Beauty · Skin

Cellulite: What Causes It and How to Get Rid of It Naturally

Why cellulite forms, what makes it more visible, and the plan that softens it: strength training for your legs and glutes, collagen, daily massage with a caffeine cream or essential-oil blend, and the in-office treatments that last longest.

Evidence-based43 sources citedUpdated November 11, 2026
Published Nov 11, 2026Last updated Nov 11, 2026Editorial policyMedical review policyFact-checking policy
A woman sitting on a wooden floor with both hands on her bare thigh
Most women have some cellulite, and daily habits can make it less visible.
Cellulite by the numbers
80–90%
Cellulite shows up in 80 to 90% of women after puberty.
Luebberding, Am J Clin Dermatol 2015
50%
In one clinic, half of 82 women with moderate to severe cellulite also had fluid that built up and eased in a daily cycle.
de Godoy, Int J Med Sci 2011
Week 4
A 2% caffeine cream pulled ahead of a plain cream from week 4 in a 12-week trial of 24 women who used one on each thigh.
Ponto, Pharmaceutics 2026
How to get rid of cellulite naturallyMuscle and collagen strengthen what sits under and in the skin; movement and a daily massage work on circulation and the surface.

Cellulite or something else?

Cellulite is harmless dimpling of the skin on the thighs, buttocks and hips.9 Cellulitis, despite the similar name, is a bacterial skin infection, and some breast changes can look like cellulite; see When to see a doctor.1011

On this page
Cellulite at a glance

Cellulite is the dimpled look that forms where fat pushes up between the fibrous bands tying your skin to the tissue below, and most women have some.12 You can make it less visible by building the muscle underneath, feeding your collagen, keeping blood and lymph moving, and massaging in a caffeine cream or essential-oil blend every day.345

  • Muscle: strength-train your legs and glutes 3 days a week, adding weight as you get stronger, so firmer muscle sits under the skin.36
  • Collagen: in a placebo-controlled trial of 105 women, 2.5 grams of collagen peptides a day lowered cellulite scores more than placebo over 6 months.7
  • Caffeine cream: when 24 women used a 2% caffeine cream on one thigh and a plain cream on the other for 12 weeks, cellulite scores fell from 3.96 to 2.50 on the caffeine side, against 3.88 to 2.83.4
  • Essential oils: a gel made with ginger, black pepper and other essential oils lowered cellulite grades more than a plain gel over 12 weeks in 18 women with severe cellulite who used the herbal gel on one thigh and the plain gel on the other.5
  • In-office: one subcision treatment, which cuts the bands, held its result for up to 3 years in a follow-up of 45 people with no comparison group.8

Cellulite is the dimpled, orange-peel texture that shows up on the thighs, buttocks and hips, and most women, even very fit women, have some.3 It comes from the way women's skin and fat are built, and researchers describe it as a normal feature of women's bodies with several causes working together.9

What makes it less visible is the same work that keeps your skin and muscles healthy. Muscle under the skin makes the surface look smoother and firmer, collagen keeps the skin strong over what sits beneath it, and movement through the day keeps blood and lymph flowing in tissue where they tend to run sluggish.31213 In trials, rubbing a caffeine cream or an essential-oil gel into the skin twice a day added a measurable boost.45 In-office treatments go after the bands themselves.14

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What is cellulite?

Quick answer

Cellulite is the dimpled, uneven texture of skin on the thighs, buttocks and hips, where fat pushes up between fibrous bands that tether the skin to the tissue below.214 Its medical name is gynoid lipodystrophy, and it shows up in 80 to 90% of women after puberty.1

Picture a quilted mattress. The stitching pulls the surface down at regular points, and the padding puffs up between them. Under your skin, the stitching is a network of fibrous bands called septae that anchor the skin to the deeper tissue, and the padding is fat.14

An MRI study that compared women with and without cellulite shows what's different where it appears. In women with cellulite, fat pushed deeper up into the dermis, the inner layer of the skin, the inner fat layer was much thicker, and more of the bands ran straight up toward the surface.2

Lean women get it too. In a study of 200 lean women with cellulite and 200 women of the same age and body mass index without it, two gene variants, in genes tied to blood vessel function and to how tissue copes with low oxygen, were linked with cellulite.15

Cellulite is graded from mild to severe, and many trials use the Cellulite Severity Scale, which scores five features from 0 to 3 each: the number of dimples, how deep they are, raised areas, loose skin and the overall grade, for a total of 0 to 15.16

Here's how cellulite forms, step by step, and where muscle and collagen push back:

1The bands hold the skin down

Fibrous bands called septae anchor your skin to the tissue below, and in women with cellulite more of them run straight up toward the surface.214

2Fat pushes up between them

Fat bulges up between the bands into the dermis, the inner layer of skin, and in women with cellulite it pushes deeper.2

3Circulation slows

Tissue with cellulite shows sluggish blood and lymph flow and low-grade inflammation, and falling estrogen makes small blood vessels leakier and less toned.1312

4The skin above weakens

Less estrogen means less type I and III collagen and elastin, which weakens the skin over the fat.12

5Muscle and collagen push back

More muscle makes skin look smoother and firmer, and collagen peptides lowered cellulite scores in placebo-controlled trials.3717

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Muscle is the base of the cellulite plan, and this free 90-day protocol builds it step by step:

  • Strength training three times a week, with squats, hinges, pushes, pulls and carries at a progressive weight
  • Protein at every meal, with bone broth and collagen on the eat-freely list
  • 7,000 to 10,000 steps a day, no sitting more than 60 minutes at a stretch, and no crash dieting

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What causes cellulite?

