Ruben Abrams MD FACS | Aesthetic | Cosmetic Plastic Surgery | (310) 651-8881

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Over the years we have had many patients who have expressed concern regarding general anesthesia.  Some have had previous bad experiences such as nausea and vomiting, others have never had anesthesia but have heard of people with such side effects, yet others have had anesthesia and felt that they were lethargic or had memory lapses for a while, and finally some have heard some horror stories about “people not waking up from general anesthesia”.

So, lets look at this with some detail:

General Anesthesia Gases

Yes, the most common side effect of general anesthesia is nausea and vomiting.  Many years ago, this was the accepted norm.  Meaning that every patient who underwent general anesthesia was expected to have some degree of nausea and vomiting during the first 24 hours after surgery.  This side effect is mainly related to the anesthetic gas that is used.  General anesthesia is usually started with injection of a deep narcotic such as Propofol and maintained with inhalation of an anesthetic gas.

Since around 20 years ago the anesthesia community started looking into this.  More modern anesthetic gases with less chance of nausea and vomiting were developed and this research into development of newer anesthetic gases continues.  As it stands the currently available and popular gases hGENERAL ANESTHESIA AND SURGERY RISKS imageave much less risk of nausea and vomiting.  The most commonly used of these gases is Ceboflorane.

General Anesthesia Techniques

Another major change that occurred was modification of technique.  The anesthesiologists realized that certain techniques had higher risk of nausea and vomiting than others.  The more modern techniques that were developed have been adopted by most currently practicing anesthesiologists.

Most important among these techniques was the use of certain anti-emetic (prevention of nausea and vomiting) medications before induction of anesthesia, during surgery if surgery was prolonged, and just before the patient waking up.  A whole range of medications have been developed for this purpose.  But the one that is most commonly used today is “Zofran”.  In addition most anesthesiologists inject a small dose of a steroid such as Decadron before induction of anesthesia and this is also known to reduce the chance of nausea and vomiting.

Complications Of Anesthesia

Lethargy for a few days after anesthesia is sometimes seen.  This has to do mostly with the patient’s genetics, physical condition, and personal history.  However it is not something that can be predicted or prevented and it never lasts more than a few days.

Memory Lapse is probably less common than lethargy.  Again, it is unpredictable, and unpreventable.  Fortunately, just like lethargy, it does not last for more than a few days.

Prolonged Recovery From Anesthesia is occasionally seen.  We see some patients who take longer to totally wake up from anesthesia.  In most cases this is related to certain anesthetic substances and if the patient has a history of this problem his / her previous anesthesia records would need to be reviewed to make certain that those substances responsible for this problem are not used.  However, in very rare instances patients genetically lack a certain enzyme (acetyl choline esterase) necessary to metabolize a substance that is used to paralyze the muscles during anesthesia.  As a result even with being awake the patient will not be able to breathe on their own.  This is usually a genetic condition that patients are aware of and need to notify the anesthesiologist beforehand.

Malignant Hyperthermia and Anesthetic Death are the two most dreadful, extremely rare complications of anesthesia which will be discussed separately in future blogs.




An Interesting Investigation in Factors Affecting the Aging Process

Evaluating factors that are responsible for the aging process in identical twins would obviously yield very important information about aging.  Being that identical twins are so similar to each other that even their finger prints are difficult to tell apart, an interesting question that has been raised for years by those interested in the aging process is whether identical twins age in the same pattern.  In a recent research that was carried out by a team of plastic surgery investigators certain variables were found to be at work in determining differences in the aging pattern of identical twins.  This research obviously sheds more light onto the aging process as a whole and for the general public.  The study was carried out by having the identical twins complete a detailed questionnaire regarding their life style, work, and activities, and evaluation by a panel of experienced individuals.

 What are the main factors?What is the Body Mass IndexImage

The main factor that was found significant was the BMI (Body Mass Index, which we have discussed indetail in previous blogs).  The researchers found that if the BMI was four points higher it resulted in an older appearance under age 40, but, interestingly enough, beyond age 40 it resulted in a younger appearance.   If the BMI was eight points higher, under age 55 it resulted in an older appearance, but, again, beyond age 55 it resulted in a younger appearance.

