Body Shaping: Skin Fat Cellulite: Procedures in Cosmetic Dermatology

Subcision: Cellulite Reduction

Key Messages Subcision is a simple procedure to correct depressed cellulite lesions There is relationship between fibrous septa and depressed lesions, as shown in the literature Performed under local anesthesia, subcision is an outpatient procedure in which subcutaneous fibrous septa…

Radiofrequency and Ultrasound: Cellulite Reduction

Key Messages Radiofrequency and ultrasound devices are at the forefront of medical advances in the treatment of cellulite Radiofrequency generates heat in the tissue, resulting in shrinkage of collagen fibers, stimulation of new collagen and elastin, and destruction of adipocytes…

Lasers and Lights: Cellulite Reduction

Key Messages Laser and light-based modalities are one of the latest advances in the treatment of cellulite External light irradiation has the capacity to trigger a photobiomodulatory effect in the targeted tissue stimulating several cellular functions such as neocollagenesis or…

Massage/Mechanical Techniques: Cellulite Reduction

Key Messages Cellulite is a multifactorial condition which benefits from a combination approach to treatment Reduced blood flow and lymphatic drainage, which worsen the appearance of cellulite, can be improved by mechanical manipulation Mechanical manipulation, while beneficial as a safe,…

Cellulite: Anatomy, Etiology, Treatment Indications

Key Messages Cellulite is an architectural condition of human adipose tissue Cellulite is characterized by a padded and nodular appearance of the skin in cellulite-prone areas, such as posterolateral thighs and buttocks in post-pubertal females Fundamental knowledge regarding its pathophysiology…

Injectable Fat-reducing Therapies: Fat Reduction

Key Messages Adipocytolysis refers to the subcutaneous injection of chemicals, such as the detergent sodium deoxycholate, which ablates or lyses rather than shrinks fat cells Injection lipolysis, otherwise known as pharmaceutical lipoplasty, refers to the subcutaneous injection of compounds, such…

Laser Lipolysis: Fat Reduction

Key Messages Laser-assisted lipolysis is an effective procedure for localized adipose removal that may also induce simultaneous skin tightening The mechanism of action of laser-assisted lipolysis includes photo-acoustic, photomechanical, and photothermal effects Fibrous areas, previously treated areas, and areas of…

Liposuction, Ultrasound-assisted and Powered: Fat Reduction

Key Messages Tumescent liposuction was developed and continues to be widely practiced by dermatologic surgeons The tumescent local anesthesia offers significant safety benefits over general anesthesia Ultrasonic liposuction may increase the risk of seroma, thermal burns, and necrosis, and consequently…

Ultrasound Treatment: Fat Reduction

Key Messages The demand for noninvasive body sculpting procedures is on the rise High intensity focused ultrasound (HIFU) offers a noninvasive alternative for body contouring HIFU is FDA cleared for the reduction of waist circumference HIFU treatment is indicated for…

Radiofrequency Treatment: Fat Reduction

Key Messages Radiofrequency (RF) devices are a recent advancement in noninvasive technology designed to reduce the appearance of fat. Often, they are based on the emission of an electromagnetic field that results in a current running through subcutaneous tissue and…