Quick answer

Cellulite starts with the structure of women's skin and your genes, and age, hormones, sluggish circulation, extra body fat, weakening collagen and too little muscle make it more visible.21518123 Several usually work together, which is why the plan below works on all of them at once.9

Here's what the research links to cellulite, and what you can do about each one.

What drives cellulite, and what helps

DriverWhat the research showsWhat helps

Skin structure and genes

Bands that run straight up toward the skin and fat that pushes deeper into it;2 two gene variants were linked to cellulite in 200 lean women15

Your starting point; every step below works around it

Hormones and age

Falling estrogen in menopause makes small blood vessels leakier and less toned and lowers type I and III collagen and elastin12

Collagen, vitamin C foods and strength training

Sluggish blood and lymph flow

Cellulite tissue shows poor blood and lymph flow and low-grade inflammation;13 in one clinic, half of 82 women with moderate to severe cellulite had fluid that built up and eased in a daily cycle19

Move every hour, walk daily and massage the area

Extra body fat

Extra weight can make cellulite more visible3

Lose fat slowly while you keep your muscle

Weakening collagen

Sugar binds to collagen and elastin fibers and stiffens them, a process called glycation that ages skin20

Cut added sugar; get collagen and vitamin C

Too little muscle, too much sitting

Muscle under the skin helps it look firmer3

Strength training 3 days a week; stand up every hour6

Falling estrogen helps explain why cellulite can show up more during perimenopause and menopause.12

How to get rid of cellulite naturally

Quick answer

Build the muscle in your legs and glutes, get about 20 to 30 grams of collagen a day from food and powder, cut added sugar, keep your blood and lymph moving, and massage a caffeine cream or essential-oil blend into the area every day.345 Give it at least 12 weeks, the length of the cream and gel trials.45

A 2024 clinical guide puts a healthy diet, hydration and exercise first for mild cellulite, with creams working best as an add-on to those habits.21 Here's the plan in five steps; the sections below walk through each one.

Build the muscle underneath

Muscle is the layer you can build under your cellulite. The American Academy of Dermatology notes that having more muscle makes your skin look smoother and firmer, and that replacing fat with muscle can make cellulite less noticeable.3 We found no trial that has tested a progressive strength program against a cellulite score; this step rests on what muscle does for the skin above it.

Train your legs and glutes 3 days a week, 30 to 40 minutes a session, and add weight as you get stronger. Walk 7,000 to 10,000 steps a day, and if you like intervals, one short session a week is plenty.6

Four moves cover the muscles under your thighs and buttocks. Brace your core on every rep, and choose a weight that makes the last 2 reps of each set hard while your form stays clean.

Four moves for your legs, thighs and butt

MoveHow to do itCommon mistakeEasier and harderSets and reps
Glute bridge or hip thrustLie on your back, knees bent, feet flat and hip-width apart. Drive through your heels until your knees, hips and shoulders line up, squeeze your glutes for a second, then lower.Arching your lower back instead of squeezing your glutesEasier: a bridge on the floor. Harder: shoulders on a bench and a weight across your hips3 sets of 10 to 15
Goblet squatHold a dumbbell at your chest, feet shoulder-width apart. Sit your hips back and down until your thighs are about parallel to the floor, then drive up through your whole foot.Letting your knees cave inwardEasier: squat to a chair. Harder: a heavier dumbbell or a barbell3 sets of 8 to 12
Romanian deadliftHold dumbbells in front of your thighs, knees soft. Push your hips back and slide the weights down your legs with a flat back until you feel a stretch in your hamstrings, then squeeze your glutes to stand.Rounding your back, or bending your knees into a squatEasier: lighter weights. Harder: one leg at a time3 sets of 8 to 12
Split squat or step-upTake a long stride, back heel up, and lower straight down until your back knee nearly touches the floor; drive up through your front heel. For a step-up, drive through the heel on the box.A short stance that pushes your front knee far past your toesEasier: hold a wall or use a low box. Harder: back foot on a bench, dumbbells in hand3 sets of 8 to 10 per leg

When the last reps of every set start to feel easy, add a little weight. That steady increase, called progressive overload, is how muscle keeps growing. Our guides to strength training for women and butt workouts add more moves.

How to get rid of cellulite on your legs, thighs and butt

Cellulite shows up most on the thighs and buttocks, in the fat women carry there, so the plan for your legs is the plan above.13 To tone your legs while you soften cellulite, focus on the gluteus maximus, the large muscle that shapes the back of your hips, and the hamstrings along the back of your thighs. The bridge and the Romanian deadlift train both, and the squat and split squat add the front of your thighs.