Another factor that determined which one of the twins appeared older was smoking.  The longer one of the twins smoked, the older he/she appeared compared to the other sibling.  Smoking was also associated with more frequent dark and hyperpigmented patches on the face.

Increased sun exposure without the use of sun protection was found to significantly result in a more aged appearance.

Hormone replacement was associated with a younger appearance.

History of Skin Cancer was also associated with a more aged appearance.

This study again reiterates the importance of known factors in the aging process: OBESITY, SUN EXPOSURE, AND SMOKING.  Maintaining a low BMI and avoiding obesity, avoiding excessive sun exposure, and abstinence from smoking, can all result in a longer-lasting youthful appearance.





Interestingly enough, as we are trying to provide as much healthy eating information as possible on our blogs, the World Health Organization (WHO) just today came out with a report on PROCESSED MEAT and RED MEAT

The report states that PROCESSED MEAT PRODUCTS SUCH AS HOT DOGS, SAUSAGES, PROCESSED HAM, ETC., CONTAIN CHEMICALS AND PRESERVATIVES THAT CAN LEAD TO CANCER.  Furthermore, RED MEAT is also partly responsible for stomach, colon, and other cancers of the gastrointestinal system.  This is information based on research that WHO has carried out.  Here are links to the report as announced by major news organizations:


These facts are exactly in line with what we have been talking about in our blogs all along.  First of all you need to maintain a balanced diet consisting of all organic and natural items, staying absolutely clear of processed items, meats containing hormones / steroids, preservatives, antibiotics, etc.  Secondly, you need to limit red meat consumption to once a week if you cannot totally give it up.

There is no magic to staying healthy and maintaining healthy eating habits.  You just need to be adequately educated and diligently have your eyes open all the time.




Many of our patients who have a weight problem refer to us asking for a “quick fix”.  To begin with, a lot of them think that we as plastic surgeons can actually reduce weight surgically!!  For example I have had patients who came in weighing close to 300 lbs, and telling me that they had tried everything, nothing worked, so they had no choice but to refer to a plastic surgeon to have the excess weight removed with “liposuction”!!  Despite so much information that has been provided to the public about plastic surgery procedures during the internet era, it is ironic that these misconceptions still exist.

Safe way to lose weight

The healthiest and safest way to lose weight is through healthy eating and exercise.  You need to educate yourself on what they did not teach you in school.  Fortunately all the information you need is available online.  You need to have a clear understanding of your body’s basic nutritional requirements, you need to know the nutritional value of different foods you eat, and you need to know how many extra calories you will burn with your exercise routine.  For example, an average 70 Kg (154 lbs.) male with normal BODY CONTOURING AFTER MASSIVE WEIGHT LOSS imageday to day routine and no exercise needs around 1,500 calories to remain at a stable weight.  If this person exercises vigorously for an hour, you will need to add around 400 calories to this number, bringing the total to 1,900 calories.  Now if this same person is working on losing weight the calories should be lowered to for example total of 1,500.  So at 1,500 calories a day and one hour of vigorous exercise you will start loosing weight.

A healthy pace of loosing weight is around one pound per week.  If the weight is lost at this speed and theperson continues to maintain the same eating and exercise routine the weight will obviously stay off.  The problem is that most people get carried away once they have lost some weight and go back to unhealthy ways of eating and put exercise aside.


So, in conclusion, there is no short-cut to loosing weight and it is very important to stay in shape and get your body into the habit of healthy eating and exercise.

Is there any value to crash diets and do they actually work?  Is there any role for “diet pills”?  Why do women start gaining uncontrollable weight after menopause?  These are very important questions which we will answer in future blogs.

