Top cellulite treatments and how long their results typically last

Cellulite affects the majority of women at some point in their lives, regardless of body type or fitness level. In fact, studies suggest that 85% to 90% of women will experience cellulite during adulthood.

While cellulite is harmless, its dimpled and uneven appearance often drives people to explore cosmetic options for reduction. With new technologies and a growing number of procedures available, it’s essential to understand which cellulite treatments and results are most effective and how long they typically last.

This article explores the top professional and non-surgical cellulite treatments, their effectiveness, and the duration of results so you can make an informed decision.

What causes cellulite?

Cellulite forms when fibrous bands (called septae) beneath the skin pull down on connective tissue, while fat cells push upward. This creates the lumpy, dimpled appearance often seen on the thighs, buttocks, and abdomen. Although excess weight may worsen cellulite, even lean women can experience it. Factors such as genetics, hormonal changes, reduced skin elasticity, and lifestyle habits also play a role.

Because cellulite involves both fat and connective tissue, treatments that target only one aspect (such as fat removal alone) are often ineffective. Successful procedures typically address the structure beneath the skin while also improving skin elasticity and collagen production.

Top cellulite treatments

1. Subcision (Cellfina®)

How it works: Cellfina is a minimally invasive FDA-cleared treatment that uses a small blade inserted just under the skin to cut the fibrous septae responsible for dimpling. By releasing these bands, the skin smooths out naturally.
Results: Most patients see visible improvement within days. Clinical studies show that results can last up to 3 years, making Cellfina one of the longest-lasting options.
Downtime: Minimal. Some mild bruising and soreness are common but temporary.

2. Laser-Assisted Treatment (Cellulaze®)

How it works: A tiny laser probe is inserted beneath the skin. The laser releases fibrous bands, reduces fat thickness, stimulates collagen, and improves skin elasticity. It’s minimally invasive and performed under local anesthesia.
Results: Improvements last about one year or longer. Skin thickening adds to the smoothing effect, though gradual return of dimpling may occur.
Downtime: Typically 1–2 days.

3. Acoustic Wave Therapy

How it works: A handheld device delivers sound waves to break up cellulite’s structure under the skin. Multiple sessions are required for noticeable results.
Results: Reduces cellulite appearance, with benefits that last several months to a year, depending on maintenance.
Downtime: None. Non-invasive.

4. Vacuum-Assisted Tissue Release

How it works: Similar to Cellfina, this method uses a device with tiny blades that cut fibrous bands while suction gently lifts the skin. Once the bands are cut, tissue redistributes and fills dimples.
Results: A small study shows improvements lasting up to 3 years. Early evidence suggests it may provide long-term smoothing when performed by a skilled provider.
Downtime: Mild bruising or soreness may occur.

5. Radiofrequency and Ultrasound Treatments

How they work: These non-invasive energy treatments (e.g., VelaShape®, Venus Freeze®, Zimmer Z Wave) use radiofrequency, ultrasound, or infrared light to heat the skin and stimulate collagen production. This can tighten skin, reduce fat, and smooth dimpling.
Results: Temporary. Results typically last 3–6 months and require ongoing maintenance sessions every few months.
Downtime: None. Popular for convenience.

6. Injectable Treatments (QWO®)

How it works: QWO uses enzymes to break down collagen bands causing dimples. It was the first FDA-approved injectable treatment for cellulite, though the manufacturer discontinued it in 2022 due to side effects like bruising and skin discoloration. Some providers may still offer it.
Results: Clinical trials showed improvements with a series of 3 sessions spaced 3 weeks apart. Results were expected to last several months to a year, though long-term outcomes are less studied.
Downtime: Significant bruising is possible.

7. Carboxytherapy

How it works: Carbon dioxide gas is injected under the skin, which may increase blood flow and reduce fat pockets.
Results: Early studies show modest reduction in cellulite after multiple treatments. Results are temporary and vary widely.
Downtime: Mild discomfort and bruising.

8. Creams and Topical Treatments

How they work: Over-the-counter creams often contain caffeine or retinol. Caffeine dehydrates fat cells temporarily, while retinol can thicken skin over several months.
Results: Minor improvements that require daily application. Effects fade quickly if discontinued.
Downtime: None, though skin irritation is possible.

9. Massage and Endermologie®

How it works: Specialized massage devices knead the skin with rollers and suction. This temporarily increases circulation and reduces fluid buildup.
Results: Short-lived. Any improvements disappear within weeks to a month after stopping treatments.
Downtime: None.

10. Lifestyle Factors: Weight Loss and Exercise

How they work: While not true treatments, a healthy lifestyle reduces cellulite visibility. Exercise builds muscle, creating a firmer surface, while stable weight management minimizes fat pushing against the skin.
Results: Ongoing and dependent on consistency. Not a cure, but can reduce severity.
Downtime: None.

How long do results last?

Even the best cellulite treatments do not provide permanent results. Here’s what research and clinical practice suggest:

Cellfina® & Vacuum-Assisted Release: Up to 3 years.
Cellulaze®: About 1 year or longer.
Acoustic Wave Therapy: Several months to 1 year with repeated sessions.
Radiofrequency/Ultrasound: 3–6 months; requires ongoing maintenance.
QWO® (Injectable): Several months to 1 year (discontinued by manufacturer).
Carboxytherapy: Temporary, variable results.
Creams/Massage: Short-lived, requiring continual use.
Lifestyle Changes: Results last as long as habits are maintained.

Ultimately, results depend heavily on lifestyle. According to clinical experience, with a disciplined lifestyle (healthy eating, exercise, no smoking), results can last 2–5 years. With an average lifestyle, maintenance every 2 months is recommended. With a sedentary lifestyle, monthly or even biweekly touch-ups may be needed.

Choosing the right treatment

Selecting the right procedure depends on your budget, desired duration, tolerance for downtime, and willingness to commit to maintenance.

Best long-term results: Cellfina and vacuum-assisted tissue release.
Best short-term convenience: Radiofrequency and ultrasound.
Best for skin thickening: Cellulaze.
Least effective: Creams, massage, and spa-only treatments.

For detailed guidance on cellulite treatments and results, consulting a board-certified dermatologist or cosmetic surgeon is strongly recommended. They can assess your skin condition, lifestyle, and medical history to suggest the most effective plan.

Modern treatments can help

Cellulite is a common and natural part of the body, but modern treatments offer options for those who wish to reduce its appearance. While no procedure permanently eliminates cellulite, certain treatments like Cellfina and Cellulaze provide longer-lasting results compared to creams or massages. The key takeaway is that cellulite management is ongoing. Combining professional treatments with healthy lifestyle habits will maximize results and help maintain smoother, firmer skin over time.

By understanding how long different cellulite treatments last, you can set realistic expectations, choose the right option, and create a sustainable maintenance plan that fits your lifestyle.