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Cellulite is a common problem for many women. It occurs as a result of circulatory disorder due to fat accumulation in the skin and subcutaneous tissue due to genetic or hormonal reasons and deterioration in the structure of elastic fibers. In this case, it increases the fat agglomeration under the skin and leads to the formation of fibrous adhesions between the fat lumps. These fibrous bands pull the skin down and cause lumps to form in the subcutaneous fat tissue. As a result, an “orange peel appearance” occurs on the skin. Although it can be seen in many parts of the body, it is usually seen in the hips, abdomen and legs.


Cellulite can be defined as a regional metabolic disorder that causes an indented tissue that is defined as an orange peel appearance by affecting the skin and subcutaneous fat tissue in the thighs, hips and abdomen. The orange peel tissue is formed by the combination of fat cells accumulating and expanding under the skin and fibrous bands called septa that extend perpendicular to the skin surface.

While the enlarged fat cells create small bulges, the tight septa shrink the adipose tissue and cause dimples. Thus, a rough appearance emerges. It is referred to by different names in the medical literature such as edematous fibrosclerotic panniculopathy, gynoid lipodystrophy or adipose edema.


It is the enlargement of the subcutaneous fat tissue. This expansion;

  • It disrupts microcirculation,

  • Disrupts lymphatic circulation

  • As a result of the increased pressure in the intercellular space as a result of impaired lymphatic circulation and blood circulation, fluid and toxins begin to leak,

  • With the deterioration of lymphatic circulation, it begins to accumulate in the intercellular spaces of the tissues in the fats. This accumulation, namely edema, also impairs cell functions.

  • The gradual growth of fat cells disrupts the flow and increases the accumulation of fat cells.

  • As the fibrous bands cannot expand as a result of the increase in subcutaneous thickness, fat accumulations cause the skin to protrude from place to place. These protrusions are responsible for the orange peel appearance of the skin.

  • As a result of the addition of fat accumulation, cellulite becomes more difficult to treat day by day.

  • This accumulation causes a decrease in muscle and joint functions, back and waist pains, fatigue, varicose veins and skin deformations, tissue sagging, skin cracks, and starts to disrupt the psychosocial structure of the person.

In short, cellulite, which started only as a cosmetic problem, appears as a disease that cannot be reversed when its progress is not stopped. Cellulite cannot be treated with diet and sports alone, as only fats in the lower layers of the skin can be melted with weight loss and diet. Mostly seen in women, it most commonly occurs on our legs and buttocks. In men, it can be seen on the sides of the abdomen and waist, where the fat is more. Although cellulite is more intense in areas with excess fat, you do not need to be overweight for cellulite to occur. The cellulite part is whiter and colder than other parts of the skin. It is more sensitive to pain.


Contrary to popular belief, cellulite is not caused by some fictitious toxins. At the same time, it is not yet possible to completely prevent the formation of cellulite. But a healthy lifestyle can slow the development of cellulite or help reduce the chances of it occurring.

Especially regular exercise and following a healthy diet can help reduce the appearance of cellulite. It has been observed that individuals who consume a lot of fat, carbohydrates and salt but consume very little fiber are more likely to develop cellulite. It has been observed that smoking and sitting in one position for a long time also help the formation of cellulite.

Wearing tight clothing in areas where cellulite is common can limit blood flow and contribute to cellulite formation.


Stage 1

Cellulite has a soft tissue feature in the beginning, which is called soft cellulite. While standing and lying, the skin looks smooth, but when you squeeze it, pits appear. It is the easiest type to treat. It can even be relieved with home applications (cream, massage).


Over time, cellulite develops further and creates stiffness in places, which, when a hand is swept over the skin, they are felt as nodular stiffness under the hand, these cellulites are called nodular cellulite. It occurs when you stand up. They respond positively to treatment. Clinical support is absolutely necessary.

Stage 3

With the further progression of cellulites, the nodular stiffness felt on the skin becomes more common and harder, which is called fibrous cellulitis. It occurs in any position while lying or standing. Treatment may not be possible or it is very slow.


There are many treatment options for cellulite. But in order to get rid of cellulite caused by adipose tissue accumulated in the body, it is necessary to change the lifestyle. Diet and exercise should be priority options. In order to tighten the body, sports, which are recommended for the person during the weight loss process and afterwards, are very important in the treatment of cellulite. If diet and exercise do not have an effect on cellulite, surgical (liposuction) options can also be considered, thanks to procedures and devices that focus on deformed fat tissue. In particular, devices that work with the logic of massage reduce the accumulated fat tissue by accelerating the blood circulation in the long term.