Long hours in a chair leave those muscles idle, a pattern sometimes called dead butt syndrome, which is one more reason the plan has you up and moving every hour.6

Feed your collagen

Collagen is the protein that gives skin its strength, and it's the supplement with cellulite trials behind it. In a placebo-controlled trial, 105 women aged about 25 to 53 with moderate cellulite took 2.5 grams of collagen peptides or a placebo every day for 6 months, and neither the women nor the researchers knew who got what. Among the 97 who finished, average cellulite scores fell from 2.37 to 2.17 at 3 months and 2.08 at 6 months on collagen, against 2.44 to 2.23 and 2.19 on placebo, and the collagen group's scores were significantly lower than placebo's at both points. The benefit was largest in normal-weight women, whose scores ended about 9% below placebo's. The trial's peptides were made from pork skin, so choose bovine collagen or fish collagen instead.7

Cellulite scores were lower on collagen than on placebo at 3 and 6 months

Cellulite scores were lower on collagen than on placebo at 3 and 6 months97 women with moderate cellulite · 2.5 g of collagen peptides or placebo a day · 6 months. Start: Collagen peptides 2.37 cellulite score (pinch test), Placebo 2.44 cellulite score (pinch test); 3 months: Collagen peptides 2.17 cellulite score (pinch test), Placebo 2.23 cellulite score (pinch test); 6 months: Collagen peptides 2.08 cellulite score (pinch test), Placebo 2.19 cellulite score (pinch test)97 women with moderate cellulite · 2.5 g of collagenpeptides or placebo a day · 6 months2.372.172.08Collagen peptides (cellulite score (pinch test))2.442.232.19Placebo (cellulite score (pinch test))Start3 months6 months
Source: Schunck et al. · Journal of Medicinal Food, 2015 [7]Average pinch-test scores for the women who finished; lower means less visible cellulite.

Fish collagen showed the same kind of result. In a 2026 trial, 114 women aged 20 to 50 with thigh cellulite and thinning hair took 1,000 milligrams a day of a low-molecular-weight collagen peptide made from fish skin, or a placebo, for 24 weeks. Cellulite severity, skin roughness and skin elasticity improved more than with placebo at both 12 and 24 weeks.17 In a review of 26 randomized trials, hydrolyzed collagen improved skin hydration more than placebo across the 18 that measured it and elasticity across the 19 that measured it, and the elasticity benefit didn't differ by the collagen's source.23

Aim for about 20 to 30 grams of collagen a day, counting bone broth, collagen-rich foods and powder together; our guide to what collagen is explains the amount. Drink a cup of bone broth every day, chicken broth especially, eat the skin on fish and chicken, and stir bovine or fish collagen peptides into coffee, a smoothie or soup. The trial doses, 2.5 grams and 1,000 milligrams, fit easily inside that daily total. Our list of collagen-rich foods has more options.

Pair collagen with vitamin C foods such as citrus, bell peppers and berries. Your body needs vitamin C to build collagen, and healthy skin holds high concentrations of it.22

Cut sugar and drink more water

Sugar ages skin from the inside. Glucose and fructose bind to the collagen and elastin fibers that support the skin, cross-linking them into stiff, hard-to-repair bundles called advanced glycation end products, or AGEs.20 Cut added sugar, white flour, hydrogenated oils and packaged foods, and build your meals on vegetables, fruit, clean protein such as wild-caught fish, pasture-raised poultry and eggs, seeds such as pumpkin, hemp, chia and flax, and healthy fats such as extra virgin olive oil and avocado. Get 30 to 40 grams of protein at each meal, which also feeds the muscle you're building.6 Our guide to collagen-destroying foods lists more to skip.

Drink about half your body weight in ounces of filtered water a day, so a 140-pound woman would aim for about 70 ounces. In a study of 49 healthy young women with no separate comparison group, adding about 2 liters of water a day for 30 days improved skin hydration and how the skin stretched and recovered, especially in women who usually drank less.24 Our guide to how much water you should drink a day has more.

Keep your blood and lymph moving

Cellulite tissue shows sluggish blood and lymph flow, so build movement into your whole day.13 Stand up and move at least every 60 minutes,6 and take a brisk 20-minute walk or bounce gently on a mini trampoline, called rebounding, for the same time. Our lymphatic system guide explains how lymph moves fluid through the body, and this trampoline workout shows how to rebound safely.

If you want hands-on help, a lymphatic drainage massage is a gentle massage that moves fluid toward the lymph nodes. In a study with no comparison group, 15 of 20 women finished 14 weekly sessions; their quality of life improved and their hip circumference fell about 0.3 cm, though their thigh measurements didn't change. The researchers judged it safe but not enough on its own, which is why it sits alongside the other steps here.25

Dry brushing is a traditional daily practice for the skin and lymph. Before you shower, brush dry skin with a natural-bristle brush in long, light strokes from your feet up toward your heart. It exfoliates and gets you working the skin over your thighs every day. Our guide to dry brushing walks through the technique.

Do cellulite creams work?

