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Prevent and treat different types of cellulite

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Cellulite

Cellulite is characterized by relief alterations of the skin surface, which give the skin an orange peel or cottage cheese appearance in addition to other morphological variants. The relief alterations include depressions and raised areas. The depressions are cause by retraction of the skin by subcutaneous fibrous septa, while raised areas are projections of fat and subcutaneous structures to the skin surface. Flaccidity, laxity or sagging of the skin further aggravates the relief alterations in a majority of patients. Cellulite tends to be chronic, progressive and is rarely found in men. Because of its cosmetically unattractive appearance and its frequency, patients often desire treatment options and prevention measures.

About 90% of women and 10% of men have cellulite. Cellulite is therewith a very common phenomenon and not harmful like cellulitis (inflammation). It’s a myth that only obese women would have cellulite, since even very skinny ones have it. Cellulite can be hereditary. There are many factors that influence the on-set of cellulite. Estrogen is said to be one of the most important hormones to initiate and aggravate cellulite. Dieting too hard or too much can worsen cellulite and so can changes in metabolism.

Orange Peel Skin

Different types of cellulite

Soft cellulite


This type of cellulite gives the skin an undulating appearance and, as its name implies, it is soft to the touch. Soft cellulite is mostly present in areas where there is a build up of fat, such as upper arms and legs, and is often accompanied by varicose veins or spider veins; as you walk or move, soft cellulite will also move. It tends to increase with age or weight gain, and it's aggravated by lack of muscle tone. In general, improved circulation and skin tone will help, as will weight loss.
Areas affected: Thighs, abdomen, buttocks and arms.
Age of onset: Common in women between 30 and 40.
Appearance: The skin has a gelatinous appearance, and the affected area changes position with body movement. It is more apparent when lying down than when standing.
Texture: Soft, as its name suggests, and somewhat spongy.

Hard cellulite


Normal Skin vs Cellulite

Also known as solid cellulite, this type is more common in younger women, and is mostly found around the hips and upper thighs. It is usually one of the first outward signs of cellulite. The skin is tight and grainy or dimpled like orange peel, and the appearance doesn't alter when walking or moving; the skin seems to be firmly attached to the muscle.
Areas affected: The outer areas of the hips and thighs, and around the back and inside of the knees
Age of onset: Starts as early as adolescence; without early treatment, hard cellulite may never be eliminated.
Appearance: The skin is dimpled or pitted, but the areas affected are constant and don't change position with body movement.
Texture: The skin appears to be compact and may be painful or sensitive to the touch.

Edematous cellulite


This is the least common type of cellulite and also the most difficult to treat. It results from problems of poor circulation aggravated by significant fluid retention. It mainly occurs in the legs, which lose their defining shape and become more columnar. The skin is pasty and may be painful when touched or when the sufferer is seated for a long time.
Areas affected: Can affect thighs and knees, but most frequent in the lower legs, which lose definition.
Age of onset: Around 20 to 30.
Appearance: Slightly 'corky', almost like foam-rubber.
Texture: The skin feels spongy, and may be painful to the touch. There are signs of venous and lymphatic insufficiency in the legs (water-retention, swelling, varicose veins, cramp, etc.).

Edematous cellulite is closely associated with fluid-retention and circulation problems, so it is important to treat both of these conditions; varicose veins may also occur and need to be dealt with. 

Different grades of cellulite

The different stages of cellulite are defined in the Nurnberger-Muller scale.

Stage 0: In this type of cellulite, a person cannot see cellulite dimples, also called the "orange peel effect," when standing or lying down. When she performs the pinch test, she'll see folds and creases but not dimples. To do the pinch test, a person pinches the skin on her buttocks, thigh or belly with her thumb and index finger.

Stage 1: With Stage 1 cellulite, a person still cannot see cellulite dimples when standing or lying down. However, when he/she performs a pinch test, dimples are visible.

Stage 2: With Stage 2 cellulite, dimples can be seen on the buttocks, thighs or belly when standing but not when lying down.

Stage 3: With Stage 3 cellulite, dimples are visible either when standing or lying down. 

How to prevent cellulite

1. Massage, rub, scrub: Cellulite forms in areas with the least circulation and consistent everyday movements like running, cycling, swimming and power walking and skin warming, blood circulation increasing exercises will improve dimpled skin areas. Regular massages and good scrubs of the problem area will improve the circulation and will increase fat dispersion. However, don’t expect a miraculous improvement.

2. Eat healthy: Avoid refined and processed foods and artificial foods that contain sweeteners, additives and chemicals. Dairy and high fat products, sugar and high sugar products are all thought to contribute to cellulite. If you consider a diet, try to loose weight gradually and not as fast as possible.

2. Move around: If you have an office job or you are bound to your desk, with long periods of inactivity, then try to make small break with walks or other activities.

3. Avoid tight clothes: If you wear a pantyhose, tight underwear, or tight clothing, that’s a sign that the clothing is cutting off blood circulation and increasing you increase the risk for collagen weakness and cellulite. In case of edematous cellulite, compression stockings can be beneficial.

Treatment Options Cellulite

Buy the Leading Instant Eye LiftDietary supplements:

Several of these products have been marketed and contain a variety of ingredients such as ginkgo biloba, sweet clover, grape-seed bioflavinoids, bladder wrack extract, oil of evening primrose, fish oil, and soy lecithin. These preparations claim to have positive effects on the body such as boosting metabolism, improving circulation, protecting against cell damage, and breaking down fats. Such claims are difficult to evaluate as is the case with similar assertions made on behalf of many supplements and alternative therapies. Concepts such as "metabolism," "circulation," or "cell damage" cannot be easily measured on an objective basis to determine whether or not any improvement has been achieved. Additionally, because these products are sold as dietary supplements and not as drugs, they are not subject to the jurisdiction of the U.S. Food and Drug Administration (FDA). They are therefore exempt from meeting the scientific standards for both safety and effectiveness that are applied to drugs. Furthermore, there are no valid clinical studies to support the use of these dietary supplements for the treatment of cellulite. Studies that have been conducted have not demonstrated any value of these supplements. Some dietary supplements that are promoted for the treatment of cellulite may also pose health risks or may interact with certain prescription drugs. For example, the formulation known as Cellasene contains iodine, which many doctors warn may be harmful for those with thyroid and other conditions.

