Why Cellulite Creams Don’t Work?

Most women don’t see any significant results from the use of anti-cellulite creams
Millions of women buy creams against cellulite, only to be disappointed a few weeks later after not seeing their cellulite significantly reduced. Almost every woman has tried an anti-cellulite cream at least once, and many women do try them every year, despite most of them not working, in the hope that the new revolutionary cream being marketed on TV “will work this time”. On the other hand there is a large number of women who are skeptical or even cynical about cellulite creams, and never buy them believing that these creams don’t work because they don’t get absorbed, or for several other reasons.

Women's Nightmare:Cellulite

Women’s Nightmare:Cellulite

It is true that most cellulite creams don’t work…
…despite the multi-million pound marketing efforts of multi-national corporation that try to convince us otherwise. So the question is why cellulite creams don’t work?

In fact, there are two main reasons why cellulite creams don’t work and both reasons are of equal importance:

  1. You don’t work
  2. The cellulite cream doesn’t work

You do not use it enough (quantity and frequency of usage)

Before you start dismissing this reason as nonsense please read what I have to say first. During the last 10 years I have seen more than 1,000 women with cellulite and believe me I do know a lot about the patterns of cellulite cream usage.

A cellulite cream needs to be applied every single day, two to three times a day (minimum once a day) in order for it to work. Using the cream once every other day or once in three days won’t give any results. It is really amazing how many women use their cream whenever they remember and then complain that nothing happens. At my clinic I used to offer our cellulite cream at cost price (half price) in order to encourage my clients to use a lot of the cream, every single day, so that they derive maximum results from their treatment. And I was amazed of how little cream they used and how they tried to save money, despite the cream costing them very little in comparison to any other cream on the market. This just doesn’t make sense. When you buy a cellulite cream you buy it to use it, not to hoard it – otherwise just don’t buy it. The more you use it the more it will work, whilst the more it stays on the shelf the more you will complain that it doesn’t work. So my advice is:

  • Use a quality cellulite cream 2-3 times a day, especially immediately before and after serious exercise that increases your heart and breathing rate (not Hatha Yoga or light Pilates), for maximum results.
  • Use enough quantity. You can increase the absorption of the cream by massaging it vigorously into your skin. This will allow you to use more quantity and thereby get better results. On the other hand if you would rather save money, then don’t bother buying a cream in the first place…
  • Have a body wrap by applying a generous quantity of cream and then covering your legs with some cling film (kitchen wrap). You can leave the wrap on for a minimum of thirty minutes and a maximum of three hours for maximum results.

You do not use it long enough (i.e. you expect results in two weeks)

If you suffer from a lot of water retention, a good cellulite cream may indeed offer you some (temporary) results in two weeks, but for maximum results you should use the cream for at least one month, and ideally for three months. This is because fat takes much more time to be removed from your body than water, whose levels can fluctuate significantly from day to day and can be more easily manipulated. In addition, skin looseness, another important aspect of cellulite, takes time to be reduced, and results are not to be expected in less than a month, with a 3-month outlook being much more realistic.

Even if you want long-term results with water retention, you must still use the cream for a protracted period of time. This is because it is easier to temporarily reduce water levels in the tissues in a few days, but tackling the real causes of water retention will take as much time as it takes to reduce fat levels – and this time is counted in weeks and months, not in days. So my advice is, if you are really interested in reducing your cellulite, you must have a long-term outlook (three months of continued use is ideal), not a short-sighted, quick-fix approach.

You expect it to do all the work for you (i.e. you do not exercise or diet enough whilst using the cream)

Cellulite creams do not contain magical chemicals that “literally melt away your cellulite before your very eyes whilst you wait”, as some internet ads and TV infomercials try to convince you – your active participation is needed. Otherwise cellulite would simply not exist today and there would be no need for this article.

Good cellulite creams contain active ingredients that stimulate circulation, boost collagen cell output and/or encourage your fat cells to release fat out of their membrane. This fat is then absorbed by your blood vessels and reaches the general circulation and organs (including muscles) where it has the opportunity to be burned for energy (oxidised, more correctly), if you happen to follow a good diet and exercise regime. If the fat does not get burned for energy, because you do not exercise or diet enough, it will end up back into your fat cells, where it will have to be re-released again some other time, possibly due to the action of the cellulite cream etc. etc., with nothing happening in the end.

