Sunday, October 18, 2015, I along with many of my office staff participated in the “Making Strides Against Breast Cancer” walk sponsored by the American Cancer Society, which took place in Parsippany, NJ. Our Spiro Plastic Surgery Team was joined by many former and present patients and their families. There seemed to be thousands of people overall walking. It was a cold, but beautiful day and truly uplifting in spirit! Thanks to all who joined us! Looking forward to next year!
Before we talk treatment, we have to discuss what cellulite exactly is. Cellulite is the visualized interaction of gravity’s influence, affect and consequences on the interactions between skin, underlying connective tissue attachments, and deeper tissues of fat, muscle and fascia.
The fewer (looser) the connective tissue (fibrous) attachments the looser the cellulite. The longer, lower and larger the column of tissue (thighs) the greater the chance for cellulite.
Genetics and age influence greatly the propensity for (or lack thereof) cellulite. Thin skin and fatty tissue show it far worse. Thick skin with little fat and good attachments rarely show cellulite.
The treatments therefore focus on diminishing the variables that can be addressed. Lifting tissues and/or tightening (tummy tuck, body lift, thigh lift, and arm lift) serve to reduce or eliminate cellulite. Reduction of fat volume can aide in reducing cellulite; liposuction and Coolsculpting can both achieve this to varying degrees.
In conclusion, there is no panacea, no magic bullet, no simple solution, but improvements are achievable.