HOW TO TREAT CELLULITE?

Cellulite, or gynoid lipodystrophy, is a common dermatological condition which, although not a serious condition, has a negative impact on self-esteem and affects the way we look and feel.

Characterized by its "orange peel" appearance, this irregular texture consists of a combination of expanding fat cells clustered under the skin and fibrous bands (septa) perpendicular to the skin's surface. Cellulite is formed by the accumulation of fat, flaccidity, the formation of fibrous septae, decreased lymphatic circulation and increased water retention.

Morphologically considered to be a degeneration of adipose tissue, it is mainly located in areas such as the buttocks, thighs, upper arms and abdomen, affecting around 80% of women.

HOW CELLULITE FORMS AND HOW IT IS CLASSIFIED

Cellulite is considered to be a multifactorial problem, although its causes are not yet fully understood.

Studies indicate that the main causes of the appearance and worsening of this condition are hormonal factors, especially in phases associated with changes in oestrogen levels such as pregnancy, breastfeeding and continued use of oral contraceptives, hereditary factors, circulatory changes, age and a more sedentary lifestyle as well as a diet rich in fat and carbohydrates.

It is important to note that obesity or being overweight does not in itself cause cellulite, but it can aggravate this condition due to the pressure that fat exerts on connective tissue fibers.

Different scales have been developed to measure the severity of cellulite, the most widely used being the Nümberg-Müller classification, which proposes 4 different grades depending on the appearance of the skin when pressing the tissues between the fingers.

Cellulite can be classified as:

  • No ripples or irregularities, which only appear when compressing the skin.

  • Ripples and irregularities visible without compressing the skin.

  • Clearly perceptible nodules.

  • Several nodules, stiffness, swelling, impaired return circulation, skin with a padded appearance.

This classification makes it possible to determine the most appropriate treatment.

HOW WE TREAT IT

Cellulite treatment must be able to reduce the number of adipocytes and, at the same time, stimulate the production of collagen

At Avenue Clinic we favor the combination of treatments for better and longer-lasting results.

Radiofrequency, laser energy, ultrasound and shock waves not only improve circulation, but also increase the production of collagen and elastin and reduce the number of adipocytes.

The subcision technique, which is suitable in some cases, allows the fibrous septae responsible for skin tensioning, the formation of irregularities, the decompression of fat and a reduction in subcutaneous pressure to be detached, helping to restore the skin's smooth appearance.

Biostimulators, meanwhile, are also increasingly used with a high degree of success. They greatly promote collagen production, increase the thickness, elasticity and firmness of the skin and help with the depressions characteristic of cellulite.

Some topical preparations, mainly containing caffeine, retinol and ascorbic acid, also have some anti-inflammatory capacity and can promote improved microcirculation.

Treatment should always be individualized based on the characteristics of each person, always considering the importance of a balanced diet, water intake and physical exercise.

Article originally published in Marketeer, by Avenue Clinic.

Catarina Nunes