Yes. A caffeine cream and an essential-oil gel each beat a plain cream in trials where women used both, one on each thigh, and in both trials the women rubbed them in twice a day.45

In a 2026 Australian trial, 24 women aged 18 to 51 rubbed a 2% caffeine nano-cream, made to carry caffeine into the skin, into the back of one thigh and a matching cream without caffeine into the other, twice a day for 12 weeks; neither the women nor the researchers knew which thigh got which. Cellulite scores fell from 3.96 to 2.50 on the caffeine side and from 3.88 to 2.83 on the plain side, the caffeine side pulled ahead from week 4, and skin-fold thickness fell only on the caffeine side.4 Caffeine helps fat cells break down stored fat and increases blood flow in the skin, a proposed explanation for the effect.26 Across creams more broadly, a 2014 review that pooled 7 controlled trials found they trimmed thigh circumference by an average of 0.46 cm more than the comparison treatments.27

Cellulite scores fell further on the caffeine-cream thigh

Cellulite scores fell further on the caffeine-cream thigh24 women aged 18 to 51 · 2% caffeine cream on one thigh, plain cream on the other · twice a day for 12 weeks. Start: 2% caffeine cream 3.96 cellulite score, Plain cream 3.88 cellulite score; 12 weeks: 2% caffeine cream 2.5 cellulite score, Plain cream 2.83 cellulite score24 women aged 18 to 51 · 2% caffeine cream on one thigh,plain cream on the other · twice a day for 12 weeks3.962.52% caffeine cream (cellulite score)3.882.83Plain cream (cellulite score)Start12 weeks
Source: Ponto et al. · Pharmaceutics, 2026 [4]Average cellulite scores on each thigh; lower means less visible cellulite.

Retinol, a form of vitamin A, is a slower option. The American Academy of Dermatology says a 0.3% retinol product may help by thickening the skin, and that it takes 6 months or longer to judge.3 In a 6-month trial of 15 women aged 26 to 44 who had asked for liposuction and used retinol on one thigh and a placebo cream on the other, skin elasticity rose 10.7% and viscosity fell 15.8% on the retinol side, though the lumpy texture itself changed little.28

Essential oils have human evidence too. Researchers in Thailand built a gel from a traditional Thai herbal compress used for sore muscles: ginger essential oil, black pepper essential oil, and the oils of Java long pepper, turmeric, plai (a ginger relative), lemongrass and kaffir lime, with camphor and tea and coffee extracts. In their trial, 18 women with severe cellulite rubbed the herbal gel into one thigh and a plain gel into the other twice a day for 12 weeks, and neither the women nor the researchers knew which thigh got which. The herbal side started at a severe 13.4 out of 15 on the Cellulite Severity Scale, and three evaluators grading photos saw its cellulite fall clearly over the 12 weeks, while the plain side improved a little.5

Keep the massage up, because its results fade when you stop. In the herbal-gel trial, the cellulite partly came back in the 2 weeks after the women stopped.5 In a 24-week randomized study of 40 women who used a hand-held vibration massager on one thigh and left the other untreated, cellulite on the outer thigh was reduced at 12 weeks, came back soon after one group stopped, and stayed down in the group that kept going.29 Dermatologists say the same of caffeine products, which need daily use to hold their results.3

To make a massage blend at home, use our grapefruit cellulite cream recipe: 30 drops of grapefruit essential oil in 1 cup of coconut oil, about a 0.6% blend. Ginger, black pepper or cypress essential oil can replace some of the grapefruit, and ginger and black pepper are two of the oils from the trial gel. Massage it into your thighs and buttocks for 2 to 5 minutes once a day, working upward. A coffee scrub in the shower is a good way to exfoliate, and a leave-on caffeine cream is the form the trial tested. Our guide to essential oils for cellulite has more blends.

If you're losing weight, protect your muscle

Losing extra fat usually helps, as long as you keep your muscle and your skin's support. Extra weight can make cellulite more visible, and for some people, losing weight and keeping it off reduces it.3 In a small study that followed women through medically supervised weight-loss programs, most saw their cellulite improve, especially those who started heavier, lost more weight and thigh fat, and had more cellulite at the start. Some got worse, mainly women who started leaner, lost less weight with no drop in their share of thigh fat, and whose skin had grown looser.30

So lose fat slowly and keep building muscle. Keep your calorie deficit modest, around 300 calories a day below what you burn. Eat 30 to 40 grams of protein at every meal, keep lifting and skip crash diets.6 Keep up your collagen too, since loose skin can make cellulite more noticeable as you lose weight.3

1
Build the muscle underneath

Strength-train your legs and glutes 3 days a week, adding weight as you get stronger.63

2
Feed your collagen

Aim for about 20 to 30 grams a day from bone broth, collagen-rich foods and bovine or fish collagen powder. Eat vitamin C foods alongside, since your body needs vitamin C to build collagen.22

3
Cut sugar and drink water

Drop added sugar and packaged foods,20 and drink about half your body weight in ounces of water.

4
Keep blood and lymph moving

Stand up at least every 60 minutes, and walk or rebound for 20 minutes a day.6

5
Massage it in daily

Rub a caffeine cream or an essential-oil blend into the area once or twice a day.45

Cellulite treatment: what can a dermatologist offer?