Cellulite diets

Special "cellulite diets" have been proposed that claim to be effective in treating cellulite. Proponents of these diets claim that the combination of foods in the diet can reduce inflammation and improve circulation in affected areas and diminish cellulite. However, no studies published in the medical literature have supported these claims. Experts have conclude that eating a healthy diet can decrease fluid retention and improve the overall health and appearance of skin, but specific diets designed to target cellulite are unnecessary.

Methylxanthines

Methylxanthines are a group of chemicals that include aminophylline, caffeine, and theophyilline. These chemicals are present in many cellulite creams and are promoted as treatments for cellulite because of their known ability to break down fat stores. However, skin creams cannot deliver the required concentration of these chemicals for the length of time required for significant fat breakdown. While studies have shown a small reduction in thigh measurements with some of these preparations, they do not promote significant loss of cellulite. Their apparent effect on cellulite may be due to narrowing blood vessels and forcing water from the skin, which could be dangerous for people with circulatory problems.

Liposuction

This is a surgical procedure to remove fat deposits from the body. Liposuction removes deep fat, not cellulite, which is just beneath the skin. The American Academy of Dermatology or AAD warns that liposuction may actually worsen the appearance of cellulite by creating more depressions in the skin.

Mesotherapy

Mesotherapy Orange Peel SkinMesotherapy consists of injecting customized combinations of drugs, vitamins and natural extracts into the mesoderm layer just beneath the skin where they act on the problem under the surface. Anywhere from 3 to 15 sessions may be recommended.

Melting fat away with mesotherapy, also called lipolysis is controversial, especially when using phosphatidylcholine, a prescription drug marketed as Lipostabil®. This product is licensed in some countries for treating blood vessel blockages by dissolving fat particles and not licensed for subcutaneous injections in cosmetic surgery.

Laser treatment

The FDA has cleared the use of a device that uses laser energy to treat cellulite called Cellulaze™. According to the manufacturer, the device can melt fat under the skin, break up the fibrous bands under the skin, and stimulate collagen production. The average treatment would be around $ 5.700 according to realself.com. One session takes about 45 minutes.

Light therapy

The FDA has approved two light-therapy devices that combine suction or massage with light therapy for the temporary reduction of the appearance of cellulite. TriActive is a treatment that combines a low-level laser treatment with suction and manipulation of the skin, while Velasmooth is a treatment combining laser and massage-therapy. Both treatments require multiple sessions and maintenance treatments to keep up the improved appearance.

Massage treatments

endermologie - lipomassage - cellulite

Several devices have been introduced that massage the areas affected by cellulite. These machines use rolling cylinders to gather areas of skin and massage them inside a chamber. One example of massage treatments is Endermologie, which was developed in France and has been used for cellulite treatment since the mid-1990s. This technique uses an electrically powered device that suctions, pulls, and squeezes affected areas: mechanical cellular stimulation. Treatments typically last for 30-45 minutes. Ten to 12 treatments are typically required before results are noticeable. Endermologie has been approved by the U.S. FDA for temporary reduction in the appearance of cellulite. While a temporary decrease in the appearance of cellulite may occur, the technique appears to redistribute fat rather than permanently alter its configuration under the skin. Regular maintenance treatments are required after the initial effect has been achieved or the cellulite will return.

Collagenase

Collagenase is a naturally-occurring enzyme in the body that breaks down collagen, a component of connective tissue (the tissues that bind our cells together). A small study of 10 women with cellulite conducted in 2006 suggested that injections with this enzyme may be beneficial in improving the appearance of cellulite. The long-term effects of these injections are still unknown, and studies have not yet been carried out to determine the extent and duration of the improvements, if any. The treatment is considered experimental and is not yet routinely available, but research is underway to determine if collagenase injections may become an option for the treatment of cellulite. More about this non surgical treatment of cellulite.

Freeze fat away

A technology developed by Harvard scientists and FDA-cleared procedure uses a targeted cooling process that kills the fat cells underneath the skin, literally freezing them to the point of elimination. Only fat cells are frozen. Once crystallized, the fat cells die and are naturally eliminated from the body. The results are visible in a few months and is not specifically designed to treat cellulite, but to reduce "stubborn" fat that's hard to fight. Read more: coolsculpting.com.

Reduce visibility of cellulite

Cellulite tends to be less noticeable on darker skin. If you have light skin, applying a self-tanner may make the bumps and dimples on your thighs less noticeable.

Anne-Marie van Geloven

LICW The Leading Injectable Centers of the World - Quality in BeautyAnne-Marie is the founder and managing partner oLICW®; a global quality alliance for non-invasive aesthetic procedures, specifically injectables (botulinum toxins & dermal fillers) and owner of Lily Leading Instant Eye Lift; a medical grade and non invasive eye lift strip. Before that she held senior management positions within several pharmaceutical companies operating in the field of dermatology and aesthetics. Her objective is to improve satisfaction, outcome and safety of non-invasive aesthetic treatments by providing unbiased information to health care professionals and consumers. She is not affiliated with any brands or related companies mentioned in this article.

Follow her on Twitter and connect with her on LinkedIn.

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