Cellulite, unsightly skin irregularities that provide an appearance similar to orange peel, called gynoid hydrolipodystrophy in medicine. In this text we will explain how it arises and what cellulite treatment options that present scientific evidence. Before, we must clarify some confusion. The term cellulite can be used for two different diseases: Hydrolipodystrophy gynoid, subject of this text, which is a problem of a more aesthetic than a disease itself. Cellulitis, skin infection, a bacterial infection similar to erysipelas. This type of cellulite and was addressed in the text: Erysipelas and cellulite | Causes and Treatment The term cellulite to hydrolipodystrophy gynoid is not appropriate because there is no inflammation of the subcutaneous tissue as the suffix “itis” suggests. However, as the term is established by custom and her pronunciation is much easier, is that which we use in this text.
What is cellulite?
Cellulite is characterized by irregularities in the skin, like waves, caused by alterations in the anatomy of the subcutaneous tissue. Under our skin is always a plate of adipose tissue (fat), which may be higher or lower depending on the region and the nutritional status of the individual. Below the fat, muscle is located, which is connected to the skin by elastic fibers of fibrous tissue that traverse the fatty tissue. When these connective fibers have low elasticity and at the same time there is an accumulation of fat in this region, the skin becomes irregular. This is because the fibers are pulling the skin towards the muscle while the fat is pushed upwards. See the next illustration to better understand this mechanism. Cellulite is therefore a species of herniation of the grease towards the skin. Cellulitis most often arises in regions that store fat easily, such as hips, thighs, buttocks and abdomen. Cellulite is more common in obese or overweight, yet can also occur in thin people. The lower the elasticity of the subcutaneous tissue, the lower the amount of fat that needs to accumulate to cause the corrugations. Fluid accumulation and mode of distribution of fat tissue also influence the occurrence of these irregularities.
Risk factors for cellulitis
Cellulite is more common in women than in men, estimated that up to 90% of women suffer with this problem to some extent. Perhaps this discrepancy between the sexes is due to estrogen and subcutaneous connective tissue characteristics in men, which hinder the herniation of fat. In addition to these factors also increase the risk of cellulite / on:
Age [the older (a), the greater the risk].
Diet rich in salt, fat and carbohydrates.
Low fluid intake.
Classification of cellulite
Cellulite grade 1: no irregularities visible when the patient is lying down or standing, but alterations can be seen when you pinch the area with your fingers or the local muscle contraction.
Grade 2 cellulite: cellulite visible, looking like orange peel, with no obvious compression of the skin. Through palpation is possible to note the presence of small nodules imperceptible to vision.
Grade 3 cellulite: cellulite visible, looking like orange peel, over-obvious elevations and nodules.
How to eliminate cellulite
As yet we fail to understand all the mechanisms that cause the appearance of cellulite on the market supported hundreds of ineffective treatments in theories without any scientific basis. In addition, cellulite is not a disease, is a normal disturbance female subcutaneous tissue, which, by imposing a largely macho society, became a nuisance for women. The fact is that so far there is no technology available that can correct the structural abnormalities of the female adipose tissue and deep dermis. In short: there is no 100% effective treatment for cellulite or miraculous.
Aesthetic medicine is one of the fastest growing areas financially, attracting a lot of groups that offer treatment without evidence or based on studies of questionable quality. Currently there are many treatments for cellulite that is impossible to discuss all of this text. Let’s take in the next few lines, a quick review of the most common on the market.
The vast majority of anti-cellulite creams do not work, and even those who have some effect, they do so discreetly. Creams have some test results are those that contain retinoids or methylxanthines. Alone, therefore, have almost no benefits.
Food supplements for cellulite
There are hundreds of products claiming to possess so-called natural substances with anti-cellulite properties. Normally these products claim to help eliminate toxins, reduce water retention, increase fat metabolism, improve circulation, and so on. The fact is that there is no supplement or product taken by mouth that proven to have any effect on cellulite.
There is also no specific anti-cellulite diet, with foods chosen that supposedly would act against the problem. The diet advocated against cellulite healthy diet is recommended for all: avoid excess sodium, saturated fat and carbohydrates.
Massage for cellulite
The lymphatic drainage massage and have little effect on cellulite. In the 1990’s was developed in France a device dubbed Endermologie ®, focused on performing a type of massage in the areas affected by cellulite. The product was approved by the FDA (ANVISA in the U.S.) as an option for the temporary relief of cellulite. The apparatus basically massage the skin so that redistributes fat, producing a temporary improvement in skin appearance. If treatment is stopped, cellulite reappears as before.
Laser for cellulite
The use of lasers to treat cellulite has gained attention in recent years. There is still controversy about its effectiveness, as current scientific papers have many questions regarding its methodology. There are also techniques that use laser associated with radiofrequency waves and massages. The fact is that just as in the massages, the improvement is temporary and the treatment should be performed regularly, it becomes very expensive and also time consuming.
Mesotherapy for cellulite
Mesotherapy is a treatment that involves injecting substances directly into the affected tissue in order to “undo” cellulite and help eliminate localized fat. This technique is controversial because it includes various methods and substances, but none of them was properly studied in major clinical trials. There is even the risk of side effects depending on the substance to be administered. The lack of studies on its efficacy and, especially, the safety of the procedure are the main problems of this treatment.
Liposuction for cellulite
Liposuction or liposuction simply does not work against cellulite, and may even worsen the table, increasing the irregularities in the skin. However, the release of the fibrous septa with special cannulas (subsición), followed by liposuction (fat injection lipoaspirada patient’s own depression of cellulite) presents good results, even more when combined with other therapeutic modalities . Like the other methods, does not provide a cure for cellulite, but rather attenuated. This technique should be performed by a competent plastic surgeon. Avoid techniques that promise miracles and, mainly, do not recognized by professional medical and health authorities of your country.
In the end, how to remove cellulite?
Unfortunately there is still no effective treatment for the problem of cellulite. Currently the best surgical results are associated with creams, massage and laser therapy. At the moment, as explained, are partial and temporary improvements that bring spending money and time.