Quick answer

The in-office treatments that last longest release or cut the fibrous bands under the skin: one subcision treatment kept its benefit for up to 3 years in 45 people, and a 1440 nm laser procedure kept a visible improvement at 12 months in the 30 of 57 patients who came back, both in studies with no comparison group.831 Acoustic wave therapy and radiofrequency take a series of sessions, and radiofrequency's result is short-lived.3

Treatments aimed at the bands give the most consistent results, because the bands are what pull the skin down.1418 A 2024 clinical guide matches treatment to severity: lifestyle steps and creams for mild cellulite, devices such as lasers and radiofrequency for moderate cellulite, and subcision for severe cellulite.21

In-office cellulite treatments

TreatmentWhat it doesHow long results last

Subcision

A device-guided needle or blade cuts the bands under the skin

2 years and possibly longer;3 no loss of benefit through 3 years in a follow-up of 45 people with no comparison group8

Vacuum-assisted precise tissue release

Suction holds the skin while a small blade releases the bands

Up to 3 years in a small study3

1440 nm laser

A thin laser fiber under the skin treats the bands and fat beneath the dimples

A year or longer;3 blinded reviewers picked out the before photo 91% of the time at 12 months in the 30 of 57 patients who came back, with no comparison group31

Acoustic wave or shockwave therapy

Pulses of sound energy through the skin, usually 6 to 8 sessions given once or twice a week

Studies have followed women for up to 1 year32

Radiofrequency

Heats the tissue under the skin

Short-lived, after several sessions3

Machine massage (mechanical suction)

Rolls and suctions the skin

Fades within about 1 month of stopping3

Liposuction

Removes deeper fat

Not recommended for cellulite; it can make dimpling more obvious3

Shockwave and acoustic wave devices send pulses of energy through the skin. A 2025 review of 24 randomized trials with 2,084 patients singled out shockwave therapy, which lowered cellulite scores consistently across the 4 trials that tested it.33 In one trial, women with cellulite all did two bodyweight glute exercises at home, 15 reps per leg twice a day, for 12 weeks, and some also had 6 focused shockwave sessions while the rest had a fake treatment; neither the women nor the people scoring the photos knew who got which. Among the 46 analyzed, Cellulite Severity Scale scores fell from 10.9 to 8.3 in the 25 women in the shockwave group and held at 10.0 to 10.1 in the 21 who did the moves alone, and the lead researcher later spoke for the device maker, which paid the publication charges.34

Injections have been tried too. In two placebo-controlled trials of 843 women, injections of an enzyme that dissolves the bands improved buttock cellulite by at least 1 level in 37.1% and 41.6% of women, against 17.8% and 11.2% on placebo, and fewer than 8% improved by 2 levels, against under 2% on placebo. The maker funded the trials.35 The company stopped producing and selling the injection in December 2022, citing market concerns about bruising after the first treatment.36

Machine massage, offered in many spas, gives a smaller change: in a study of 33 women with no comparison group, 15 sessions of mechanical suction massage trimmed every woman's circumference, and 5 of them (15%) had a visible improvement in their cellulite.37

When to see a doctor

Quick answer

Cellulite is harmless, but a few skin changes that can look similar need a prompt checkup, and they're listed below.9 If cellulite is your only concern, the plan above is the place to start.

Get checked promptly if you notice any of these
  • Skin that turns red, warm, swollen or painful, especially with a fever or redness that keeps spreading, which can be cellulitis, a bacterial skin infection: contact a doctor right away10

  • A new lump in a breast or under the arm, or dimpling or orange-peel texture on a breast11

  • Wide purple stretch marks, easy bruising, weakness in the upper arms and thighs, and weight gain, which together can point to Cushing's syndrome, a hormone condition that needs testing3839

Creams, oils and brushing. Test any new cream, oil or blend on a small patch of skin and wait 48 hours before using more.3 Citrus oils such as grapefruit can make skin more sensitive to the sun, so use a grapefruit blend at night or keep treated skin out of strong sun that day. Skip retinol products if you're pregnant or trying to conceive. If you use an asthma inhaler, avoid any cream that contains aminophylline, which can cause breathing problems.3 Don't dry-brush broken, irritated or sunburned skin.

Procedures. Bruising is common after treatments that release the bands: in a review of 14 studies, 89% bruised after collagenase injections and 99% after subcision across the 9 that reported bruising, and 16% and 7% had skin discoloration across the 8 that reported it.40 Ask about downtime before you book.

The bottom line

The bottom line on cellulite

Cellulite is a normal part of how women's skin is built, and most women have it. Muscle, collagen, steady circulation and a daily massage make it less visible, and the same habits keep your legs strong and your skin healthy.

Start with three strength sessions a week for your legs and glutes, about 20 to 30 grams of collagen a day from bone broth, collagen-rich foods and powder, less sugar, more water, and movement every hour. Massage in a caffeine cream or an essential-oil blend once or twice a day, and give it 12 weeks.

Scripture calls your body "the temple of the Holy Ghost which is in you" (1 Corinthians 6:19, KJV). Care for it with strength, good food and steady daily habits, and your skin can show the difference.

