Women often begin developing cellulite as early as their teens. Cellulite becomes more pronounced when you pinch the skin of the affected area, making the skin look even more bumpy. This is why cellulite looks more pronounced in the buttocks and thighs when seated. Cellulite can also become more pronounced with age as the skin loses collagen and elasticity.

Cellulite forms when fibrous tissue attached to the muscle has underlying fat that pushes through to the skin’s surface. Since women typically have more fat in the buttocks and thighs, these are the most common areas where cellulite forms. The result of fat pushing between these bands is dimpling, bumps, and an uneven surface—and often low self-esteem.

A 2009 cellulite severity scale divided the condition into three grades. Mild cellulite (grade 1) presents with an “orange peel” look, with women having 1 – 4 depressions. A light sagging or “draping” of the skin is also common. Moderate cellulite (grade 2) includes 5 – 9 depressions of medium depth, moderate draping, and a “cottage cheese” appearance. Finally, severe cellulite (grade 3) requires 10+ deep depressions, severe draping, and a “mattress” appearance. Hormones can play a role in the development of cellulite, as can carrying excess weight.

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Managing The Appearance Of Cellulite

Cellulite happens to the vast majority of women and some men. You don’t have to be overweight to have cellulite, and in fact many female celebrities have been spotted with cellulite at the beach. For years, the only answer for cellulite was a painstaking and painful surgery that snipped the bands causing cellulite. Now, at RefinedMD, we offer a new non-surgical option to get rid of cellulite Emtone.

Additional treatments for cellulite include Cellfina, Exilis, and ZWave. Each technology works differently and we invite you to schedule a consultation at RefinedMD to learn more about treatments for cellulite today.

Dr. Steven Swengel
Dr. Steven Swengel
Board-Certified Dermatologist

Since establishing RefinedMD in 2012, Dr. Swengel has earned a reputation throughout the South Bay as one of the area’s top cosmetic and medical dermatologists. He is sought out for his expertise as a Mohs micrographic surgeon and laser treatment specialist, as well as his warm, attentive style of patient care.

Meet Dr. Steven Swengel
Dermatologist
Board-Certified Dermatologist
Emtone Before/After*

Emtone Cellulite and Skin Tightening

Emtone is one of the latest cellulite technologies available. From the makers of Emsculpt and Emsculpt NEO, Emtone is a quick, non-invasive solution that uses RF energy and targeted pressure to reduce the appearance of cellulite and tighten skin simultaneously. As a result, collagen growth is kick-started following treatment, and the skin is more toned and less lax. It’s great for therapy on the abdomen, arms, thighs, love handles, buttocks, and more.

Cellfina

Cellfina is a non-surgical option to reduce the appearance of cellulite. Minimally invasive, this treatment uses a microblade that can be used on the thighs or buttocks to release the tension of the bands below the skin’s surface that cause cellulite. Known as subcision, this approach can also be an effective tool for minimizing wrinkles and lines. It’s just the size of a needle and has been FDA-approved since 2015. Many clients see results in just three days, and the look can last for up to three years. Cellfina has a fantastic client satisfaction rating, and it takes just one hour for every 25 dimples.

Cellfina Before/After*
Exilis Before/After*

Exilis

Exilis combines skin tightening with cellulite reduction and body contouring by harnessing the power of radiofrequency. RF can penetrate deeply into the skin to kick-start collagen production. Non-invasive, Exilis can heat the tissue causing cellulite to just the right temperature to simultaneously destroy fat cells and smooth out the skin. There is zero pain or downtime, and depending on the amount of skin to be treated your appointment could be as short as 15 minutes.

Z-Wave

Z-Wave breaks down cellulite without needing surgery or any needles. It uses radial shockwaves to destroy cellulite and smooth the skin with small pulses of energy. Appointments last 10 – 30 minutes as your provider slides a handheld device over the treatment site. There’s no downtime or aftercare necessary, and you can immediately get back to your day after the treatment. Most clients require 6 – 10 treatments for optimal results.

Z-Wave Before/After*

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Contact RefinedMD About Cellulite Treatment

With so many options for cellulite treatment, the perfect procedure for you is waiting at RefinedMD. You can also optimize results by pairing your cellulite treatment choice with other treatments, such as skin tightening or CoolSculpting to freeze away unwanted fat*. To learn more about cellulite treatments at RefinedMD, schedule your complimentary consultation today by completing the online form or starting a chat right now.

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Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.

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