So my advice of using the cream immediately before and after a serious exercise session still applies (exercise three to five times a week for best results). In addition you have to make sure that you adopt a healthy diet rich in fresh vegetables, berry fruits and oily fish and poor on sugar, saturated fat, fried food, alcohol and starchy foods.

You expect the cellulite cream to perform miracles (unrealistic expectations)

A quality cellulite cream will offer you much better value than any cellulite treatment can even offer. As a rough estimate, we can say that it is at least three times cheaper to achieve roughly the same results with the use of a good cellulite cream (combined with exercise and diet) than with a good cellulite treatment (again, combined with exercise and diet). Of course, there are some things that a cream can not do as well as a treatment can (such as skin firming), but the cream cost is significantly lower. In addition, the cellulite treatment will offer you results in typically half the time it takes a cream to offer the same results. Therefore, the combination of a good cream and a good treatment will offer the best results, in the minimum amount of time. If you cannot afford a professional cellulite treatment, regular self-massage will also accelerate the results of the cream use.

In any case, even the best treatments and creams have limitations. Cellulite, if established for many years or if it is advanced, can not be eliminated from the body, it can only be reduced. This is because permanent changes take place in your subcutaneous connective tissue that cannot be reversed with any treatment, diet or cream. So in most cases, cellulite can be significantly reduced, but cannot be eliminated, and if you expect the latter to happen you will unfortunately be disappointed. Sometimes it is nor that you don’t do things right, neither that the cream doesn’t work, it is that you have unrealistic expectations, probably triggered by the retouched pictures of celebrities in glossy magazines. The truth is that 90% of women do have cellulite (including the majority of celebrities), so the argument is not if you have it but how much you have of it, and the struggle is not about getting rid of it, but reducing it.

Dr Rachel Chew’s Remedy for Cellulite:

Mesotherapy is one of the breakthroughs in fat reduction. It aims to eliminate the appearance of cellulites and increase blood flow in a “specific” area. Sounds interesting right? So what does it mean. Say you want to get rid of your love handles, or the fat on your thighs, these areas are being dealt on directly by the mesotherapy. You wouldn’t be able to get rid of these areas fast and precisely with exercise and dieting alone. And since it is a non-surgical technique with less complications, then it is a wise bet against liposuction.


  1. Non-Invasive Procedure
  2. No general anesthesia
  3. Treats cellulite directly resulting in a smoother skin
  4. Removes fat from the cells and subsequent weight gain is symmetrical.
  5. Little bruising and pain.
  6. Loose clothing afterwards
  7. No down time.


  1. Invasive surgery
  2. Requires general anesthesia
  3. Cannot treat cellulite directly
  4. Removes fat cells and subsequent weight gain can occur in abnormal places.
  5. Significant bruising and pain.
  6. Restrictive garments for weeks
  7. Requires 2 Weeks of down time.

Mesotherapy reduces cellulite in the following ways:

  • Dissolving excess of fat deposit
  • Improving blood flow to the area
  • Removing fibrotic, hardened connective tissue
  • Improving lymphatic drainage

Basically, it is done by applying series of injections of mixture of medications and vitamins on the problematic areas. It has substances that stimulates the body to burn up the fat efficiently. It is usually done on several sessions depending on your physician’s assessment of the problematic area. Majority of the patients notice immediate results losing 1-2 inches. While some, the results are slower but still noticeable.

Mesolipo Cellulite Before After

Mesolipo Cellulite Before After

So if you want to have that FHM-worthy body or just want to maintain your shape, you can drop your enquiry here. You might want to take it a try. There’s nothing to lose– only your fats! :D

More information about Meso-Lipodissolve, Click: English / Malay / Chinese

The 10 benefits of a chemical peel

Having radiant skin every day isn’t always easy, and even the healthiest lifestyle and skincare regiment can leave you with a dull or ruddy complexion. Chemical peels are some of the simplest and most effective treatments for achieving that radiant glow, and are one of the oldest cosmetic procedures performed around the world. Not only can you expect smooth and clear skin with these treatments, but chemical peels can also help reduce the appearance of fine lines and wrinkles. If you’re looking for a dramatic ‘lift’ to your appearance without expensive surgery, chemical peels could be the secret to getting that youthful look.