As mentioned all the information you need in order to stay with healthy eating and stable weight is available online. is probably one of the best sources of health information for the public. Just as an example here is a link to the calorie requirement page on WebMD:




In the first part of this series we discussed how unhealthy conventional meats and meat products are and we concluded that it is best to only consume organically grown all natural meats that are free of hormones, antibiotics, steroids, etc.  We also concluded that it is best to consume only white meat, but if one cannot place red meat completely aside, to limit it to one meal a week.  Finally, we concluded that we should avoid fried meat products as much as possible and consume broiled and grilled meat products.  And we indicated that unhealthy hormone / steroid infested meats are one of the main reasons why we see such unusual cases of obesity in the United States.


Lets now talk about the role of grains in a healthy eating regimen.  Each country or region in the world has a staple grain.  For example in Europe it is mostly wheat, in Middle Eastern countries it is a combination of rice and wheat, in East Asia it is different varieties of rice, and in the Americas it was quinoa andHEALTHY EATING VERSUS "DIETING" | WHY HEALTHY MEAT image corn until the Europeans came and gradually changed the staple grain to wheat.

The reasons why quinoa was pushed out in favor of wheat comprise an extensive topic of discussion for another time, but for now suffice here to say that quinoa is probably the healthiest grain a
vailable and it is only now being re-discovered and re-introduced into the American regimen.  Quinoa was the staple grain of the native American.  It is easy to prepare for eating, it is tasty, and contains up to 14% protein.

We are fortunate to live in the United States where everything is available to us.  But we have to be educatedon what we put on the table and we are responsible for educating our children because, as mentioned in our previous blog, schools do not give our children proper education when it comes to nutrition.

Another grain that is readily available to us is different varieties of rice.  I always recommend to my patients to switch to brown rice.  Of course black rice and wild rice are also excellent, but they are somewhat difficult to prepare.  If you insist on consuming white rice, the best basmati white rice can be obtained at Indian or Persian / Middle Eastern markets.

No matter what grain you prefer and you add to your daily regimen, you have to know the nutritional values, how much fiber it contains, how carbs / fat / and protein it contains, and how much of it can be added to your daily meal to allow maintenance of a stable weight.

Here is a link to an excellent site that is available for this information:

In part 3 of this series we will be discussing ways you can divide your daily meal to avoid feeling excessively hungry and suppress the urge to binge.




 In a previous blog I promised that I would discuss the topic of healthy eating in more detail.  Lets dissect this subject a little more.

In the United States “HEALTHY EATING” has become synonymous with the word “DIET”.  For example there is nowhere in the world, no other country where you have so many different varieties of low calorie foods and drinks which are labeled “Diet…”.  It is really ironic.  Because when you watch the T.V. during prime time a great majority of the commercials are for ridiculous unhealthy foods: burgers that contain nothing but meat from artificially fattened cows, French fries that are nothing but reprocessed GMO potatoes, chocolates that have been extra-sweetened with high-fructose corn syrup and that are so sweet that they actually burn your throat when you eat them; at the same time, the rest of commercial time is given to nothing but “Diet” sodas, “Diet” drinks, “Diet” candy, “Diet” frozen foods, on and on and on!!  There is so much abuse of the word “DIET” by corporations and the media for deceptive purposes that it makes you sick.  As the saying goes: CREATE A PROBLEM, THEN SELL THE SOLUTION.

As far as medical terminology is concerned DIET is a word used to describe regimens that are given to people who have certain problems and, for example, need to avoid certain foods.  Such as DIABETIC DIET, HYPERTENSIVE DIET, RENAL DIET, GLUTEN-FREE DIET, etc.  IT IS ONLY IN THE U.S. THAT CORPORATIONS HAVE CREATED SO MUCH CONFUSION FOR THE PUBLIC BY SUBSTITUTING “HEALTHY EATING” WITH “DIET” ONLY FOR THE PURPOSE OF PROFITING BY SELLING THE PUBLIC DIET PRODUCTS.