Laser and Radiofrequency Systems
Perhaps the most promising treatment option is the use of laser and radiofrequency systems. There are three different systems used in cellulite treatment. All three systems provide improvement in the skin after a series of treatments. The results obtained can be permanent for up to six months. These systems may include:

  • The first uses a combination of tissue massage, radiofrequency technology and infrared light to treat cellulite.

  • In another system, a combination of diode laser energy and tissue massage is preferred.

  • The third system simultaneously uses radiofrequency at deep and superficial levels to treat cellulite

Laser Assisted Liposuction
Some people choose to have liposuction for cellulite treatment. During liposuction, fat cells are sucked with the help of a thin tube placed under the skin through a small incision on the skin. Although liposuction alone shapes the body, it does not remove cellulite and may worsen the orange peel appearance. Laser assisted liposuction gives more effective results in cellulite treatment. This treatment is a different method of liposuction that destroys fat cells while tightening the skin.

Subcision Method

A needle is placed under the skin to break the connective tissue bands. It is stated that the results of this intervention can take effect for two years.

Vacuum-assisted Sensitive Tissue Release Treatment Method

The dermatologist cuts the tapes using a device containing small blades. As a result of the cutting of the ligament bands, the underlying tissue moves up and fills the space under the skin and can eliminate the appearance of cellulite. Even if it is claimed that the results of this method last three years, the data on the success of the method are limited.

Carboxytherapy Method

Carbon dioxide gas is placed under the skin. Although the side effects of this method include bruising and discomfort in the area after the procedure, it is claimed that some cellulite regresses and disappears.

Ionithermie Cellulite Reduction Treatment

Involves first covering the affected area with a special mud or clay and then applying an electric current by wrapping it with plastic. This method has not been proven to be effective.

Retinol Cream
Retinol is a vitamin A derivative that inhibits collagen formation and reduces free radicals. Twice daily application of 0.3% retinol cream has been shown to reduce the appearance of cellulite by smoothing the skin after six months.


How is Laser Cellulite Treatment Applied?

In the first place; infrared light energy is used. By working on the deformed, enlarged, swollen or enlarged fat cells, they are made permeable. Then, with the diode laser system, the broken down fat tissues are liquefied. And it is eliminated from the body.

The fat tissues, which are brought to the ideal form, are transferred to the lymphatic ways by vacuum and mechanical massage method. As a result of laser cellulite treatment, the disintegrated fat tissues are removed from the body through lymph or urine.

What is the difference between cellulite and obesity?

Cellulite is different from obesity. Obesity is the growth of adipose tissue and an increase in fat cells, and this is not necessarily limited to the hips, legs or abdomen, that is, it can be seen anywhere in the body. In contrast, cellulite is most common in the hips, legs, and abdomen, but is not limited to these. There are no adverse outcomes with any cellulite-related deaths, making it difficult to define cellulite as a "pathological" condition. However, cellulite remains an embarrassing cause for even the fittest women.

Is Cellulite Treatment Harmful?

Many people in our country want to see cellulite treatment. Is cellulite treatment harmful? Many people are wondering. In medical treatment, very important treatments such as cellulite removal radiofrequency, ultrasound, creams, carboxytherapy, electrotherapy, pressotherapy, vacuum therapy, laser treatments that break down the fibrous bands between the adipose tissue and mesotherapy, which dissolves the increased fat tissue and regulates the circulation, can be used alone or in combination.

These devices, which have made the classical massage method much more professionally, especially in recent years, both accelerate blood circulation and aim to correct the uneven distribution of fat by taking advantage of the vacuum and positive pressure effect. Mesotherapy and procedures with various injections are treatments performed to break down fat cells.

How Long Does Cellulite Treatment Take?

How many sessions are frequently applied to people who will have cellulite treatment? Wondering. In cellulite treatments with laser, different sessions can be applied depending on the structure of cellulite and the physical characteristics of the person. Generally, in applications between 4 and 6 sessions, 2 sessions can be applied if there is mild cellulite, and up to 8 sessions when it is heavy cellulite. Regional thinning treatments applied with laser are completed in 3-4 sessions on average. There may be significant differences in the session and application time depending on the area to be treated, the fat ratio of the regional slimming area and the size. In some accelerated programs, several sessions can be applied in a week.

Are There Any Side Effects in Laser Cellulite Treatment?

Laser systems are FDA-approved devices. All the laser technologies we use do not leave any side effects determined in any of the aesthetic applications. Immediately after laser application, there may be symptoms such as redness, crusting and flaking on the skin surface, that is, in the application area. These are effects that pass quickly after a short time of application.

Laser cellulite treatment applications are safe and comfortable. Pain is not felt much. It offers a massage-like formation and makes you feel relief by liquefying the mass fat tissues.

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