Unfortunately, the best thing, she says, is diet and exercise. "It does help get rid of cellulite. Fat cells shrink in size ... and it does help prevent cellulite. Part of the problem is decreased muscle tone allows the fat to protrude. But with increased muscle tone, you can hide it a little bit."
Donald Robertson, MD, tells WebMD that "diet can play a part in modifying cellulite, as does regular exercise. One thing that can be most effective is drinking water. ... Water is one of the body's ways of helping body to [break down] fat." Robertson is medical director of the Southwest Bariatric Nutrition Center in Scottsdale, Ariz.
Cellasene is an herbal drink touted as the world's first cellulite reduction product, designed to "increase blood circulation, reduce fluid buildup, stimulate metabolism, and reduce localized fats," says its marketing materials. Robertson says that only two small studies (both done by Cellasene's manufacturer) show significant decreases in measurements of hip, thigh, and ankle. "The problem is, there is no long-term study to see if it comes back."
The drink contains a laundry list of herbs, including evening primrose oil, sweet clover, ginkgo biloba, grape seed, and fish oil. "I don't think it can hurt anybody ... although there may be some problems with ginkgo biloba," Robertson tells WebMD.
"People have tried [creams], enzymes, electrical stimulation, massage. None of them work," McKay says. "We're not out to sell smoke and mirrors. I think right now the only reasonable treatment is liposuction, focusing on the superficial layer of fat as well as the deep fat pockets. We call it body contouring. And weight loss helps, but nobody wants to hear that."