Most people are aware that American society, is the most obese in the world.  The types of obesity seen in the U.S. are not seen anywhere else in the world.  In this part of our series on healthy eating we will focus mainly on MEAT.Obesity & Tummy Tucks

There is an excellent documentary available on most services such as Netflix called: “FOOD, INC”.  This documentary talks extensively about how the majority of meat in the U.S. is processed.  This is a film that everyone should watch.  It contains all the information that we should have been taught in school but weren’t.

For example, we were not taught in school that livestock can be injected with growth hormone and steroids to make them artificially more obese and hence more profitable for the meat processing company.  Or we were not taught that meat companies may use the remains of slaughtered or dead animals to feed remaining livestock.  And we were not taught that force-feeding seed-eating chicken with remains of animals could make them susceptible to infections and therefore they have to be fed “antibiotics” to prevent such infections.  And finally, we were not taught that eating meat from such livestock could result in those artificial hormones and steroids, unnecessary antibiotics, and God knows whatever other junk, to be introduced into our own bodies and result in all kinds of sicknesses, including “MORBID OBESITY“.    We have discussed the term Morbid Obesity in previous blogs, but basically it means when your weight is 50% above ideal.  Obviously this is a dangerous and risky situation, hence the term MORBID OBESITY.  The educational system, especially in the public school system, has worked very hard to keep people in the dark as far as nutrition is concerned in order to allow the media to brain-wash them with all sorts of incorrect nonsense.

Honestly, it is much better not to eat meat at all than to consume such meat products, and instead to provide your body’s protein needs with legumes and beans.  For example most people don’t know that QUINOA which is the most protein-containing grain, contains 14% protein.  However, if you insist on eating meat there are four basic rules that you need to follow in order to be in line with healthy eating guidelines:

1. Stay with white meat (chicken, turkey, fish, other poultry) and avoid red meat as much as possible.  If you are a true red meat lover and you can’t put the hamburger aside completely, limit it to one meal a week.

2. Avoid fried meats.  Stay with broiled or grilled meats.

3. Most importantly, avoid hormone-injected, steroid-injected, and any kind of artificial junk injected or fed meats.  STAY WITH ORGANICALLY RAISED NATURAL MEATS, WITH NO ADDITIVES OR PRESERVATIVES.

4. Do not fall for the ridiculous ads by the likes of McDonalds, offering you the $1.50 hamburger on certain days of the week.  Just think to yourself, what on earth could they be serving you for that price?

In upcoming blogs we will discuss other foods, what really goes into your body when you have that “diet soda”, and other principles of healthy eating.




Many of our patients come in for consultation and one of the first things they ask is whether their surgery can be done under local anesthesia.  When we ask them why it is that they want to have local anesthesia they tell us that they have heard horror stories about general anesthesia and are afraid of it. What they have heard, in most cases, consists of someone not waking up from general anesthesia, or waking up during the procedure and feeling everything, or having nightmares, or having after-effects of anesthesia such as nausea and vomiting. 


It is true that certain types of procedures in plastic surgery can be done under local anesthesia, but major procedures almost always have to be done under either general anesthesia or intravenous sedation.  Of course there are certain risks with general anesthesia but most of people’s fears have been blown way out of proportion and are unreal.


General anesthesia has developed into one of the most progressive, advanced, and modern fields in medicine.  The side effects and problems that people are worried about for the most part belong to the early days of general anesthesia, meaning 80 to 100 years ago.  Especially during the past 30 years incredibly advanced anesthetics and techniques have been introduced, such that general anesthesia in this day and age is probably safer than “crossing the street”.  This is even more so in plastic surgery where nearly all procedures are carried out as outpatient and there is tremendous need for short-acting anesthetic agents.  These techniques have become so advanced that in almost all cases patients are fully awake immediately after the procedure is done, and they are able to be discharged home one hour after completion of the procedure.

