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Injection of PLLA seems to be a safe and efficacious treatment for the correction of some aspects of aging in the neck and chest.

Background: There is a growing demand for procedures to treat cellulite. Subcision™ is widely used for cellulite correction, and injectable poly-L-lactic acid (PLLA) has been shown to be an effective option for various body conditions. Aims: Present the results of combining Subcision™ plus PLLA, in the same session, in patients with cellulite and flaccidity.

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Elements that seem to be involved in cellulite's appearance are: adipocyte • hypertrophy, connective tissue abnormalities, fi brous septa, and hormonal in fl uences.A new cellulite severity scale (CSS) and classi fi cation was recently devel-• oped. The CSS considers relevant morphological aspects, such as the number of evident depressions, depth of depressions, aspect of raised areas, grade of laxity, fl accidity or sagging skin, and the previous cellulite scale. Diagnosis is mainly clinical although magnetic resonance imaging, laser • Doppler fl owmetry, thermography, and ultrasound can be used for research purposes.A series of treatments can treat or improve the appearance of cellulite, such • as topical products, oral supplements, devices (mechanical massage, lasers, light sources, radiofrequency, and other technologies), and surgical procedures (Subcision ® and liposuction).

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