The Spiel: When all else fails there’s still lipo, right? Oh, if only that were true. Liposuction, which removes excess fat deposits, would seem be the solution, but cellulite itself isn’t caused by too much fat — it's caused by the puckering of the fibrous septae that anchors the skin to the underlying fascia.
Firming Factor: The American’ Academy of Dermatology cautions against relying on liposuction to remove cellulite, for while it removes bulk, it can also create additional depressions in skin. “Using liposuction to melt away cellulite is possible if the physician used a small enough liposuction canula,” says Schultz. “It all comes down to the competence of the doctor. But liposuction still won’t break up the septae — it just relieves the fat.”