Although MRI has provided a sophisticated look at the histology of cellulite, the patho­genesis of this condition is still unknown. Contrary to popular belief, physical conditioning and a healthy diet do not prevent the development of cellulite. A variety of topical treat­ments, massage-based therapies, and surgical and laser techniques have been used to reduce A. […]

The histology of cellulite was first described by Nurnberger and Muller in 1978, who attributed cellulite formation to sexually dimorphic skin architecture. They hypothesized that cellulite is determined by fatty protrusions through the dermal-hypodermal interface, and reported that these deep adipose indentations were present in the dermis of women, but not of men [2]. Rosenbaum’s […]

Cellulite can be illustrated further by dividing it into two distinct grades: incipient cel­lulite and full-blown cellulite. Incipient cellulite, which is hardly visible, is characterized by a discrete padded look or ‘orange peel’ aspect, demonstrable by the ‘pinch test’ (pinch­ing the skin of a female thigh, for example, where cellulite is commonly manifested). Full blown […]

16.1.1 History of Cellulite Figure 16.1 Cellulite is a connective tissue disorder that afflicts over 90% of non-Asian women. Source: Peter Paul Rubens (1640). The Three Graces (Museo del Prado, Madrid). Permission received from Bruno Dillen – www. artinthepicture. com on 8/8/07. Cellulite, also known as dermopanniculosis, status protrusus cutis, and adiposis edema – tosa, […]

Jillian Havey1 and Murad Alam1,2,3 department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA 2Department of Otoloaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA 3Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Cellulite 320 16.1.1 History of Cellulite 320 16.1.2 Physiology of Cellulite […]

Today’s consumer is constantly seeking products and therapies to help restore a more youthful appearance to their aged and photodamaged facial skin, and the technology devel­opment cycle has provided numerous options that span a range of efficacy, costs, and bal­ance of side effects. As a starting point in the decision process on which products or […]

One of the newer nonablative techniques introduced into the market is fractional photo­thermolysis (FP). This is a laser-based platform that utilizes an arrayed laser network to cause microscopic treatment zones (MTZ) of heat-induced damage that extends through the epidermis and into the dermis [62]. The level of injury on a macroscale is relatively small and […]

The usage of radio frequency (RF) as a nonablative approach to treating aged and pho – todamaged skin has been growing in popularity since its introduction in the mid-1990s. The technique is based on the mechanistic principle that the elevation of temperature inside the dermal layers leads to a transient structural denaturation of collagen fibrils, […]

The usage of LEDs for phototherapy treatment of fine lines and wrinkles is a relatively newer approach employed in the aesthetics market for skin rejuvenation [50]. Due to the comparatively low fluency of energy that is emitted from LEDs, the methodology is some­times referred to as Low Level Laser (or Light) Therapy (LLLT). Overall, the […]