Some degree of cellulite is found on almost every woman over 18 years of age. Age, genetics, family history and racial factors all play a role. The cellulite fat can be removed by liposuction, and the strings of tissue can be cut by scraping under the surface of the skin to disconnect them from their hold on the fat. This works best in younger patients, and older patients occasionally get skin changes after liposuction that may be similar to cellulite. It varies with the individual.
Massage can be effective if performed very, very vigorously - even painfully hard.
This can leave bruising over the first several sessions until the patient's body becomes used to it. After 10 to 20 sessions, people usually begin to show results. But it isn't for everyone. It's time consuming, painful, and the results depend a lot on the type of fat you have. In terms of new medical developments, there are currently some European specialists who've gotten positive publicity for their work with ultrasonic cellulite treatments combined with massage and brushing of the skin.