Cellulite appears due to the way the connective tissue stretches under the skin and pulls the skin inward; this causes the fat to be trapped which results in a dimple. It is the degree of both the dimple and the number of dimples that are used to measure cellulite into grades. In 2009, a cellulite severity scale was published in the Journal of the European Academy of Dermatology and Venereology. This scale used 3 categories to rank cellulite: grade 1 or mild in which the skin has an “orange peel” appearance and depressions range from 1-4, grade 2 or moderate in which 5 to 9 depressions are present and has a “cottage cheese” appearance, and grade 3 or severe in which there is “mattress” presence to the skin and 10 or more depressions are noted. Industries are more educated on the nature and comorbidities of cellulite, and that helps providers to choose the best patient treatment. We now know we must focus on multiple modalities to treat both the dimpling and the laxity of the skin. We have learned that cellulite is complicated to treat because of the nature of the bands but also the skin integrity or laxity which plays an important role in outcomes and patient satisfaction. Because these two conditions go hand in hand, it is important to treat both. Lucky for us, we now have the technology to improve the appearance of cellulite and laxity with little downtime. These procedures work synergistically to provide correction and enhancement for the appearance of smoother skin.
A new and exciting procedure that we are happy to share with our patients is called AVELI ® . This procedure is a precise device that is used to diminish the appearance of cellulite in the buttocks and thighs. Aveli is a sterile hand-held instrument that is utilized by your physician or provider to release the fibrous band that creates the dimple appearance of cellulite. During this minimally invasive in-office procedure, cellulite dimples and depressions are marked and photographed, allowing your provider a map of the treatment area. The buttock and/ or thigh area is numbed to reduce discomfort during the procedure, then each of the marked depressions of the cellulite is then manually cut and released. The handheld device allows for the provider to check and verify the individual band before subscising or cutting the band, allowing for precise treatment. This exciting new “cutting-edge” procedure will surely be a favorite among providers and patients.
A less intrusive approach with zero downtime, which is a great adjunct to the treatment of the band itself, is EMTONE . It is the best non-invasive choice for cellulite reduction on the market to date. Emtone not only reduces the appearance of cellulite but works as a preventive option for treating the causes of cellulite. Using two types of energy via radiofrequency and mechanical targeted pressure, providers can stretch the connective tissues which push out the trapped fat. This technique also increases lymphatic drainage and blood flow all while simultaneously heating the skin to promote collagen production. A series of 4-8 treatments results in tighter, smoother-looking skin. This treatment can be done on the buttock, thighs as well as the back, arms, and abdomen to serve as a comprehensive approach to cellulite and laxity.
A thorough plan to address cellulite includes working outside in and inside out. In addition to the treatment of the actual bands, and the distribution of the fat cell, we must consider the integrity of the skin. SKINADE’S TARGETED SOLUTIONS ® for cellulite is the perfect add-on to any of the above procedures. This is an internal skin care drink and capsule that aids in the reduction of collagen fibrosis and helps to reinforce and repair the dermal matrix of the skin. It also targets oxidative damage, water retention, and poor detoxification. Patients benefit from completing a 90-day course for optimal results.
CaloSpa Patient AVELI
DID YOU KNOW?
DILUTE RADIESSE can also smooth cellulite-induced skin irregularities on the buttocks and thighs, improving body contours. By stimulating the body’s own collagen response, patients notice long-term improvement in skin texture, firmness, and laxity.
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CaloSpa Patient AVELI
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BODY LANGUAGE 55
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