Book contents
- Frontmatter
- Contents
- PREFACE
- CONTRIBUTORS
- PART ONE ANATOMY AND THE AGING PROCESS
- PART TWO ANESTHESIA AND SEDATION FOR OFFICE COSMETIC PROCEDURES
- PART THREE FILLERS AND NEUROTOXINS
- PART FOUR COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY
- Chap. 42 TREATMENT OF TELANGIECTASIA, POIKILODERMA, AND FACE AND LEG VEINS
- Chap. 43 VASCULAR LASERS
- Chap. 44 OVERVIEW OF CO2 AND ER:YAG LASERS AND PLASMA DEVICES
- Chap. 45 CONTEMPORARY CO2 LASER RESURFACING
- Chap. 46 ER:YAG
- Chap. 47 PLASMA SKIN REJUVENATION OF THE HANDS
- Chap. 48 NONABLATIVE LASER TISSUE REMODELING: 1,064-, 1,320-, 1,450-, AND 1,540-NM LASER SYSTEMS
- Chap. 49 OVERVIEW OF BROADBAND LIGHT DEVICES
- Chap. 50 TITAN: INDUCING DERMAL CONTRACTION
- Chap. 51 SCITON BROADBAND LIGHT AND ER:YAG MICROPEEL COMBINATION
- Chap. 52 AMINOLEVULINIC ACID PHOTODYNAMIC THERAPY FOR FACIAL REJUVENATION AND ACNE
- Chap. 53 THERMAGE FOR FACE AND BODY
- Chap. 54 LUMENIS ALUMA SKIN TIGHTENING SYSTEM
- Chap. 55 ELLMAN RADIOFREQUENCY DEVICE FOR SKIN TIGHTENING
- Chap. 56 ALMA ACCENT DUAL RADIOFREQUENCY DEVICE FOR TISSUE CONTOURING
- Chap. 57 COMBINED LIGHT AND BIPOLAR RADIOFREQUENCY
- Chap. 58 FRACTIONAL LASERS: GENERAL CONCEPTS
- Chap. 59 PALOMAR LUX 1,540-NM FRACTIONAL LASER
- Chap. 60 FRAXEL 1,550-NM LASER (FRAXEL RE:STORE)
- Chap. 61 1,440-NM FRACTIONAL LASER: CYNOSURE AFFIRM
- Chap. 62 SCITON ER:YAG 2,940-NM FRACTIONAL LASER
- Chap. 63 ALMA PIXEL ER:YAG FRACTIONAL LASER
- Chap. 64 FRACTIONATED CO2 LASER
- Chap. 65 LED PHOTOREJUVENATION DEVICES
- Chap. 66 PHOTOPNEUMATIC THERAPY
- Chap. 67 HAIR REMOVAL: LASER AND BROADBAND LIGHT DEVICES
- Chap. 68 ACNE AND ACNE SCARS: LASER AND LIGHT TREATMENTS
- Chap. 69 FAT AND CELLULITE REDUCTION: GENERAL PRINCIPLES
- Chap. 70 ULTRASHAPE FOCUSED ULTRASOUND FAT REDUCTION DEVICE
- Chap. 71 LIPOSONIX ULTRASOUND DEVICE FOR BODY SCULPTING
- PART FIVE OTHER PROCEDURES
- INDEX
- References
Chap. 69 - FAT AND CELLULITE REDUCTION: GENERAL PRINCIPLES
from PART FOUR - COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY
Published online by Cambridge University Press: 06 July 2010
- Frontmatter
- Contents
- PREFACE
- CONTRIBUTORS
- PART ONE ANATOMY AND THE AGING PROCESS
- PART TWO ANESTHESIA AND SEDATION FOR OFFICE COSMETIC PROCEDURES
- PART THREE FILLERS AND NEUROTOXINS
- PART FOUR COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY
- Chap. 42 TREATMENT OF TELANGIECTASIA, POIKILODERMA, AND FACE AND LEG VEINS
- Chap. 43 VASCULAR LASERS
- Chap. 44 OVERVIEW OF CO2 AND ER:YAG LASERS AND PLASMA DEVICES
- Chap. 45 CONTEMPORARY CO2 LASER RESURFACING
- Chap. 46 ER:YAG
- Chap. 47 PLASMA SKIN REJUVENATION OF THE HANDS
- Chap. 48 NONABLATIVE LASER TISSUE REMODELING: 1,064-, 1,320-, 1,450-, AND 1,540-NM LASER SYSTEMS
- Chap. 49 OVERVIEW OF BROADBAND LIGHT DEVICES
- Chap. 50 TITAN: INDUCING DERMAL CONTRACTION
- Chap. 51 SCITON BROADBAND LIGHT AND ER:YAG MICROPEEL COMBINATION