Radiant skin

Radiant skin

Here are just ten benefits of this popular cosmetic procedure:

  1. Reduction or removal of blotchy patches. Skin blotches can create a dull complexion, and typically do not clear up on their own. A chemical peel can penetrate deep enough to remove the layer of darker skin to even out your skin tone.
  2. Removing the appearance of sun damage. The sun is the leading cause of fine lines and wrinkles, and these can be prevented with a healthy skincare regiment. Chemical peels remove the layer of skin that may be affected by sun damage to leave behind a fresh and smooth layer.
  3. Acne management. If you’re suffering from acne, a chemical peel may be a valuable part of your treatment program. Lighter peels such as AHAs and glycolic acid peels are more appropriate for sensitive and acne-prone skin, and can help clear up inflammation and even acne scars after a few months of treatment.
  4. Lightening of the skin. The change of seasons, poor diet, or even a lack of rest can leave you with a dull and ruddy complexion. Powerful chemical peels made with phenol acid are used to treat deep wrinkles, and can turn your skin lighter as a side effect.
  5. Low downtime. Most peels require just one or two treatments before the cells begin to turnover; you’ll start to see effects in just a few days with little recovery time required.
  6. Smoother skin. Revealing a fresh layer of skin means you’ll have a smooth and youthful appearance and improved skin texture.
  7. Age spot removal. Age spots can be difficult to hide under makeup, but chemical peels can help reduce pigmentation and even out your skin tone.
  8. Fast and simple procedures. The process of applying the chemical peel solution and letting it set rarely takes longer than 15-20 minutes. You can be in and out of the doctor’s office within an hour.
  9. Improved collagen growth. Glycolic acid peels in particular will help with collagen production; collagen is a building block of skin tissue that creates a strong and supple skin surface.
  10. Better skin quality. Removing dead skin cells regularly will freshen up the skin and leave it silky smooth; chemical peels help remove dead skin cells and will even out the skin tone to leave you with a fresh and youthful glow.

Chemical peels work by safely and gently ‘burning’ the top layer of the skin with an acid solution; this slowly removes dead skin cells and the outer layer of skin to reveal a softer and smoother layer underneath.

For online consultation with Dr Rachel Chew about which treatment best fit you, click here.

You are never too YOUNG for Botox

Think you’re too young for Botox? Think again! Studies are showing that girls are starting to receive botox injections at a younger age. They are doing this as a preventative measure, and really that is very smart!!! I think a lot of people are under the misconception that botox is for old people, when in fact the younger you start the better.

Botox is commonly used in areas that have dynamic muscle movement like the frown. The more you frown the deeper the lines become. I have a lot of patients in their 20′s who are using botox as a preventative measure both in the frown and around the eyes and they are loving the smooth results. The trick is to catch the lines before they have an opportunity to permanently scar your skin.

Let’s think of a crumpled piece of paper, when you flatten it back out the lines remain visible on the paper. Think of your skin in the same way.  Botox relaxes the muscle under the skin, thereby stopping the wrinkling effect you see on the skin’s surface. Which brings me to the point that Botox is a safe, easy and extremely effective way to deal with unwanted lines and wrinkles for people of all ages.

Dr Rachel Chew

Dr Rachel Chew

A comparative Botox study in twins proves what we have all been thinking for some time now – starting Botox before your wrinkles are visible slows the skins ageing process.

The theory has always been that if a 25 year old starts getting treated for the minimal lines they have, and they maintain that treatment protocol they will inhibit the wrinkle formation and the over use in the muscle causing the wrinkle. This then would translate to fewer wrinkles when they get older – even if they stop the treatments.

Now research confirms this preventative theory. The study by Dr W Binder called “Long term effects Botulinum Toxin Type A (Botox) on facial lines: a comparison in identical twins” detailed the treatment protocol of identical twins over a 13 year period.

One identical twin was treated three times a year starting at the age of 25, while the other went without any treatment. The results were conclusive:
The treated areas were the Glabellar lines and imprinted Forehead lines and toward the end of the 13 years the Crows feet were treated too.