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The 90-day plan behind this page's first step: strength training, protein and daily movement, laid out phase by phase. Free with your Dr. Axe account (email or Google). You'll also get the protocol's short email series and the Dr. Axe newsletter; unsubscribe anytime.

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Cellulite: frequently asked questions

Can you get rid of cellulite for good?

You can make cellulite much less visible and keep it that way: keep up the daily steps, since results from massage and creams fade when you stop, and procedures that release the bands have held their results for 1 to 3 years in studies.2953318

What is the best treatment for cellulite?

At home, the best plan combines strength training for your legs and glutes,3 about 20 to 30 grams of collagen a day from food and powder, and a daily caffeine cream or essential-oil massage.45 In a dermatologist's office, the treatments that release the bands, such as subcision, vacuum-assisted tissue release and a 1440 nm laser, last longest.3

Does exercise get rid of cellulite?

Exercise that builds muscle makes cellulite less noticeable, because more muscle makes the skin above look smoother and firmer.3 Lift for your legs and glutes 3 days a week, add weight as you get stronger, and walk 7,000 to 10,000 steps a day.6

How long does it take to reduce cellulite?

Give a routine at least 12 weeks: in a trial of 24 women who used a caffeine cream on one thigh and a plain cream on the other, the caffeine side pulled ahead from week 4 and kept improving through week 12, and in a placebo-controlled trial of 105 women, collagen left cellulite scores significantly lower than placebo's at 3 and 6 months.47

Does collagen help cellulite?

Yes. In a placebo-controlled trial of 105 women, 2.5 grams of collagen peptides a day for 6 months lowered cellulite scores more than placebo, and in a 2026 placebo-controlled trial of 114 women, fish collagen improved cellulite severity more than placebo at 12 and 24 weeks.717

Does dry brushing help cellulite?

No study has tested dry brushing on cellulite itself, but it's an easy traditional daily step that exfoliates and gets you working the skin on your thighs before every shower. Brush dry skin in long, light strokes from your feet up toward your heart, then massage in a caffeine cream or essential-oil gel, the step with trial support.45

Does losing weight get rid of cellulite?

Losing extra fat usually helps: in a small study of women in supervised weight-loss programs, most saw their cellulite improve, especially those who lost more weight and thigh fat.30 Keep lifting and eating protein while you lose, because loose skin can make cellulite more noticeable.3

Can men get cellulite?

Yes, but far less often: fewer than 10% of men have cellulite, against 80 to 90% of women after puberty.41 Differences in how women's and men's skin and connective tissue are built are one leading explanation.42

Can you get cellulite on your stomach?

Yes. Cellulite often shows up on the stomach as well as the thighs and buttocks,41 and the same daily habits apply there: strength training, collagen, less added sugar and a daily massage.

Is cellulite just fat?

Cellulite is fat plus structure: it forms where fat pushes up between fibrous bands in the skin, which is why lean, fit women get it too.23

What's the difference between cellulite and stretch marks?

Cellulite is dimpling from fat pushing up between bands under the skin, while stretch marks are streaks in the skin itself that are common in pregnancy; a family history and gaining a lot of weight during pregnancy raise the odds.243 If wide purple stretch marks come with other changes, see When to see a doctor.

Freshness & update log

November 11, 2026 — Rewrote the article. It now leads with strength training, using the American Academy of Dermatology's guidance on muscle and a coached four-move plan, in place of the earlier claim that exercise doesn't change cellulite; that claim rested on a trial whose exercise arm was two home bodyweight glute exercises. Added the 2026 caffeine-cream trial and the essential-oil gel trial made with ginger and black pepper oils, which the earlier version described as laboratory work only; reported the full collagen trial results, including the pork-derived source, with bovine or fish collagen as the choice; and added two charts, a step-by-step diagram of how cellulite forms, a table of in-office treatments and how long each lasts, and a single safety section. Removed two study findings that their papers don't report, an unsourced supplement table and clinical-practice claims that couldn't be sourced.