- Chap. 52 AMINOLEVULINIC ACID PHOTODYNAMIC THERAPY FOR FACIAL REJUVENATION AND ACNE
- Chap. 53 THERMAGE FOR FACE AND BODY
- Chap. 54 LUMENIS ALUMA SKIN TIGHTENING SYSTEM
- Chap. 55 ELLMAN RADIOFREQUENCY DEVICE FOR SKIN TIGHTENING
- Chap. 56 ALMA ACCENT DUAL RADIOFREQUENCY DEVICE FOR TISSUE CONTOURING
- Chap. 57 COMBINED LIGHT AND BIPOLAR RADIOFREQUENCY
- Chap. 58 FRACTIONAL LASERS: GENERAL CONCEPTS
- Chap. 59 PALOMAR LUX 1,540-NM FRACTIONAL LASER
- Chap. 60 FRAXEL 1,550-NM LASER (FRAXEL RE:STORE)
- Chap. 61 1,440-NM FRACTIONAL LASER: CYNOSURE AFFIRM
- Chap. 62 SCITON ER:YAG 2,940-NM FRACTIONAL LASER
- Chap. 63 ALMA PIXEL ER:YAG FRACTIONAL LASER
- Chap. 64 FRACTIONATED CO2 LASER
- Chap. 65 LED PHOTOREJUVENATION DEVICES
- Chap. 66 PHOTOPNEUMATIC THERAPY
- Chap. 67 HAIR REMOVAL: LASER AND BROADBAND LIGHT DEVICES
- Chap. 68 ACNE AND ACNE SCARS: LASER AND LIGHT TREATMENTS
- Chap. 69 FAT AND CELLULITE REDUCTION: GENERAL PRINCIPLES
- Chap. 70 ULTRASHAPE FOCUSED ULTRASOUND FAT REDUCTION DEVICE
- Chap. 71 LIPOSONIX ULTRASOUND DEVICE FOR BODY SCULPTING
- PART FIVE OTHER PROCEDURES
- INDEX
- References
Summary
Laser and light treatment of fat and cellulite is a new and burgeoning area of cosmetic practice. While liposuction remains the dominant procedure for effective large-volume fat removal, it is largely ineffective for the treatment of cellulite. Thus a variety of new light-based devices and technologies are emerging. Part of the reason for the proliferation of new technologies can be explained by the dearth of effective treatment options for cellulite currently. Nevertheless, this field is still in its infancy, and the efficacy of these devices is currently limited.
ETIOLOGY OF CELLULITE
Cellulite represents the orange peel– or cottage cheese–type dimpling of the buttocks, thighs, arms, breasts, and abdomen of women. It is present in up to 98% of postpubertal females and should be considered a normal secondary sex characteristic, rather than a pathologic condition. Although the etiology of cellulite is not completely understood, the best evidence supports cellulite being attributable to female subcutaneous fat architecture and hormones. The etiology of cellulite is a crucial component for developing effective technologies for improving its appearance. Many of the current treatments do not address its true physiology and thus are ineffective in improving its appearance.
Cellulite is far more common in females than males. Female superficial fat is characterized by large fat lobules with thin tissue septae. These features facilitate the herniation of female fat into the dermis, producing an undulating dermal-hypodermal interface clinically manifested as cellulite.
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- Office-Based Cosmetic Procedures and Techniques , pp. 309 - 312Publisher: Cambridge University PressPrint publication year: 2010