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Cellulite is a common deformity that affects women and men as they gain weight and age.  It results in contour irregularities and skin dimpling usually on the outer thighs but sometimes on the inner thigh, buttocks, and arms.  It is an unfortunate and difficult problem to correct surgically.  The causes are many and include weight gain, hormones, aging, thining of the skin, sedentary lifestyle, pregnancy, lack of exercise and unfortunately your families genes.  A common surgical mistake is to tell patients that liposuction will remove cellulite.  This is not true.  Currently external ultrasound, cyrotherapy, and rolling massage Ionithermie are under investigation but appear to have only 20% improvements which is not enough considering the costs of these treatments.