References

  1. Luebberding S, Krueger N, Sadick NS. Cellulite: an evidence-based review. Am J Clin Dermatol. 2015;16(4):243-256. doi:10.1007/s40257-015-0129-5. PMID:25940753
  2. Querleux B, Cornillon C, Jolivet O, Bittoun J. Anatomy and physiology of subcutaneous adipose tissue by in vivo magnetic resonance imaging and spectroscopy: relationships with sex and presence of cellulite. Skin Res Technol. 2002;8(2):118-24. doi:10.1034/j.1600-0846.2002.00331.x. PMID:12060477
  3. American Academy of Dermatology Association. Cellulite treatments: What really works? Accessed October 13, 2026.
  4. Ponto T, Nastiti CMRR, Luna G, Leite-Silva VR, Moore BR, Wright A, et al. Clinical Effectiveness of a Novel Caffeine Nano-Cream for Cellulite Reduction: A Randomised Double-Blind Trial. Pharmaceutics. 2026;18(2):151. doi:10.3390/pharmaceutics18020151. PMID:41754894
  5. Ngamdokmai N, Waranuch N, Chootip K, Jampachaisri K, Scholfield CN, Ingkaninan K. Efficacy of an Anti-Cellulite Herbal Emgel: A Randomized Clinical Trial. Pharmaceuticals (Basel). 2021;14(7):683. doi:10.3390/ph14070683. PMID:34358109
  6. DrAxe.com. Healthy Weight & Metabolic Reset: The 90-Day Healing Protocol. 2026.
  7. Schunck M, Zague V, Oesser S, Proksch E. Dietary Supplementation with Specific Collagen Peptides Has a Body Mass Index-Dependent Beneficial Effect on Cellulite Morphology. J Med Food. 2015;18(12):1340-8. doi:10.1089/jmf.2015.0022. PMID:26561784
  8. Kaminer MS, Coleman WP 3rd, Weiss RA, Robinson DM, Grossman J. A Multicenter Pivotal Study to Evaluate Tissue Stabilized-Guided Subcision Using the Cellfina Device for the Treatment of Cellulite With 3-Year Follow-Up. Dermatol Surg. 2017;43(10):1240-1248. doi:10.1097/DSS.0000000000001218. PMID:28661995
  9. de la Casa Almeida M, Suarez Serrano C, Rebollo Roldán J, Jiménez Rejano JJ. Cellulite's aetiology: a review. J Eur Acad Dermatol Venereol. 2013;27(3):273-8. doi:10.1111/j.1468-3083.2012.04622.x. PMID:22758934
  10. MedlinePlus Medical Encyclopedia. Cellulitis. U.S. National Library of Medicine; review date April 1, 2025. Accessed October 13, 2026.
  11. American Cancer Society. Signs and Symptoms of Breast Cancer. Last revised July 23, 2026. Accessed October 13, 2026.
  12. Leszko M. Cellulite in menopause. Prz Menopauzalny. 2014;13(5):298-304. doi:10.5114/pm.2014.46472. PMID:26327870
  13. Kruglikov IL, Scherer PE. Pathophysiology of cellulite: Possible involvement of selective endotoxemia. Obes Rev. 2023;24(1):e13517. doi:10.1111/obr.13517. PMID:36285892
  14. Bass LS, Kaminer MS. Insights Into the Pathophysiology of Cellulite: A Review. Dermatol Surg. 2020;46 Suppl 1:S77-S85. doi:10.1097/DSS.0000000000002388. PMID:32976174
  15. Emanuele E, Bertona M, Geroldi D. A multilocus candidate approach identifies ACE and HIF1A as susceptibility genes for cellulite. J Eur Acad Dermatol Venereol. 2010;24(8):930-5. doi:10.1111/j.1468-3083.2009.03556.x. PMID:20059631
  16. Hexsel DM, Dal'forno T, Hexsel CL. A validated photonumeric cellulite severity scale. J Eur Acad Dermatol Venereol. 2009;23(5):523-8. doi:10.1111/j.1468-3083.2009.03101.x. PMID:19220646
  17. Hwang S, Won J, Kim S, Kang W, Park M. Low-Molecular-Weight Collagen Peptide Supplementation Improves Cellulite Severity, Skin Elasticity, and Hair Shaft Diameter: A Clinical Study with Pharmacokinetic Evaluation. J Med Food. 2026;29(4):187-195. doi:10.1177/1096620X261428336. PMID:41788055
  18. Bass LS, Hibler BP, Khalifian S, Shridharani SM, Klibanov OM, Moradi A. Cellulite Pathophysiology and Psychosocial Implications. Dermatol Surg. 2023;49(4S):S2-S7. doi:10.1097/DSS.0000000000003745. PMID:37000912
  19. de Godoy JM, de Godoy Mde F. Evaluation of the prevalence of concomitant idiopathic cyclic edema and cellulite. Int J Med Sci. 2011;8(6):453-5. doi:10.7150/ijms.8.453. PMID:21850194
  20. Danby FW. Nutrition and aging skin: sugar and glycation. Clin Dermatol. 2010;28(4):409-11. doi:10.1016/j.clindermatol.2010.03.018. PMID:20620757
  21. Menon A, Shauly O, Marxen T, Losken A, Faulkner HR. A Clinical Guide to the Treatment of Cellulite and Comprehensive Review of the Etiology, Pathophysiology, and Utility of Intervention. Aesthetic Plast Surg. 2024;48(10):1985-1992. doi:10.1007/s00266-023-03762-9. PMID:38057600
  22. Pullar JM, Carr AC, Vissers MCM. The Roles of Vitamin C in Skin Health. Nutrients. 2017;9(8):866. doi:10.3390/nu9080866. PMID:28805671
