Cellulite is one of the most common and difficult conditions to treat, especially on the buttocks and thighs.
Cellulite treatment is performed by Dr. Pierluigi Gigliofiorito in Milan and Caserta, with a personalized approach that combines advanced techniques to improve both skin quality and body shape.

Cellulite is one of the most common blemishes among women, with not only an aesthetic impact but also, unfortunately, a psychological one. It's a condition that, while benign, can have a significant impact on social activities, limiting and restricting them.
It presents itself with the classic appearance “orange peel” on the thighs, buttocks, abdomen and arms, and is often resistant to diet and physical activity.
In this article we examine the real causes of cellulite and the most effective treatments according to the most recent scientific literature, including two studies published in the Journal of Cosmetic Dermatology and ASJ Open Forum.
What is cellulite and why does it appear?
Cellulite, or edematous fibrosclerotic panniculopathy (PEFS), is a multifactorial condition affecting the subcutaneous tissue. Fibrous septa cause the skin to retract downward, while fat cells push it upward, creating the irregular appearance characteristic of this condition.
Predisposing factors:
- Hormones (especially estrogen)
- Lymphatic stasis and altered microcirculation
- Chronic inflammation
- Genetic and constitutional factors
- Sedentary lifestyle, unbalanced diet, smoking

Effective cellulite treatments: what science says
According to a study published in Journal of Cosmetic Dermatology (2020), the most effective treatments to improve the appearance of cellulite combine instrumental technologies e manual therapies tailored.
Comparison table of anti-cellulite treatments
| Treatment | Mechanism | Effectiveness | Recommended cycles |
|---|---|---|---|
| Lymphatic drainage massages | Improves microcirculation and drainage | Good | 10+ |
| Carboxytherapy | Vasodilation and oxygenation | Good | 8 - 12 |
| Radiofrequency | Stimulates collagen and retraction | Excellent | 6 - 10 |
| Laser + Vacuum | Reduces fibrosis, improves tone | Excellent | 6 - 8 |
| Shock waves | Rupture of fibrous septa | Media | 6 - 10 |
These technologies can be combined into customized protocols, based on the severity of cellulite (stage I, II, III) and the patient's skin characteristics.
Want to know which treatment is best for you?
Book an appointment with Dr. Pierluigi Gigliofiorito in Milan, Rome, or Caserta.
👉 [Contact me on WhatsApp at 345/2138775 or write to me via email: info@gigliofiorito.com]
ASJ Open Forum 2023 Study: Objective Results with Integrated Therapies
A recent study has shown that combined treatments (carboxytherapy + massage therapy) led to a significant improvement in cellulite assessed with 3D photography, subcutaneous ultrasound and aesthetic scoring by independent observers.
I totally agree with this approach, which truly embodies my philosophy. In fact, I've established a collaborative relationship with one of Italy's leading massage experts, Alebis GomezWe have created customized protocols for both surgical patients and patients suffering from lymphatic stasis, combining massage with carboxytherapy or liposuction.
Key Findings:
- Reduction of the depth of skin irregularities
- Increased skin elasticity
- Improvement of subjective satisfaction of patients
Cellulite treatment is available at our Milan and Caserta offices, with personalized protocols based on each patient's characteristics.
How to maintain results over time
Treatments work best when accompanied by a proper lifestyle:
- Drink at least 2 liters of water a day
- Follow a balanced diet low in sodium and sugar
- Do regular physical activity (walking, squats, swimming, Pilates)
- Avoid smoking and alcohol
- Sleep at least 7 hours per night
Frequently Asked Questions (FAQ)
Cellulite treatment is performed in authorized facilities in Milan and Caserta, with customized protocols based on each patient's characteristics. In my experience, it's essential to evaluate each case individually to achieve a natural and long-lasting result.
There's no one-size-fits-all solution. The best results are achieved with a personalized mix of technologies and manual therapies.
Not always. Even thin women can have cellulite due to hormonal or circulatory factors.
They are long-lasting if maintained with a healthy lifestyle and periodic maintenance cycles.
Yes, many treatments are non-photosensitizing and can be performed year-round.

Conclusion
Cellulite is a common problem, but it can be managed with a scientific and personalized approach. Combining effective treatments, advanced technologies, and good habits is the key to real, visible results.
Want to know which treatment is best for you? Book an appointment with Dr. Pierluigi Gigliofiorito in Milan, Rome, or Caserta.
👉 [Contact me on WhatsApp at 345/2138775 or write to me via email: info@gigliofiorito.com]
The information on this site is for informational purposes only and does not replace a doctor's opinion during a visit. Each treatment is individually assessed based on each individual case. Results may vary from patient to patient. No content is intended to be promotional or to encourage the performance of medical procedures.