Of course there is no denying that general anesthesia has side effects and risks, just like everything else in medicine.  But, first of all the chance of these side effects is very minimal, secondly almost none of them are life-threatening.  For example, the one side effect that we occasionally see is nausea and vomiting.  This is probably the most common side effect of anesthesia.  I personally have witnessed the risk of this side effect drop from around 50% which it was 30 years ago, to nearly 5% today.  The main reasons being that, as mentioned, newer anesthetic agents, gases, and techniques have been developed, and anesthesiologists always provide patients with prophylactic treatment for this side effect before anesthesia is begun and before the end of the procedure.  The other risks of anesthesia are so rare that I personally have not seen any in over thirty years.




Most consumer surveys suggest that excessive use of cosmetics and chemicals on the skin is hazardous in the long term. Naturally healthy skin can only be achieved with proper diet. Here are more diets aiding you in getting your desired skin:

  • Tofu: Tofu is loaded with isoflavones and has been known to play a vital role in the preservation of collagen by preventing the breakdown of proteins. According to a research published in the Journal of American College of Nutrition, investigators reported that mice fed on isoflavones exhibited smoother and less wrinkled skin when exposed to UV radiations as compared to the control group (fed on traditional nutrients).
  • Salmon: According to a study published in the American Journal of Clinical Nutrition (3) salmon is rich in omega-3 fatty acids such as DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid) that protects the cell walls from free radical damage upon UV exposure. Researchers analyzed the eating habits of more than 1100 Australian adults for a period of 5 years and discovered that adults who consume more than 5 ounces of fish rich in omega-3 every week (like salmon) have 30% lesser risk of developing precancerous lesions. Omega-3 also boost cardiac function, vascular circulation and formation of vital hormones and neurotransmitters. Experts recommend at least 2 servings of fish each week to maintain optimal fitness.
  • Papaya: Papaya is rich in vitamin C. Studies support the idea that vitamin C repairs the DNA damage and ultimately protects the skin from hazardous free radicals. UV rays destroy the chemical linkage between the skiRIGHT DIET FOR THE RIGHT SKIN - PART 1 imagen cells and consequently promote the growth of cancers. Vitamin C is present in many cosmetics products however consumption of natural sources is always preferred in lieu of higher bioavailability and rapid absorption.
  • Pink grapefruit: Lycopene is responsible for providing pink-red hue to the pink grapefruit. This lycopene can also help in improving the health and radiance of your skin. According to a study reported in the European Journal of Pharmaceutics and Biopharmaceutics investigators suggested that lycopene intake can help in reducing the signs of physiologic aging, blemishes and scarring tendency of skin.
  • Corn: Corn is rich in a carotenoids called lutein. Just like lycopene, it also protects the skin from damage caused by UV rays. Frozen corn is a good alternative in case fresh corn is not available. According to a PhD plant physiologist, Gene Lester who serves at USDA Agricultural Research Services, frozen veggies may be more beneficial than some fresh veggies available in the supermarket. This is because the veggies and fruits that are selected for freezing undergo processing at the time of their peak ripeness i.e. when their nutrition levels are at peak.
  • Edamame: It is loaded with isoflavones that act like antioxidants; thereby preventing the skin from free radicals. It also assists in preserving the collagen responsible for the natural firmness of skin.
  • Egg yolks: Lutein present in egg yolk shields the skin from the harmful effects of environmental and physical toxins. It also promotes healthy vision. Research supports that lutein minimizes the risk of macular degeneration that is associated with advancing age and recognized as a major cause visual loss in individuals over 50 years of age.

Other foods that are also beneficial for skin include:

  • Red bell peppers
  • Tea
  • Carrots
  • Soymilk
  • Tuna
  • Broccoli
  • Spinach
  • Sardines
  • pumpkin


1. Lauer, A. C., Groth, N., Haag, S. F., Darvin, M. E., Lademann, J., & Meinke, M. C. (2013). Dose-dependent vitamin C uptake and radical scavenging activity in human skin measured with in vivo electron paramagnetic resonance spectroscopy. Skin pharmacology and physiology, 26(3), 147-154.

2. Ferrucci, L. M., Cartmel, B., Molinaro, A. M., Leffell, D. J., Bale, A. E., & Mayne, S. T. (2014). Tea, coffee, and caffeine and early-onset basal cell carcinoma in a case–control study. European Journal of Cancer Prevention, 23(4), 296-302.