Researchers found that the forehead and glabellar lines were not evident in the treated twin but were evident in the untreated twin, so too were the crows feet less noticeable in the treated twin compared to the untreated twin. In all the untreated areas of the face (Nasolabial folds) ageing was comparable. Importantly no side effects were indicated.

So what can we learn from this 13 year study? We can deduce that long term treatment with Botox can prevent and inhibit the formation of facial lines.

First Time is the Most Important Time

Many individuals who desire to have Botox get obsessed with the quick fix of how Botox looks during the 3 months or so that it is effective. However, as many of my patients know, I try to emphasize the importance of long-term healing. Specifically, I truly see the merits of how consistent Botox usage not only shuts down wrinkles but it literally heals the skin. Without significant movement of the skin, the collagen becomes thicker and healthier and can look simply radiant.

Along those lines, when deciding when to do Botox I try to emphasize early intervention. I use the analogy of exercise to have individuals understand this principle. If one waits until he or she is completely out of shape, it takes much longer and much harder work to become fit again. If someone is only mildly out of shape and starts a good exercise routine (and of course good diet), then it is far easier to become truly fit. This principle applies to Botox. When performing Botox therapy, it is important to start early before lines become entrenched so that they never become an issue, especially for very fair-skinned individuals who also tend to worship the sun.

If we follow this principle of early intervention, then Botox treatment should be consistent and of high quality during the early treatment phase (say for the first 1 to 2 years) then it can be less consistent thereafter because the skin is already healed and fit.  Therefore, I advocate that the first treatment of Botox that you will have during your lifetime is the most important one to have and each dose thereafter becomes progressively less important.  I try to encourage my patients to stay consistent during the first year (and for those with advanced lines for the first 2 years) then I help guide them toward lesser and lesser amounts and frequencies, as the skin continues to heal and requires less dosage and intervention.  In summary, your first treatment is the most important dose you will ever have, the second dose will be the second most important you will ever have, and so on. 

So if you are looking at starting your preventive anti-ageing protocol, then start young with Botox treatments, you can send your enquiry to Dr Rachel here. If you want to know more about Botox, you can click here for more information.

Derma Veil Training in Hong Kong

Great News!

Derma Veil is launching in Malaysia soon! Dr Rachel Chew was invited by Medinter, Ltd to attend their training in Hong Kong on 12 May 2013.

About the trainer:

Jorge M. Tagle, MD; Pedro Cervantes Macchetto, MD*; Rosa Margarita Durán Páramo, MD*

Dr. Tagle is Plastic and Reconstructive Surgeon, International Board of Plastic, Aesthetic and Reconstructive Surgery, European Society of Plastic and Reconstructive Surgery Documentation; Dr. Mcchetto is in Private Practice, General Hospital of Tijuana, Tijuana, Mexico; Dr. Páramo is in Private Practice.

Dr Rachel with Dr. Tagle

Dr Rachel with Dr. Tagle

Dr. Tagle

Dr. Tagle

Derma Veil

Derma Veil

To find out more about Derma Veil, click here for more information or you can send your enquiry to Dr Rachel here.

Are your hands giving away your age?

It is said that “eyes are the window to our soul”, but are hands the clue to our actual age? The availability of cosmetic enhancement procedures like Fractional laser resurfacing, PRPBotox and dermal fillers, it can be near impossible to guess someone’s age these days. However in many cases the hands say it all. So the next time you find yourself a little curious about someone’s age, look down and see what the hands have to say.

Are your hands giving away your age?

Are your hands giving away your age?

If you really want to guess someone’s age, keep an eye out for the following signs of hand-related aging:

  • Age (liver) spots – When most people think about sun damage, they don’t even consider their hands. For this reason, the hands are particularly vulnerable to discoloration and sunspots.
  • Crinkly skin – Wrinkles are a tell-tale sign of aging. Because the hands are usually drier than many other parts of the body (due to hand washing throughout the day), they’re more prone to wrinkles.
  • Translucent skin – The skin on our hands is actually thinner than the skin on our faces. Over time, as our hands naturally lose volume, causing our skin to look paper thin.
  • Lost volume – Like the face, decreased collagen production beneath the surface of the skin can cause our hands to lose volume as we age – eventually appearing sunken or hollow.
  • Noticeable veins – The veins, tendons and bones on our hands become much more prominent as we age and our skin begins to lose some of its elasticity (tightness).

