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Cellulite is a condition that is characterized by a dimpling, puckering or “orange peel” appearance of the skin that is most commonly seen on the thighs and buttocks. Cellulite is seen in areas where fat is typically distributed underneath the skin.
The medical terms for cellulite include dermopanniculosis deformans, adiposis edematosa, status protrusus cutis and gynoid lipodystrophy.
Around 85% to 98% of mature females have some degree of cellulite and although the condition is harmless, it sometimes causes cosmetic concerns. Men also develop cellulite but it is usually only seen in those with deficiencies of male hormones. Men with Klinefelter’s syndrome, hypogonadism or those taking estrogen therapy for prostate cancer are more at risk of developing cellulite, for example.
Body areas where fat is typically deposited such as the outer thighs, back of the thighs and buttocks are more commonly affected by cellulite but it may also be found on the breasts, upper arms, nape of the neck and lower abdomen.
The region affected by cellulite takes on a dimpled or “puckered” appearance and is often said to resemble the pitted effect of orange peel. Caucasian women are more likely to develop cellulite than Asian women.
There are numerous therapies that have claimed to be effective at resolving cellulite, although the claims are not well supported by scientific evidence. Recommendations for the prevention and treatment of cellulite include:
Another method that is more successful is liposuction, although the cellulite often returns at a later stage and the procedure is therefore not a recommended treatment for cellulite.
Subcision is a surgical method performed in the treatment of cellulite. A cutting tool is used to cut the connective tissue that lies beneath the skin in order to stop it creating dimples. The procedure is one of the most invasive methods available and research to support the procedure is minimal.
Phosphatidylcholine injections, also known of as lipolysis injections are promoted by some companies which claim that the treatment breaks down fat cells and provides an alternative to liposuction. However, no peer-reviewed research supports that this method is comparable to liposuction.
Another system is the TriActive Laserdermology (Cynosure Inc, Chelmsford, MA, USA) which is approved by the US Food and Drugs Administration (FDA) for the treatment of cellulite. This combines six near-infrared diode lasers at a wavelength of 810 nm along with cooling and massage.