The Influence of Different Treatment Combinations on Skin Laxity and Dimpling

Bartsch, Rolf; Casabona, Gabriela; Sitzwohl, Christian; Kimberger, Oliver; Green, Jeremy B.; Stanger, J. K.; Frank, Konstantin; Onishi, Emy C; Cotofana, Sebastian

doi:10.36849/jdd.2020.5117

Cited by 5 publications

(6 citation statements)

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“…Therapeutic options have been shown to provide aesthetically pleasing and long-lasting results if the subdermal connective tissue architecture is targeted. 12 Releasing subdermal septa with mechanical transection allows for the release of a depressed area of skin, therefore, restoring the balance at the subdermal junction. A mechanical release, however, increases the distance between the skin surface and the deep fascia rather than restoring the original distance when incorporating the model described by Rudolph et al, 42 Septa transection procedures, however, should consider that the…”

Section: Discussionmentioning

confidence: 99%

“…Therapeutic options have been shown to provide aesthetically pleasing and long‐lasting results if the subdermal connective tissue architecture is targeted 12 . Releasing subdermal septa with mechanical transection allows for the release of a depressed area of skin, therefore, restoring the balance at the subdermal junction.…”

Section: Discussionmentioning

confidence: 99%

“…Despite its high prevalence and its aesthetic impact on today's society, the underlying pathomechanism of cellulite remains only partially understood. Recent studies tried to investigate the pathogenesis with anatomic, genetic, or imaging‐related studies and some of those have presented promising results 12 . While cellulite is accepted as a multifactorial condition involving the dermis, adipose tissue, and the subdermal connective tissue, it has become more evident that fibrous septa play an important role in its pathogenesis.…”

Section: Introductionmentioning

confidence: 99%

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Anatomic update on the 3‐dimensionality of the subdermal septum and its relevance for the pathophysiology of cellulite

Cotofana

Kaminer

2022

J of Cosmetic Dermatology

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Background Cellulite is an aesthetic condition affecting the appearance of skin in specific body regions. When reviewing past literature, a 2‐D image of a subdermal septum was created most likely due to the applied cross‐sectional investigative methodology. Despite practitioners being aware of the 3‐D nature of the subdermal architecture, this is not reflected in the present scientific literature. The aim of this anatomic review is to summarize the past literature and to provide an update on the 3‐dimensionality of a subdermal septum with a specific focus on the pathophysiology of cellulite. Materials and Methods This review is based on the literature search performed in the PubMed database using the keywords: cellulite (n = 777), cellulite, AND pathophysiology (n = 53). The articles obtained were screened and those focusing on “cellulitis” or other non‐cellulite‐related topics were additionally excluded resulting in a total of n = 38 relevant articles which were evaluated for the purpose of this anatomic review. Results The skin is comprised of two fat layers (superficial and deep), separated by the superficial fascia. The dynamic 3‐D interplay between retinacula cutis, fascia, and fat, with anatomic differences between men and women, highlights a complex anatomic construct with direct implications for the formation and treatment of cellulite. Conclusion The 3‐dimensionality of a subdermal septum provides important clinical clues to understanding the underlying mechanisms and pathogenesis of cellulite. The 3‐D approach, in contrast to the past 2‐D models, presents a robust foundation for understanding and developing future cellulite therapeutic strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anatomic update on the 3‐dimensionality of the subdermal septum and its relevance for the pathophysiology of cellulite

Cotofana

Kaminer

2022

J of Cosmetic Dermatology

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“…However, their effectiveness, especially in the long term, is debatable 1 . Invasive methods such as tissue stabilized guided subcision, microfocused ultrasound, and minimally invasive calcium hydroxylapatite injections are also used 12 …”

Section: Introductionmentioning

confidence: 99%

“…1 Invasive methods such as tissue stabilized guided subcision, microfocused ultrasound, and minimally invasive calcium hydroxylapatite injections are also used. 12 Vibration treatments (VT) can be carried out in various forms.…”

Section: Introductionmentioning

confidence: 99%

Effect of local vibrotherapy in sitting or lying position in two time protocols on the cellulite grade and change of body circumferences in women with cellulite

Piotrowska

Czerwińska-Ledwig

2021

J of Cosmetic Dermatology

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Background: Vibrotherapy is becoming a new tool which can help to improve aesthetic appearance. One of its basic uses in cosmetology is eliminating cellulite changes. Aim:The aim of the study was to analyze the effect of a 3-week series of local vibrotherapy in two positions and in two time protocols on selected body circumferences, WHR, WHtR and BAI, and the grade of cellulite. Patients and Methods: Volunteers underwent vibration treatments in a lying or sitting position for 30 or 60 minutes a day, for 3 weeks. Waist, hip, thigh and calf circumferences were measured before and after the first, and before and after the last treatment. The WHR, WHtR and BAI indicators were calculated. The grade of cellulite was assessed with use of the Nürnberger-Müller scale. A multivariate analysis of variance was performed to assess the impact of individual parameters. Results: After a series of treatments, a significant decrease in the grade of cellulite was noted, regardless of the treatment time or position. The circumferences of the thighs and hips didn't change. Both, the first and the last treatment allowed for change the calf circumference. The applied series of treatments allowed for lower the waist circumference also for change the WHR and WHtR indicators. Conclusion: A series of vibration interventions reduced cellulite symptoms without affecting the hip and thigh circumferences. The treatment positions can be adjusted to the individual needs of the client and time of single treatment can be minimized to 30 min a day.

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Commentary on: Skin Tightening With Hyperdilute CaHA: Dilution Practices and Practical Guidance for Clinical Practice

Pavicic¹

2021

Aesthetic Surgery Journal

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The Influence of Different Treatment Combinations on Skin Laxity and Dimpling

Cited by 5 publications

References 0 publications

Anatomic update on the 3‐dimensionality of the subdermal septum and its relevance for the pathophysiology of cellulite

Anatomic update on the 3‐dimensionality of the subdermal septum and its relevance for the pathophysiology of cellulite

Effect of local vibrotherapy in sitting or lying position in two time protocols on the cellulite grade and change of body circumferences in women with cellulite

Commentary on: Skin Tightening With Hyperdilute CaHA: Dilution Practices and Practical Guidance for Clinical Practice

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