Cellulite, often referred to as orange peel skin or skin with bumps is an aesthetic condition, that is the result of the:
1) insufficient capillary function,
2) damaged lymphatic system,
3) growing fat cells, called adipocytes, and
4) non sufficient collagen formation.
The fat cells grow in size not because of the fat deposit, but because of the increase in the remaining liquid in the fat cells.
The lymphatic system (and circulatory system) are not able to rid the body of the excessive liquid and metabolic products.
The result is swelling of the tissue.
The physiological consequence of swelling is fibrosis( tuff bumps).
We can analyze and differentiate the types of cellulite according to the appearance of the skin:
— First, by squeezing the skin, it resembles orange peel and the damaged areas appear to have a pail colour.
— Secondly, prominences and hollows are visible and the squeezing or pressure on the skin is painful.
— Lastly, the cellulite is characterized by visible nodes on the surface of the skin. Palpation of them is painful and the skins has a “blueish” colour and is cold to the touch.
From the point of view of the skin physiology, cellulite is the tissue oedema and fibrosis.
All treatments should have the target of the removing oedema and skin fibrosis.
Practitioners should be asked the question: what he/she is going to work with?
Modern aesthetic medicine has many classifications for cellulite.
Zan Mark Shardonno’s classification is best for practitioners.
By using this classification it is easy to understand what treatments should be used to treat cellulite.
Using this classification, I recommend practitioners the ways to treat cellulite.
“Orange peel” skin. Clients see holes on the skin after touching it. Legs feel “heavy”.
“Typically, people who have this kind of cellulite mention they have intestinal disturbances, such as disbackteriosis or irritable bowl syndrome .
The reasons for this type of cellulite are result of hormonal changes, gluten and lactose deficiencies.
Not proper in chewing food is also one of the reasons, that is mentioned by the specialists.” (Zan Mark Shardonno, les novel Esthetic, N3,2013, p108-113)
Treatment plan includes the use of probiotics and food behaviour changes.
Med/spa treatment plan should focus on improving blood and lymphatic circulation (for example, use of vacuum- mechanical massage).
It is common for women who are involved in sports to have this type of cellulite.
Impairing of lymphatic drainage, in this case, is the result of growing muscles.
Simply speaking, muscles press the lymphatic vessels.
The result is the remaining liquid inside of the tissues, tissue swelling and …cellulite.
Lymphadrainage massage is the only solution for this type of cellulite.
Women with excessive weight commonly have this cellulite. Which is the result of a “sluggish” lymphatic system due to hypo dynamic behaviour and excessive food consumption.
Treatment plan includes:
Decreased the amount of food and calories.
Incresed physical activity including walking or going to the gym.
Deep tissue massage mechanical (systems) vs manual. Systems are more resultative, because of the depth of penetration.
Injections of lypolytics or needle free mesotherapy with lypolytics.
Fibrosis is a long term process. Before fibrosis appears, tissue will go through the process of oedema, so fibrotic cellulite is the last stage of the cellulites mentioned.
Often it can be the result of liposuction.
This type of cellulite is more localized, compared to others, and often painful. There is no oedema.
Treatment plans include improving the microcirculation, treatment of the fibrosis, anti inflammatory component is one of the treatment requirements too.
Deep tissue massage with systems and needle free mesotherapy help very much with this type of the cellulite, but the treatment of the choice is by polar Radio Frequency technology combining in one with Vacuum Mechanical Massage.
It is recommended also to decrease the consumption of simple carbohydrates.
“This type of cellulite have slender women with not well developed muscular system or aging ladies with the attic skin. From the point of view of physiology there is no cellulite. Uneven skin is the result of bumpy hypodermis ( dole structured) that are visible with thin, sagging, non elastic skin.” — Zan Mark Shardonno, France, 2013
To correct this condition it is necessary to improve the skin quality and microcirculation.
This type of cellulite is the most difficult to treat. The use of Radio Frequency technology provides the best result, as it is proven to increase the thickness of the skin.
But the effect of Rf is not stable, there for a maintenance program is recommended.
As well treatments involving vacuum mechanical massage technologies.
Treatments should be provided on a regular basis, because the main reason for skin atony is not sufficient deep tissue circulation and very often the luck of the skin hydration.