If you’re a woman you probably know what cellulite is.    A cosmetic condition that makes your skin look bumpy and dimpled, like an orange peel. It is caused by changes in the structure of the fat cells and connective tissues that lie underneath your skin’s surface.

According to a 2015 report published in the American Journal of Clinical Dermatology, cellulite is present in 80 to 90 percent of postpubertal women.

The exact reason why people develop cellulite is not fully understood, but it is often triggered by a combination of factors that involve hormones, lifestyle and inflammation. Age, gender, genetic susceptibility and body shape also factors into it.

There are a lot of cellulite treatments on the market, but not all are created equal.

Treatments supported by medical studies:

Acoustic wave therapy (AWT) is a treatment that studies have shown reduces the appearance of cellulite. This technique applies acoustic waves (also called sound, pressure or shockwaves) to the affected areas. Typically, multiple treatments and maintenance treatments are necessary. Lipotripsy is another term for AWT.

Laser, light, or radiofrequency therapy: Light-therapy devices that combine suction or massage with light therapy for the temporary reduction of the appearance of cellulite. These treatments require multiple treatment sessions and maintenance treatments to sustain the improved appearance.

Subcision is a procedure that involves insertion of a needle beneath the skin to break up bands of fibrous connective tissue that separate the clusters of fat cells. Health care professionals perform subcision with a device known as Cellfina. Results of the technique can last up to two years or more.

Vacuum-assisted precise tissue release is another new procedure that can help break up the tough bands of fibrous tissue that contribute to the appearance of cellulite. The doctor uses a device containing small blades to cut the tough tissue bands. Subsequently, the fat tissue moves upward to fill out and reduce the look of dimpled skin.

Treatments with fewer studies but show some effectiveness: