Goodbye Cellulite

Tackling the lady lumps we’re not too fond of

Cellulite. There’s no escaping it. Up to 90% of women will experience the condition in their lifetime, and some men can be affected too.

Appearing as lumps and dimples in the skin, cellulite is most commonly found around the bum and thigh area. That said, it can also appear on the abdomen, arms and breasts. Under the skin, cellulite occurs when fat cells push up, while fibrous tissue bands surrounding them pull down; which is why we see bumpiness in the areas affected.

A cellulite severity scale, created by medics, suggests that there are three grades:

• Grade 1 (mild): an ‘orange peel’ appearance with between one and four depressions that are close to the surface and a slightly sagging appearance of the skin • Grade 2 (moderate): a ‘cottage cheese’ appearance with between five and nine medium-depth depressions and the skin appears moderately draped • Grade 3 (severe): a ‘mattress’ appearance with 10 or more deep depressions and the skin is severely draped

Dr Jonquille Chantrey, surgeon & aesthetic practitioner, ØNE Aesthetic Studio, Manchester IG: @drjonquillechantrey Regardless of location or severity, the appearance of cellulite is a frustration for many. Multi-award winning surgeon and aesthetic practitioner Dr Jonquille Chantrey has seen numerous patients whose mental health has really suffered as a result of the condition. She highlights that research suggests 60% of women think it’s their fault they have cellulite, while 57% feel judged for having it. Yet, Dr Chantrey explains, it is very normal for most women to have some degree of cellulite and it’s not always as a result of being overweight; which is what many are quick to believe. While an unhealthy lifestyle can worsen cellulite, there are other factors at play too, she says.

“Contributing factors include genetics, hormones, age and lifestyle,” explains Dr Chantrey, noting that she sees people who live very healthy lifestyles, with a good body mass index (BMI) rating, but who still feel self-conscious in swimwear or summer clothes because of their cellulite.

So, the big question then, can it be treated?

“Yes!” says Dr Chantrey, emphasising, “It remains one of the most challenging concerns to treat, but it can be done.”

Before deciding upon a treatment approach, Dr Chantrey believes it’s important to learn more about the patient to select the most beneficial strategy for them. “It’s essential to understand your diet and exercise regime, as well as any hormonal issues and/or medication to provide you with the most relevant advice,” she says, highlighting that addressing these factors may provide satisfactory improvement without having any cosmetic treatments.

"Cellulite is one of the most challenging concerns to treat, but it can be done!"

Dr Jonquille Chantrey

If lifestyle advice doesn’t help, however, there are other options available. In Dr Chantrey’s clinic, her top treatments include hyaluronic acid, subcision and radiofrequency.

Hyaluronic acid (HA)

How it works: injected below the skin to create a smooth layer that helps disguise the cellulite’s lumps and bumps. Results: HA offers the added benefit of hydrating and strengthening the skin. Depending on the severity of the cellulite and the brand of HA used, you could see results lasting up to 18 months.

Dr Chantrey says: “Most HA products will include anaesthetic, so there’s not much pain associated with treatment and very little downtime – you’ll just need to keep the area clean and avoid alcohol and exercise for a couple of days. I use the Juvéderm range of dermal fillers and I’ve found this to be a very successful method!”

Subcision

How it works: a needle or device is used to break the connective tissue bands below the skin to release the tension that causes cellulite. One device that utilises this technology is Cellfina; available in a number of clinics across the UK. Results: one study suggests that 99% of the 232 patients treated with subcision were satisfied with results, which were found to last up to two years.

Dr Chantrey says: “I would usually do this as an add-on to liposuction and it can have a really good effect! Lipo alone won’t treat cellulite and, if you do go down this route for body contouring and cellulite treatment, be prepared for the post-op side effects of lipo; usually swelling and bruising.”

Before After

Radiofrequency

How it works: heat from the radiofrequency device is used to stimulate collagen production and breakdown fat cells, which will lead to a reduction in the appearance of cellulite. Results: multiple treatments are needed for best results – Dr Chantrey recommends one a week for six weeks, followed by ongoing maintenance every four to six weeks. With the NuEra Tight device she uses, Dr Chantrey has seen excellent results.

Dr Chantrey says: “There are very few risks if the device is used properly and in safe hands. The NuEra Tight device is suitable for all skin types and BMIs, although results may not be as successful in those with a higher BMI. So far, I’ve seen really good results considering the treatment is non-invasive and very comfortable for patients – it almost feels like a heated massage!”

Alternative treatments

As well as the treatments Dr Chantrey offers, you could explore other methods to address your cellulite concerns. Carboxytherapy – whereby carbon dioxide is inserted under the skin – can be used, as well as acoustic wave therapy that aims to flush out fat cells, and laser treatment to melt fat cells away.

There are lots of lotions and potions on the market that claim to tackle cellulite, but Dr Chantrey urges that you shouldn’t be fooled by big marketing claims. Skincare ingredients that have been suggested to work include caffeine – which aims to dehydrate fat cells to make them less visible – and retinol, which may reduce the cellulite’s appearance by thickening the skin. Note that at least six month’s treatment is needed to see results.

And if you’re happy to wait, Dr Chantrey says QWO is a new treatment to look out for. While it’s not available in the UK yet, she explains it’s the first FDA-approved injectable device for cellulite. QWO targets the cause rather than treating the effect of cellulite and, as an injectable, is minimally invasive.

Patient before and after treatment using the NuEra Tight radiofrequency device with FocalRF technology by Lumenis. So, if you’re considering treatment, what’s the one thing to bear in mind? “Results are unlikely to be permanent,” says Dr Chantrey, emphasising the importance of exploring all options and, ultimately, recognising that cellulite is extremely common and nothing to be ashamed of. Finally, remember that you might not be suitable for every type of treatment so do your research and always see a qualified and experienced practitioner.