involves the use of an externally applied vacuum with 2 rotating rollers in the handpiece through which the vacuum is applied to the skin. The mechanism is much the same as a vacuum cleaner used to clean rugs. The massaging & vacuum action in essence rupture fat cells. Leotard type garments are worn during the procedure to minimize bruising. After multiple treatments (as many as 10 to 15) the end result is much the same as 1 liposuction treatment for those with minimal to moderate excess fat to start with. It is not recommended as the sole treatment for those with marked excess fat. Excessive endermologie can result in some underlying muscle death as well as fat cell death.
Endermologie has been certified by the FDA for the temporary reduction in the appearance of cellulite. This may be due to the swelling induced by twice weekly treatments & then the requirement of maintenance treatments. There has been no evidence to date that after a certain number of treatments you can stop & will have permanent reduction of cellulite.