Many of the same procedures used for the face can be used for the hands as well. Retinoids, microdermabrasion and chemical peels are great for treating sun damage, while dermal fillers, PRP, fat transfer and Fractional laser resurfacing can add volume to the hands and minimize the appearance of wrinkles.

If you would like your hands refreshed and not a giveaway of your age, click here for online consultation with Dr Rachel discuss what solutions are appropriate for you.

Going Beyond Hair Loss Myths Seeking the Truth

I was invited by NTV7 for NTV7 Bella Talkshow hosted by Daphne Iking on August 6th 2012, from Studio 3, Glenmarie. They shared their expertise on causes of hair loss, methods of preventing hair loss and the various treatment options including hair transplant, oral tablets and topical treatments.

Interview topic : Myths and Facts on Hair Loss

Dr. Rachel Chew was invited by NTV7 for NTV7 Bella Talkshow hosted by Daphne Iking on August 6th 2012, from Studio 3, Glenmarie.

Dr. Rachel Chew was invited by NTV7 for NTV7 Bella Talkshow hosted by Daphne Iking on August 6th 2012, from Studio 3, Glenmarie.

IMG_2429 IMG_2433 IMG_2443 IMG_2445

Your hairs are thinning every day and it makes you feel helpless as if there is almost nothing you can do to stop yourself from being going bald. As obvious, you will be desperately looking for some kind of solutions and try them no matter how bizarre they may sound. It is fact that hair loss is one of those few things that can have disastrous impacts on our confidence level and therefore, we should not be treating it with any less importance. So, to make your life a little bit easy, here we are going to take a look around some hair loss myths and misconceptions that are making it really tough for a troubled person like you who is desperately seeking a solution to this problem.

Natural Shampoos

Are they any Better? Well, experts are of the opinion that there is no such thing as natural shampoo and even if some companies claim that, there is no any such proof that they are doing a better job when it comes to preventing hair loss. Moreover, there are quite a few ‘non-organic’ shampoos available in the market and as it appears, majority of them are not even linked with hair loss problem.

Impacts of Hair Care Products

Yes to be honest, there are some hairs styling related products available in the market that can cause hair loss. Use of strong chemicals can cause damage to hair follicles and in some worse cases, can cause hair breakage. Sometimes, we cause real damage to our hair when we start giving more attention to hairstyle than to the complete well-being of our hair.

Can we inherit balding from mother’s side?

Many people are of the opinion that we cannot inherit the problems of baldness from our mother’s side. However, this is far from the truth. The sad news is that baldness can be inherited from either side and there is no specific gender bias. Sometimes, the problem of hair loss may skip one and two generations. So, just because your father is not having hair loss related problem does not necessarily mean that you will not have to face the problem. You have to look at the number of your family members who have or who are suffering from pattern hair loss and the more the number of people having this problem, the greater the chances of yours being affected by it. In that case, you might need to visit nearby Hair Loss Treatments center to fix this issue.

New Hair Follicles are Impossible to Grow.

Yes, it might sound disturbing to some but this is the fact. Rather than trying to grow new hair follicles, which are almost next to impossible, you should be rather trying to prevent losing more. However, things might change in coming days with stem cell research is breaking ground and within probably 10 or 15 years, we will be able to see some dramatic improvements in this field. Until then, we need to wait and you have to use all your resources to stop losing hairs follicles.

Stress and Hair loss

Though people tend to believe that hairs loss can be caused by stress but there is no such scientific evidence found to corroborate the fact.

Wearing a baseball cap or hats will cause thinning hair and loss of hair.

Hats off to this myth! No matter what your mother has told you, wearing a hat does not cause hair to thin or fall out.

Exposure to chlorine in swimming pools will cause hair loss.

Another dive in the truth department…chlorinated water can dry the hair shafts and make them more brittle, but does not cause hair to thin or fall out.

Brushing hair will help it grow?

