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Does Liposuction Cause Cellulite?

Liposuction typically will not cause or treat cellulite. Cellulite forms because fibrous bands tether the skin to deeper tissue while fat pushes up between them, creating that dimpled look. Liposuction removes fat but does not release those bands, so it is not really addressing the mechanism behind cellulite at all.

It is possible that after significant volume changes (especially on the thighs) cellulite can become more prominent. This usually happens because as fat is removed, the skin settles closer to those attachment points, making dimples that were already there more visible rather than creating new ones. This tends to show up over the weeks as swelling resolves and the skin redrapes. Unfortunately there is not a great permanent treatment for cellulite, so if this is a major concern for you, it is worth discussing realistic expectations at your consultation before moving forward.

Clinical Context

Cellulite happens when fibrous bands connect skin to deeper tissue while fat pushes up between them, creating a dimpled look. Liposuction removes fat but doesn't release those bands. If a lot of fat is removed from thin or loose skin, like the thighs, the skin can settle closer to those attachment points, making existing dimples more visible—even though liposuction didn't cause them.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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