Cellulite treatment: evidence and ethics, brief history, and emphasis on current practices including liposuction

Cornelia de Riese M.D.

doi:10.1117/12.596505

25 April 2005 Cellulite treatment: evidence and ethics, brief history, and emphasis on current practices including liposuction

Cornelia de Riese M.D.

Author Affiliations +

Proceedings Volume 5686, Photonic Therapeutics and Diagnostics; (2005) https://doi.org/10.1117/12.596505
Event: SPIE BiOS, 2005, San Jose, CA, United States

Abstract

According to Taber's Cyclopedic Medical Dictionary "cellulite" is defined as: "a non-technical term for subcutaneous deposits of fat, especially in the buttocks, legs, and thighs." These deposits result in puckered, dimply skin and they are a cause for major aesthetic concerns in affected patients. The etiology of this condition is still unclear. Female predilection is witnessed in clinical practice as it is reported in the literature. It remains a subject for further studies whether it is a structural problem of connective tissue or as suggested probably related to hormonal causes. Magnetic resonance imaging may provide some answers to these questions. Not knowing what is causing this nuisance makes it almost impossible to treat. No wonder that there is little scientific validation to support any of the many treatments that are advertised on the Internet or in women's magazines. This review focuses on mechanical and microinvasive interventions that claim to alleviate "cellulite": lipoplasty, liposcultpure, liposuction, subcision, and laser. Among the parameters analyzed are the proposed modes of action of these techniques as well as adverse events and complications that may occur. Of special interest will be the evidence that backs these procedures. Extracting reliable data is hampered by methodical problems with the design of most of the published trials. In essence, at this time there is no "cure" for cellulite. Safe treatment recommendations are related to healthy life style choices that include toning exercises, dietary changes, and weight loss.

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Cornelia de Riese M.D. "Cellulite treatment: evidence and ethics, brief history, and emphasis on current practices including liposuction", Proc. SPIE 5686, Photonic Therapeutics and Diagnostics, (25 April 2005); https://doi.org/10.1117/12.596505

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KEYWORDS

Tissues

Surgery

Connective tissue

Skin

Ultrasonography

Blood

Magnetic resonance imaging

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