Essay on Cellulite – What to Do About this Unwanted Condition

Cellulite is a condition of adipose origin in which adipose tissue protrudes through the dermis causing an ‘orange peel’ or ‘cottage cheese’ type dimpling of skin seen most commonly on the thighs and buttocks of many post-pubertal women. The initial changes leading to cellulite formation appear to be deterioration of the capillary network, vascular changes and abnormal deposits of glycosaminoglycans, leading to excess fluid retention within subcutaneous tissues. A variety of treatments ranging from topical creams to laser therapies are currently available, claiming to reduce the dimpled skin appearance however successful results are often anecdotal, subjective or not present at all.

Cellulite can be primarily found in any area of the body that contains subcutaneous adipose tissue such as the upper outer thighs, the posterior thighs, abdominal region and buttocks. It is mainly a female phenomenon, seen in 85 – 98% of women which may be due to genderspecific differences in the structure of subcutaneous fat of men and women according to Nurnberger and Muller. Their findings suggest that cellulite originates in the areolar layer where fat cellsare arranged perpendicular to the dermis in females, weakening the connective tissue and allowing for fat herniation. By contrast, the smaller fat lobules in males are compartmentalized by septae that are oriented in an oblique fashion, preventing herniation of fat into the dermis resulting in a smooth, rather than dimpled cutaneous surface.

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Other theories suggest that cellulite is a degradation process initiated by deterioration of the dermal vasculature. Deposition of excessive fat is stored in fat cells or adipocytes in the ?brillary network of the connective tissue between the super?cial d…

… however the reduction in cellulite grading was not measured.This study fails to control extraneous variables such as the patient’s diet and exercise regime in between treatments and the manevoures used by the experimenter that could conflict with loss in body circumference results. No control group was used in the study, decreasing validity of the results. Whilst endermologie technology is designed to improve subcutaneous fat distribution and lymphatic drainage, there is no study in the literature about these techniques and comparison of their effects on cellulite formation and fat mass.

In the study of Monteux and Lafontan, they demonstrated how endermologie could stimulate blood flow changes thus reducing body circumferences and skin-fold measurement however subsequent studies are needed to confirm the effects on lipid mobilization in subcutaneous fat deposits.

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