Derms Reveal What Really Works for Cellulite—and What Doesn't

Elle

a day ago

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We're in the peak of summer, which means lighter layers, lots of sunscreen, and happy hours everywhere. It also means showing off much more skin, with curves and tan lines peeking out from our two-piece swimsuits or shorts. When looking in the mirror, some may not notice any changes, while others might see a slight development of cellulite.
It's no secret that cellulite hasn't had the best PR, leading many of us with the dimpled appearance on our bodies to search high and low for relief. Results include a laundry list of products that claim to firm, tighten, and eliminate cellulite altogether. Luckily, we're here to quiet the storm brewing in your head. A hard truth: cellulite can't be fully eliminated, but it can be effectively managed and treated with the right products, tools, and at-home routines.
Ahead, we tapped NYC-based board-certified dermatologist Dr. Dendy Engelman to learn all about cellulite and which at-home practices and products are best for treating it.
Not to be confused with stretch marks or 'tiger stripes,' as many would call them, cellulite 'is a common, harmless skin condition that occurs when fat cells beneath the skin push up against connective tissue, causing the skin above it to pucker or dimple,' explains Dr. Engelman, a board-certified dermatologist at Shafer Clinic. If your summer uniform consists of wearing bikinis and shorts a lot, you might have noticed the dimpled appearance on your lower body, including thighs, butt, and hips, 'and sometimes the abdomen or arms,' Dr. Engelman adds. 'Cellulite is more prevalent in women than men due to differences in how fat, muscle, and connective tissue are distributed. In women, the connective tissue is arranged vertically, which makes it easier for fat cells to push through and create that dimpled appearance. Hormonal factors, genetics, and lifestyle can also influence its visibility. That said, cellulite is incredibly common and can affect people of all shapes, sizes, and fitness levels,' she notes.
Dr. Engelman assures that cellulite is nothing to be worried about. In fact, 'it's a completely normal anatomical response influenced by hormones (especially estrogen), genetics, age, and even lifestyle factors such as diet and activity level. As we age and our skin loses elasticity, cellulite can become more visible. Reduced collagen production, decreased circulation, and changes in lymphatic flow can all contribute to its appearance,' she explains.
Short answer? No. 'Cellulite is not something we can fully 'eliminate,' but we can minimize its appearance through a combination of lifestyle practices and topical or in-office treatments,' Dr. Engelman shares. The skin care market is ripe with corrective formulas that can improve the overall look and firmness of skin. However, it's important to be realistic about the results expected. 'No treatment, topical or otherwise, offers a permanent solution, as it is an important function of a healthy body. Cellulite is complex and multifactorial, so managing expectations and committing to consistent care is key. Improvement is possible, but long-term maintenance is typically required,' she advises.
'When it comes to treating cellulite, the most effective topical ingredients are those that stimulate circulation, reduce inflammation, and improve skin firmness and elasticity,' Dr. Engelman says. Think of your most firming, lifting, and plumping products, and there will likely be a common denominator: caffeine.
'Caffeine is one of the most popular and effective ingredients because it acts as a vasoconstrictor, temporarily tightening the skin, reducing puffiness, and increasing blood flow to targeted areas,' she explains.
Of course, very few ingredients improve the overall look and texture of skin quite like retinol: 'A derivative of vitamin A, it supports long-term collagen production and skin cell turnover, which helps thicken the skin and improve its overall texture, making cellulite less visible over time. Peptides are another similar key group of ingredients that work by signaling the skin to produce more collagen and elastin, ultimately helping to firm and smooth the surface.' Dr. Engelman adds that 'botanical extracts like Centella Asiatica, also known as gotu kola, are valued for their ability to improve microcirculation and support connective tissue.'
Dr. Engelman advises using the aforementioned ingredients, but also suggests Arnica Montana extract, which she says isn't a traditional cellulite treatment but offers impressive results. 'It's known for its anti-inflammatory and soothing properties. Products like Arnicare Roll-On, which contain arnica, may help reduce puffiness and tenderness in areas prone to cellulite, especially when used after massage or physical activity,' she adds. However, she maintains that 'products with caffeine and retinol are among the most studied and effective for firming and smoothing the skin when used over time.'
It takes more than just a cream or a massage tool to yield the results you desire. 'The best way to manage and reduce the appearance of cellulite is through a well-rounded approach that includes lifestyle habits, skin care, and, for some, in-office treatments. Regular massages, whether manual or with a roller, can help stimulate blood flow and encourage lymphatic drainage, both of which support healthier-looking skin and may reduce fluid retention,' Dr. Engelman instructs.
You know what else helps? Water. 'Staying hydrated is also essential, as it helps keep the skin plump and supports proper lymphatic function.' Additionally, 'exercise, particularly strength training, builds muscle tone and minimizes the appearance of fat deposits that contribute to cellulite,' she says, adding that dry brushing could help boost circulation as it exfoliates.
'Lastly, a balanced, anti-inflammatory diet that's low in excess sugar and processed foods can improve skin quality and reduce bloating and water retention, all of which contribute to a smoother, healthier look,' she advises.
'If cellulite is the root cause of your skin concerns and you're seeking more dramatic, targeted improvement, professional treatments can be a game-changer,' Dr. Engelman explains. 'One option I recommend looking into is EMTONE, an FDA-approved cellulite treatment that combines targeted pressure energy with radio frequency to help tighten the skin. It works by stimulating circulation, breaking down fibrous bands, and helping the body eliminate fluid and waste retention, all of which contribute to the appearance of cellulite. It is non-invasive and works well for patients who want visible smoothing without surgery or downtime.'
'There are many creams and serums on the market targeted at cellulite, but the key is finding products that include active ingredients supported by science and that you'll actually use consistently,' she shares. This means looking beyond products traditionally designed for cellulite and paying attention to specific ingredients, such as retinol, peptides, and caffeine.
Dr. Dendy Engelman is a NYC-based board-certified dermatologist at Shafer Clinic in Manhattan.
As a leading publisher of fashion, lifestyle, and beauty content, ELLE.com is committed to highlighting the best products in various categories by personally testing the latest and most innovative products, interviewing countless experts, and vetting customer-loved items. For this piece, beauty editor Nerisha Penrose consulted a dermatologist to learn how cellulite is formed and how to effectively treat it at home.