Cellulite represents an annoying and multifactorial female aesthetic pathology that requires a complete diagnosis and a precise clinical classification, which is ultimately essential to set up the best treatment protocol, that always requires a physical therapy associated with medical or surgical therapies aimed at the different alterations of adipose, microcirculatory,
endocrine or connective tissue. The attempt to classify cellulite is as old as its first description, around 1920. However, the difficulty of clearly defining and framing its clinical aspects and pathophysiological evolution has produced various and different classifications, all interesting and validated, but all with some limits. In 2001, an important controlled and randomized scientific study on the diagnosis and treatment of cellulite was organized, but precise identification of cellulite and the results was necessary to give greater validity to that international study. For this reason, a new clinical classification was devised, with a repeatable test and a final number that could be used both statistically and for interpretation of results. The TCD Code is the numerical sum of several numbers that express various thermographic, clinical and symptomatic parameters. In the present study, twenty female patients with cellulite were treated by a non-invasive method called “Endosphères Therapy”, which uses mechanical micro-vibrations and micro-compressions to obtain vascularizing, analgesic, draining and restructuring effects. Twelve therapy sessions were carried out in five weeks, the results before and after were evaluated using the TCD Code, which highlighted the reduction of the initial value of 40.14% significant of the clinical and aesthetic improvement of cellulite. The study has finally proved the validity and the practical utility of the TCD Code.