Massage and stimulation of the area may cause swelling that disguises the appearance but is temporary. A mechanical method of massage called Endermologie was introduced to the United States from France in 1996. It uses a series of mechanical manipulations to the skin using motorized rollers. Some doctors feel that Endermologie mobilizes the fat just beneath the skin so the body can eliminate the fat through natural means. Its use is primarily as a supplement to surgical methods.
Surgery produces mixed benefits.
Traditional liposuction does not usually improve the appearance and may even make it worse. Superficial liposuction close to the skin can improve the appearance but may damage the blood supply of the skin and cause visible irregularity. Ultrasonic liposuction appears to offer a possible solution because it often removes the fibrous bands. However this is a relatively new technique and it is still too early to assess its full value.