3. Jahns, L., Johnson, L. K., Mayne, S. T., Cartmel, B., Picklo, M. J., Ermakov, I. V., … & Whigham, L. D. (2014). Skin and plasma carotenoid response to a provided intervention diet high in vegetables and fruit: uptake and depletion kinetics. The American journal of clinical nutrition, 100(3), 930-937.




Most women use sunscreen and other superficial cosmetic products to protect their glowing skin. But does topical and dermal agents help at all in improving the appearance of your skin? Most consumer surveys suggest that excessive use of cosmetics and chemicals on the skin is hazardous in the long term.  This is mainly because chemicals in cosmetics and other topical agents can act as irritants and may lead to premature signs of aging, wrinkling of skin, acne, blemishes, scarring, redness and even serious dermatological ailments like cancer.

What can be done to maintain the youthful glow and radiance of skin?

Experts believe that naturally healthy skin can only be achieved with proper diet and optimal intake of healthy nutrients. For example adequate intake of certain antioxidants can greatly improve the rejuvenation process to negate the effects of physiological aging. Likewise flavonoids can improve the overall wellness of skin. According to a study published in the Skin Pharmacology and Physiology (1) journal, investigators suggested that moderate intake of nutrients like Vitamin A and C in diet can actually enhance the natural activity of radical-scavenging system by 37%.

What type of diet can aid in getting your desired skin?7 Habits That Will Damage the Skin Image

Human skin is constantly exposed to irritants, reactive oxygen species and free radicals. Notable sources include;microorganisms, environmental toxins, UV radiation, air and land pollutants, xenobiotics and pre-inflammatory ingredients in the diet.

Ideally, a balanced diet that is rich in high quality antioxidants can help in boosting the natural scavenging activity of your skin while protecting against disease causing agents. Below are some dietary agents that are known to improve the cosmetic appearance of your skin.

  • Strawberries: According to a new research published in the Journal of Clinical Nutrition, scientists discovered that vitamin C rich strawberries can prevent the wrinkling of skin as well as dryness that is a normal product of physiological aging.  The antioxidants and flavonoids in strawberries (and other berries like blueberries, acai berry etc.) can help in neutralizing free radicals that are produced as a result of ultraviolet rays. Last but not the least, experimental studies indicate that intake of berries (especially strawberries) can promote the synthesis of collagen – a protein required to keep the skin firm, smooth and healthy.
  • Coffee: Research and clinical data indicates that moderate consumption of coffee can minimize the risk of skin cancer. According to a research study published in the European Journal of Cancer Prevention (2) scientists conducted a large, multicenter study on 93,000 women to assess the effects of drinking one cup of caffeinated coffee per day. The results suggested that moderate intake of coffee can reduce the risk of developing melanoma (skin cancer) by up to 10%. It is however imperative to mention that excessive caffeine intake can lead to dehydration and onset of premature signs of aging.
  • Tomatoes: Tomatoes are rich in carotenoids like lycopene that is responsible for the red color of tomatoes. Clinical data indicates that consumption of lycopene can reduce the risk of skin damage after exposure to UV light. According to a new study, individuals who consume 2.5 tbsp. of tomato paste or 1.5 cups of carrot juice each day for 10-12 weeks are 50% less likely to experience sun-burns or redness of skin upon exposure to intense sunlight. But it is important to mention that synthetic lycopene or supplemental forms are not effective; which is why it is mandatory to consume lycopene from natural dietary sources.

Read more about right diet for your skin in the upcoming blog post.




Cellulite is characterized by excessive accumulation of fat and protein breakdown products under the skin. Although cellulite deposition is a normal part of physiological aging process, yet excessive deposition may lead to cosmetic issues (such as irregular and bumpy skin).

