Do Topical Creams With Aminophylline Help Reduce Cellulite? Aminophylline, caffeine and theophyilline are members of a group of biochemicals known as methyxanthines present in many cellulite creams. These biological agents can enhance the body’s ability to breakdown stored fat, a process called lypolysis. However, when applied topically to the skin, an initial challenge of any cream is that it must be able to penetrate the skin and dermis and reach the target fat tissue before being absorbed by the tissue. Yet, to be effective, these thigh creams would have to have a sufficient concentration (in the subcutaneous fat layer) for an ample length of time, which partially explains their lack of consequential cellulite removal. However, studies have shown a small reduction in thigh girth when using these creams, yet not a substantial change in cellulite.

What about Creams with Retinoids? The retinoid-based creams have been shown to increase the denseness of the epidermis to facial skin when applied for years. At this time, no large-scale studies have been published on topical retinoids for cellulite removal. Do any of the Herbal Treatments Work? The basis of most of the herbal treatments is to enhance the microcirculation in the dermis area. It is interesting to note that research has shown a slight decrease in thigh girth with herbal treatments but a return to normal when the application ceased.

Does Massage Help Minimize Cellulite? Massage and body manipulation techniques are employed to enhance the removal of fluid in the dermis area. These techniques do not remove the cellulite, but may have a temporary effect in reducing the amount of ‘dimpling’ appearance.

What about Skin Kneading Methods Such as Endermologie? Endermologie (LPG, Fort Lauderdale, Fl) is a skin kneading technique developed about 10 years ago in France. This type of device has two rollers attached to an electrically powered device. Users wear nylon stockings to decrease the amount of friction. Treatments range from 35 to 45 minutes of rolling the skin of the hips, thighs, legs, buttocks and stomach. The little published research with this device does not show any legitimate efficacy in the treatment of cellulite.