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Pathophysiology and Treatment

There is a topographic alteration particularly in hips, buttocks, thighs, and abdomen, where fat deposit seems to be under the influence of estrogen [ 2 ]. Weight loss has been reported to improve the severity of cellulite as surface topography measures diminish; however, in obese individuals skin dimpling does not seem to change appreciably. Histological analysis suggests that fat globules retract out of the dermis with weight loss [ 3 ].

Only a limited number of studies on cellulite have been published in the international literature and many of them reach somewhat divergent conclusions. Consequently, it is not yet possible to reconcile the extreme differences in opinion, which have lingered for years concerning the nature of this disorder, including its origin and even the most basic aspects of its histopathological classification [ 4 ]. Although no physiopathological basis for cellulite has been defined, several therapies have been employed [ 5 — 9 ].

Velashape III Reduces Cellulite

In fact, no treatment is completely successful, none are more than mildly and temporarily effective [ 10 ]. The aim of the current study is to report on a novel form of intensive treatment for cellulite based on a new physiopathological concept [ 11 ]. A novel form of cellulite therapy was evaluated in ten patients with ages ranging between 25 and 59 years mean The patients were enrolled in the study by order of arrival in the clinic and on acceptance to participate. The inclusion criterion was the presence of the most advanced grade of cellulite according to the clinical diagnosis.

Intensive Treatment of Cellulite Based on Physiopathological Principles

The exclusion criteria were a history of edema, obesity, only moderate or mild cellulite, or any other disease diagnosed at the time of the initial interview. Standardized photographs were taken of all participants. The patients were submitted to a 4-hour daily treatment regimen that consisted in manual and mechanical lymph drainage and cervical stimulation utilizing the Godoy and Godoy technique adapted for the treatment of cellulite [ 12 — 16 ]. After 10 sessions 40 hours of treatment over two weeks, the patients were again clinically evaluated by perimetry and photographs were taken.

Each treatment session comprised four hours of continuous mechanical lymph drainage associated to 15 minutes of cervical stimulation and two hours of manual lymph drainage. The apparatus used for mechanical lymph drainage performs 25 to 30 flexion and extension movements of the sole of the foot per minute [ 12 ]. The Godoy and Godoy lymph drainage technique uses continuous manual compression along the path of collectors up to the corresponding lymph nodes.

The photographs before and after treatment were compared by two examiners to identify changes. The greatest variation of the thigh and the abdomen was considered for each patient. The mean reduction at the gluteal fold was 4. The mean reduction at the navel was 3.

The current study shows a novel intensive therapy for cellulite based on a new physiopathological concept. This form of treatment has not previously been published in the literature and aims at physiologically stimulating the lymphatic system. In this study, the patients were evaluated after 10 sessions 40 hours , the period in which the greatest variations are observed. In the first days of the treatment, progressive softening of the tissue is seen, and on about the 6th day, reductions in the perimetry are noticed.

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Thus, at least ten sessions are required to evaluate the technique for any specific patient. A minimum of three sessions should be performed per week, although the authors recommend five. This is important as there is a difference in the results if the treatment method is not followed correctly.

Cellulite treatment: a comprehensive literature review.

The patients were evaluated after 10 sessions, but they continued treatment until the cellulite had disappeared completely. It is important to remember that the inclusion criterion of this study was that only severe cases were selected. Patients with less severe degrees of cellulite only lose the excess related to cellulite. As obesity and edema are deposit diseases, patients with these two conditions were excluded: the objective of this study was to evaluate cellulite. However, cellulite, obesity, and edema may be present in the same patient given the synergy of the three conditions thereby increasing the cellulite.


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  • This we denominate as the cellulite complex. Slimming or reducing the edema in isolation improves this cellulite complex; however, this is not the correct way to treat cellulite. Thus, an accurate diagnosis and specific treatment for each disease is crucial; a mistake that repeatedly occurs in the evaluation of these patients. The technique employed in this work aims at physiologically stimulating the lymphatic system; this difference, compared to other therapies, allows the results to be maintained for years. To achieve reductions in size is simple but increases are normally seen soon after ceasing treatment.

    This intensive method revolutionizes the treatment of cellulite. The technique was conceived after developing new procedures to improve lymphedema.

    Cellulite (2nd ed.)

    More information about this seller Contact this seller. Never used!. Seller Inventory P Seller Inventory Publisher: CRC Press , This specific ISBN edition is currently not available. View all copies of this ISBN edition:. Synopsis It is estimated that 80 percent of women have some degree of cellulite.