  23. Pu SY, Huang YL, Pu CM, Kang YN, Hoang KD, Chen KH, et al. Effects of Oral Collagen for Skin Anti-Aging: A Systematic Review and Meta-Analysis. Nutrients. 2023;15(9):2080. doi:10.3390/nu15092080. PMID:37432180
  24. Palma L, Marques LT, Bujan J, Rodrigues LM. Dietary water affects human skin hydration and biomechanics. Clin Cosmet Investig Dermatol. 2015;8:413-21. doi:10.2147/CCID.S86822. PMID:26345226
  25. Schonvvetter B, Soares JL, Bagatin E. Longitudinal evaluation of manual lymphatic drainage for the treatment of gynoid lipodystrophy. An Bras Dermatol. 2014;89(5):712-8. doi:10.1590/abd1806-4841.20143130. PMID:25184909
  26. Herman A, Herman AP. Caffeine's mechanisms of action and its cosmetic use. Skin Pharmacol Physiol. 2013;26(1):8-14. doi:10.1159/000343174. PMID:23075568
  27. Turati F, Pelucchi C, Marzatico F, Ferraroni M, Decarli A, Gallus S, et al. Efficacy of cosmetic products in cellulite reduction: systematic review and meta-analysis. J Eur Acad Dermatol Venereol. 2014;28(1):1-15. doi:10.1111/jdv.12193. PMID:23763635
  28. Piérard-Franchimont C, Piérard GE, Henry F, Vroome V, Cauwenbergh G. A randomized, placebo-controlled trial of topical retinol in the treatment of cellulite. Am J Clin Dermatol. 2000;1(6):369-74. doi:10.2165/00128071-200001060-00005. PMID:11702613
  29. Sadowski T, Bielfeldt S, Wilhelm KP, Sukopp S, Gordon C. Objective and subjective reduction of cellulite volume using a localized vibrational massage device in a 24-week randomized intra-individual single-blind regression study. Int J Cosmet Sci. 2020;42(3):277-288. doi:10.1111/ics.12613. PMID:32181499
  30. Smalls LK, Hicks M, Passeretti D, Gersin K, Kitzmiller WJ, Bakhsh A, et al. Effect of weight loss on cellulite: gynoid lypodystrophy. Plast Reconstr Surg. 2006;118(2):510-6. doi:10.1097/01.prs.0000227629.94768.be. PMID:16874227
  31. DiBernardo BE, Sasaki GH, Katz BE, Hunstad JP, Petti C, Burns AJ. A Multicenter Study for Cellulite Treatment Using a 1440-nm Nd:YAG Wavelength Laser with Side-Firing Fiber. Aesthet Surg J. 2016;36(3):335-43. doi:10.1093/asj/sjv203. PMID:26879299
  32. Knobloch K, Kraemer R. Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite--A current metaanalysis. Int J Surg. 2015;24(Pt B):210-7. doi:10.1016/j.ijsu.2015.07.644. PMID:26209782
  33. Lim SK, Gultekin G, Suresan S, Jacob A, Zou Y, Liyanage DD, et al. Comparative Analysis of Cellulite Treatment Modalities: A Systematic Review. Aesthetic Plast Surg. 2025;49(7):2051-2075. doi:10.1007/s00266-024-04365-8. PMID:39547984
  34. Knobloch K, Joest B, Krämer R, Vogt PM. Cellulite and focused extracorporeal shockwave therapy for non-invasive body contouring: a randomized trial. Dermatol Ther (Heidelb). 2013;3(2):143-55. doi:10.1007/s13555-013-0039-5. PMID:24297647
  35. Kaufman-Janette J, Joseph JH, Kaminer MS, Clark J, Fabi SG, Gold MH, et al. Collagenase Clostridium Histolyticum-aaes for the Treatment of Cellulite in Women: Results From Two Phase 3 Randomized, Placebo-Controlled Trials. Dermatol Surg. 2021;47(5):649-656. doi:10.1097/DSS.0000000000002952. PMID:33840781
  36. Endo International plc. Endo to cease production and sale of Qwo (collagenase clostridium histolyticum-aaes). Press release. December 6, 2022. Accessed October 13, 2026.
  37. Güleç AT. Treatment of cellulite with LPG endermologie. Int J Dermatol. 2009;48(3):265-70. doi:10.1111/j.1365-4632.2009.03898.x. PMID:19261014
  38. National Institute of Diabetes and Digestive and Kidney Diseases. Cushing's Syndrome. Last reviewed May 2018. Accessed October 13, 2026.
  39. Nieman LK. Cushing's syndrome: update on signs, symptoms and biochemical screening. Eur J Endocrinol. 2015;173(4):M33-8. doi:10.1530/EJE-15-0464. PMID:26156970
  40. Foppiani JA, Raska O, Galinaud C, Stearns S, Hernandez Alvarez A, Taritsa IC, et al. Comparing Collagenase and Tissue Subcision for Cellulite Treatment of the Buttock and Thigh Regions: A Systematic Review and Meta-analysis. Plast Reconstr Surg Glob Open. 2024;12(6):e5857. doi:10.1097/GOX.0000000000005857. PMID:38911581
  41. Cleveland Clinic. Cellulite: What It Is, Causes, Location & Treatment. Last updated October 28, 2021. Accessed October 13, 2026.
  42. Avram MM. Cellulite: a review of its physiology and treatment. J Cosmet Laser Ther. 2004;6(4):181-5. doi:10.1080/14764170410003057. PMID:16020201
  43. Huang Q, Xu LL, Wu T, Mu YZ. New Progress in Therapeutic Modalities of Striae Distensae. Clin Cosmet Investig Dermatol. 2022;15:2101-2115. doi:10.2147/CCID.S379904. PMID:36213315
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