US $2,500 to $5,000. In the United States it is almost never covered by health insurance.

Q. How long do I have to wait before I see results?

A. Because Cellulaze is not a surface procedure, results are visible quickly. Some doctors will say "immediately," but in those cases that involve a minor swelling, the full improvement of the skin may not be seen for 2 to 3 weeks.

Q. Will I need creams or rollers after this procedure?

A. In Italy, some dermatologists use a combination of laser treatment and "vibration therapy" for treating cellulite, but creams and rollers after the procedure are not necessary.

Q. Is there anyone who shouldn't have this procedure?

A. Generally, dermatologists and plastic surgeons prefer to work with patients who have "realistic expectations." It is usually better to regard the procedure as a treatment for a nagging cosmetic problem than as something that will change a person's entire life. Complications of the procedure are very, very rare, and most people who are in generally good health will be medically eligible for the treatment.

  • Avci P, Nyame TT, Gupta GK, Sadasivam M, Hamblin MR. Low-level laser therapy for fat layer reduction: a comprehensive review. Lasers Surg Med. 2013 Aug. 45(6):349-57. doi: 10.1002/lsm.22153. Epub 2013 Jun 7.
  • Savoia A, Landi S, Vannini F, Baldi A. Low-level laser therapy and vibration therapy for the treatment of localized adiposity and fibrous cellulite. Dermatol Ther (Heidelb). 2013 May 23. 3(1):41-52. doi: 10.1007/s13555-013-0026-x. Print 2013 Jun.
  • Photo courtesy of Lanzi by Wikimedia Commons : commons.wikimedia.org/wiki/File:Cellulite-haut.jpg
  • Photo courtesy of Mark Hesseltine by Flickr : www.flickr.com/photos/9464504@N06/5580415035/

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