Definition and anatomy of cellulite
Cellulite, or superficial lipodystrophy, is a growth in the number or volume of adipocytes (fat cells).
There are three key factors leading to its appearance: fibrose, water retention and fat accumulation. Cellulite can be mainly or exclusively fibrous, oedematous or adipose.
In women, adypocite lobes are arranged in parallel, and polygonally in men, which explains the absence of cellulite amongst men.
A man’s fat cells are contained by a crisscrossing series of collagen.
When a man gains weigth, his fat cells enlarge. When this happens, the fat cell chambers stretch. Because of the arrangement of the chambers, they so evenly.
A woman’s fat cells are held in place below the skin by cube-like structures contained by collagen bands. When a woman gains weigth the fat cells enlarge. Because of the arrangement of the fat cell chambers, they push into the skin and cause irregularity. This leads to the ‘orange peel’ effect of cellulite.
Physiopathology of cellulite
The factors behind cellulite are :
– Genetic : as in all medicine, there is a genetic base.
– Hormonal : the role of œstrogen and the oestrogen/progestin balance.
– Sedentary lifestyles.
– A high calorie diet rich in fat, salt, and quick release sugars.
Classification of cellulite
|Clinical examination||Microscopic anatomy|
|Stage I||Orange peel skin appears when pinched||Water retention|
|Stage II||Spontaneous orange peel skin, only visible when standing||Growth in adipocyte size, and formation of adipose micronodules|
|Stage III||Spontaneous orange peel skin visible when standing and lying down||Pre-adipose fibrose|
|Stage IV||Spontaneous orange peel skin visible when standing and lying down||Adipose macronodules and spread of liposclerosis|
Evaluation of cellulite
Firstly, a clinical examination is necessary to evaluate the type, position and stage of the cellulite.
A questionnaire with focused questions is completed in order to establish the spread and the causal factors ( fibrous, adipose or water retention ).
Female cellulite has a gynoid distribution: thighs, buttocks, rear of calf, knees, ankles, and hips.
Medical treatments for Cellulite at the Parisian aesthetic clinic
This treatment is effective on all types of cellulite. This benchmark treatment destroys cellulite and leads to a loss in centimetres ( see the section on radiofrequency ).
Cryolipolysis works notably well on adipose cellulite ( see the section on cryolipolysis ).
– Cavitation and cellfina
see these sections.
It’s a superficial injection of a lipolytic mix with a vasoactive effect. ( see the section on mesotherapy for more information ).
The use of CO2boosts the blood flow, activates the receptors involved in lipolysis and destroys the septa responsible for fibrous cellulite. This technique is effective on all types of cellulite ( fibrous, adipose, oedematous ). ( see the section on carboxytherapy ).
Life hygiene for cellulite
– A balanced diet.
– Regular physical activity, for at least 30 minutes, three times a week.
– Cellu M6 vigorous massage.
– Anti-cellulite creams aren’t very effective.
– Pressotherapy: this is a pneumatic and mechanical drainage technique which acts through a mechanism of compression and decompression, activating the circulation and allowing better elimination of toxins. It also has an impact on water retention and is thus particularly effective on cases of cellulite linked to water retention.
Medical treatment of cellulite (carboxytherapy, mesotherapy and pressotherapy) requires numerous sessions (between 6 and 15), depending on the stage and extent of the cellulite, and in contrast to surgery, does not have a recovery time: you can continue your normal activities when you leave the clinic.
This page is purely informative, in accordance with the guidelines of the Ordre of Doctors.It is not a publicity for treatments .
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