The idea of brushing the hair 100 times a day to stimulate the scalp circulation is a fantasy. In fact, if you brush your hair too much, you may end up injuring and losing hair.

Braiding your hair will cause your hair to fall out.

Short term braiding is fine; it is true, however, that certain hair styles, such as long term, tight corn-row braiding can permanently destroy follicles and cause hair loss. This is a preventable condition called traction alopecia. I would be more worried that the brushes and combs aren’t cleaned between clients.

Smoking cigarettes causes hair loss.

Cigarette smoking is medically BAD for everything, including your hair. Recent studies have found sufficient evidence to claim there is a significant link between smoking and hair loss. It’s still uncertain whether the connection is due to the effects of tobacco toxins, but it is probably due to the fact that nicotine constricts blood vessel throughout the body, including those directly affecting individual hair follicles.

Lack of Vitamins can cause hair loss.

Think about this – if you were losing hair because of a lack of vitamins or minerals in your diet, why wouldn’t the back and sides of your head be affected? In actuality, vitamin deficiency results in an even distribution of hair loss all over the head. However, steroids use can cause hair loss. Research has proven that anabolic steroids raise the levels of baldness-inducing male hormones. For those who are genetically prone to hair loss, this can speed up the loss in as little as 3 to 6 months. While this loss may be reversed, it can be permanent.

Asian Beauty.. In the eyes from East to West

It’s always interesting to see what kind of Asian features are seen as beautiful in the East in comparison to the features prized in the West. Majority Asians definitely love the innocent big eyes and and petite doll-like features, while fashion industry in the West loves Asian models with the exotic and very classic, oriental look.

Western perception of beauty:

  • Tanned/dark skin
  • Defined check bones
  • Deep set wide eyes
  • Slender thin pointy nose
  • Plump full lips

Asian perception of beauty:

  • Fair/pale skin
  • Double eyelids
  • V shaped face
  • Small faces/heads
  • high nose bridge

In the East

In Asia, popular models usually pull double duty as celebrities by modeling and also either singing, modeling, or both. The long list includes Angelababy in Hong Kong,  Lee Min Jung in South Korea, and Vivian Hsu in Taiwan.

angela baby

angela baby

lee min jung

lee min jung

vivian hsu

vivian hsu

In the west….

On the other hand, while there are very few Asian models in the West, the few who do make it are definitely forces to be reckoned with. Ex-model, Devon Aoki, is of mixed heritage, but she’s worth mentioning because she’s among the first who paved the way for Asian runway models in Western fashion. Followers of high fashion in the West probably know that designers love Chinese model, Liu Wen. She was one of the most booked models in the Spring 2010 Fashion Weeks and was the first Victoria’s Secret Angel to hail from Asia in 2009. She’s known to be so charismatic with a good personality. And unlike other famous models in the East, she is loved by the West for her oriental features that are seen as ordinary and mundane to most other Asians.

devon aoki

devon aoki

liu wen

liu wen

Another well-known actress I haven’t mentioned in this article yet is Shu Qi, one of my favorite Taiwanese actresses that ironically, couldn’t find a decent paying job in Taiwan but hit it big in Hong Kong. She’s an interesting case because like her angular features are unmistakably Asian and defy the doll-like standards that Easterners adore. But she’s still loved by the Chinese and Taiwanese public. And rightfully so, I would say, since she’s gorgeous and is a great actress to boot!

hsu qi

hsu qi

Between the Eastern and Western perception of Asian beauty, I won’t say that each’s perception of Asian beauty is the right one. Though they both make sense and I’m glad that different types of features are recognized as beautiful, but both are simultaneously warped in their own ways. Westerners look specifically for that exotic type of beauty. In a similar vein, Easterners look for the striking doe eyes, round and petite face that comes naturally for some Asians but is lacked by the majority. Thus, driving many to resort to plastic surgery to obtain this idealistic beauty.

Since beauty is ultimately always subjective, you can say the silver lining here is that different standards of beauty in the East and West allow for different women to shine. Each of the models here are beautiful in their own right, and I think the variations in their features is a testament to how diverse East Asians are. In regards to whether beauty is ultimately universal or not is something I don’t have the answer to because that’s a whole other gigantic can of worms I don’t want to get into. Ever.

So what is your perception about beauty?