Pure vacuum therapy has been used for many years, with no success. Endermologie is the first technique to introduce a patented combination of suction plus dual active rollers to create a symmetrical skin fold.

Only LPG's family of therapeutic massagers have two rollers to comfortably roll and unroll the skin, thus treating the various layers of tissue. Suction alone does not work, and without two rollers, the skin may be pinched or bruised, showing little results. Endermologie works where others fail.