Cellulite deposits are characterized by small and rough lesions that resembles orange rind. According to an estimate approximately 8 out of 10 females suffer from abnormal cellulite deposition that may cause some degree of cosmetic disfigurement. Major causes of cellulite include inadequate or impaired physical activity, hormonal imbalance, sudden changes in body weight and pregnancy.

Although, cellulite deposition is a physiological process, certain strategies can help in improving the cosmetic appearance of skin by fighting pathophysiological factors responsible for cellulite deposition.

Fighting Cellulite via Dietary approach

Avoid Excessive intake of Sugar and Salt

  • A well maintained and balanced diet is the foremost factor in controlling ‘cellulite’. Intake of excessive sugar aggravates the deposition of sugar substances in the fat cells, which leads to the bumpy appearance of skin. Similarly intake of too much salt can also cause fluid retention; thereby causing abnormal metabolism in cells and tissues.
  • It is recommended not to consume more than 6 teaspoons of sugar and 200mg of sodium chloride per day.

Add flaxseed in the Breakfast

  • Flaxseed plays a vital role in the synthesis of collagen. Collagen is required for the synthesis of connective tissue and optimal regulation of metabolism. Flaxseed intake also aids in improving the strength and resilience of connective tissues elements against environmental hazards.
  • In addition, flaxseed also helps in boosting the production of estrogen in the body. Research and clinical data indicates that regular consumption of up to 2 tablespoons of flaxseed over the breakfast can help a great deal in fighting cellulite.

Keep your body hydrated

  • An optimally hydrated body can help in the effective removal of toxins from the tissues. Intake of 8 to 10 glasses of water per day helps in reducing the bumpy appearance of skin and also help in regaining natural elasticity.


  • Kelp is rich in fucoxanthin – a natural agent that improves the metabolism of body fat. The fucoxanthin is a chlorophyll containing pigment which helps in losing body weight and decreasing the appearance of cellulite bumps. Fresh kelp can be added in the diet. In addition kelp capsules are also available in 300mg capsules along with other essential vitamins and minerals.

Gotu kola extractCELLULITE Image

  • Gotu kola is an herb that is known for its relaxing properties on the smooth muscles of the body. It is recommended to take one pill of gotu kola extract before bed-time to restore natural flexibility and resilience of skin.

Use of Topical Agents

Aminophylline cream

  • The topical preparation (available as aminophylline cream) is known to boost the hydrolysis of excessive fat under the skin. Aminophylline is also added in the asthma drugs to allow relaxation of smooth muscles. For best results, vitamin C is also added to the regimen in order to enhance overall collagen synthesis.

Retinol cream

  • Retinol or vitamin A possess antioxidant properties that are helpful in scavenging free radicals produced as a result of biological activities. Retinol is known to maintain the smoothness and elasticity of skin. Retinol cream is usually available in combination with vitamin A, C and E.

Horse chest nut extract

  • Horse chest nut extract helps in improving the blood flow to connective tissue elements by decreasing the size of capillary pores. It also helps in decreasing the inflammation and swelling caused by cellulite.

Anti-cellulite clothing

  • Different clothing’s are available which helps in generation of heat to reduce cellulite formation.

Massage Devices

  • In cellulite multiple bands of connective tissue are formed; thereby causing the skin to appear as rippled. Massage devices produce friction which helps in decreasing the accumulation of fat and connective tissue under the skin. In addition, massaging also helps in removing the cellulite bands by improving the blood circulation to the dermal layers.


  • Use of different herbal supplements is not ideally recommended in cellulite as most supplements have little to no effect on the hormones/ enzymes responsible for cellulite formation. In addition, drugs or supplements can also alter the normal physiology of digestive system.

Caffeine creams

  • Caffeine is found to be fairly effective in the cellulite breakdown. Moderate consumption of caffeine can reduce the inflammation and aid in the breakdown of fat cells. Caffeine creams are available in the market in different concentrations. Creams containing 5 percent caffeine must be applied over the cellulite region to achieve optimal results.

Although there is no specific treatment available for cellulite but these are some helpful remedies that can be used to effectively fight cellulite to regain youthful and radiant skin.