How to get rid of cellulite (or at least make it less noticeable)

Welcome to Doctor's Corner, where medical experts from Makati Medical Center will answer health questions from readers! Got a question? Send them over to comment@gmanews.tv.

Q: Why do some people have cellulite while others don’t?

Cellulite is a very common skin condition caused by fat cells pushing up against the skin while fibrous connective bands underneath pull it downward. This uneven tension creates that “cottage cheese” or “orange peel” texture.

It’s completely harmless, but many people find it frustrating because it can affect how smooth the skin looks.

Hormones and genetics play major roles in why some are more prone to having cellulite than others.

Estrogen, insulin, noradrenaline, and thyroid hormones influence how fat is distributed and how the skin’s connective tissue behaves.

Genetic factors affect your skin thickness, elasticity, and body fat percentage — all of which influence whether cellulite becomes visible.

Diet also matters. Highly processed foods rich in sugar, refined carbohydrates, and trans fats can promote fat storage and inflammation, both of which make cellulite more pronounced.

Lifestyle factors — like being sedentary — can reduce blood flow and collagen production, weakening the skin’s support structure. Even tight clothing that restricts circulation (such as snug leggings or underwear) may contribute over time.

How can we avoid it?

Unfortunately, because genetics and hormones play such a large part in this, cellulite can’t be completely prevented — even elite athletes and fit individuals can have it.

But you can minimize its appearance and help your skin look firmer and smoother by:

1. Eating whole, nutrient-dense foods rich in antioxidants, lean protein, and fiber.
2. Exercising regularly, especially strength training and cardiovascular activity, to improve muscle tone and circulation.
3. Avoiding tight, constrictive clothing that limits blood flow.
4. Staying hydrated, since dehydration can make dimpling appear more visible.

Can I get rid of it?

Not completely, but there are ways to reduce and improve its appearance.

Include strength training in your regular exercise as this helps build lean muscle, which supports the skin and makes cellulite less noticeable. Cardio also helps burn excess fat.

Topical treatments like creams containing caffeine (which temporarily tightens skin by dehydrating fat cells) or retinol (around 0.3%) may improve skin texture and thickness over time.

Dermatologic procedures such as laser therapy, radiofrequency, ultrasound, or subcision can break up fibrous bands, stimulate collagen, and smooth skin. Results vary, and multiple sessions may be needed. Always consult a board-certified dermatologist before trying medical treatments to understand which options are best and safest for your skin.

The bottom line is that cellulite is normal and extremely common—it’s not a sign of poor health or fitness. While you can’t erase it entirely, healthy lifestyle habits and evidence-based treatments can make a visible difference. What matters most is not chasing “perfect” skin, but maintaining a strong, healthy body that makes you feel confident.

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Mylah Joven-Ching, MD, FPDS is a Consultant in Dermatology at the Makati Medical Center. She is also a Fellow of the Philippine Dermatological Society and Associate of the International Society of Dermatology.