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.
Tuberous breast malformation can be extremely difficult to correct. Also known as constricted breast, these conditions create oddly shaped breast and nipples which appear to herniate out from the breast.
Correction requires a complex release of fibers creating the problems and peri-areola mastopexy.
See Case #1 in section ” Challenging Breast Anomalies”.
The “follow her recovery” section of our website is a unique section where we follow the progress of healing from surgery with periodic post op photos. This is particularly useful to see in breast augmentation where variability in female chest wall and breast anatomy as well as patient desired outcomes often require a certain period of healing time in order to see the “final” cosmetic outcome. In breast augmentation, the immediate post op outcome may be visually altered for a period of weeks by tight tissues and sub-optimal cosmetic anatomy. Release of constricted anatomy, for instance, may take several months to fully loosen and soften. (see new case 1 in follow her recovery.) Extra tight (tighter than typical) tissues may take more time to soften (about six weeks) than more ideal anatomy (which may take only three weeks to soften). Implants (Technically speaking) in my practice are precisely placed, it is the anatomy surrounding the implant that needs time to soften and remodel. By doing this, the volume within the implant re-positions itself( generally speaking) to the anticipated planned outcome set forth at he original surgical procedure.
Therefore, it is constructive for patients to see how typical outcomes come about. Enjoy!
I am frequently asked why cigarette smoking affects healing. The carbon monoxide and nicotine work on different aspects of wound healing. Carbon monoxide prevents oxygen from being delivered to tissues “stressed” from surgery. Oxygen is necessary for wound healing, and when limited, can also cause increased wound infections. Nicotine constricts the tiny blood vessels which carry blood (and oxygen) to the edge of a healing wound. Any skin flap surgery (such as facelift, breast surgery, or tummy tuck) are particularly at risk of complications with smokers. At least four weeks for certain procedures but six weeks minimum is generally required for cessation of smoking prior to surgery. It’s your result and you’re worth it!