To determine whether extracorporeal shock wave therapy (ESWT) or manual lymphatic drainage (MLD) is more effective for decreasing post-liposuction cellulite.

Thirty females with grade 3 cellulite were randomly distributed into two equal groups: group A (ESWT group) (n=15) and group B (MLD group) (n=15). The cellulite grade was assessed by using the cellulite grading scale, and the thickness of subcutaneous fat was assessed by the skinfold caliper. The assessment was carried out before starting the treatment and after 4 weeks. All participants received treatment 2 times/ week for 4 weeks.

Inclusion Criteria:

• Female patients
• age ranged from 25-45 years old,
• non- pregnant females
• grade 3 cellulite at thigh area after liposuction

Exclusion Criteria:

• Breastfeeding females
• Inflammatory skin disorders in the treatment area
• Edema
• Varicose veins-
• Any therapy or disease that may affect treatment