The fact is, PerfectSlim can improve the appearance of cellulite. What it won't do is get rid of it. "There isn't a cream in existence that can do that - only surgery can," says Dr James Fleming, author of Beat Cellulite Forever. "Some creams work by tightening the skin, but don't penetrate any deeper. As to how gingko and caffeine, the 'active' ingredients in PerfectSlim [the main ingredient is, of course, Aqua] reduces cellulite, I don't know."