Cellulite treatment– Explanations : Doctor POIGNONEC plastic surgeon in Paris
How is formed cellulite?
It is extremely common in women, especially after puberty at the level of the thighs and buttocks. From an anatomical point of view, cellulite combines sagging skin, depression (or valleys) and hernias of the subcutaneous fat (or fat dimples).
- The sagging skin comes from a break of the elastic fibers and collagen. Depressions, they, are due to a shortening of the secondary septa to fibrosis of the connective tissue in the dermis and subcutaneous tissue.
- The greasy dimpling are due to an increase in the volume of the fat cells (adipocytes) in some well known areas (buttocks, thighs). Laser treatment is a technique to the final destruction of the structure of cellulite.
How to eliminate it :
- It is an act exclusively reserved to the plastic surgeon, performed under local anesthesia or General (according to the extent of the areas to be treated) in a single session, to introduce a mic connected to a laser source cannula under the skin.
- The treatment takes place in ambulatory (back home at the end of the procedure performed) to meet the French law in clinic. It is a little painful act : a feeling of tightness and bruising are possible following day.
- The choice of different techniques will be made at clinical examination following a discussion with your surgeon.
- The duration of treatment depends on the importance of cellulite and the number of locations to process.
- When the amount of fat to process is more important, it may be interesting to associate this technique for liposuction to remove fat overload deep (saddlebags).
- The resumption of a professional activity is possible very quickly, the port of slight contention is advised 15 days.
- Lysed fat is always sucked at the end to prevent any complications.
How to remove cellulite and eliminate the orange peel?
The « Bio-stimulation laser » helps the skin surface to be smoother and more flexible, which considerably reduces the « orange peel » appearance of your skin.
Results after cellulite laser treatment :
Before and after surgery
- Changes will be visible in the first few weeks and the appearance of the skin will continue to improve during the 6 months following the procedure.
- Results are often satisfactory whenever the indication and technique were correct: the laser will be allowed to remove cellulite.
Conclusion :
- This type of intervention does not replace a healthy lifestyle and regular sporting activity but is a new alternative to the treatment of cellulite.
- His contribution is real and requires only a single session, she is an excellent complement to liposuction, classically contraindicated in the treatment of cellulite.
Laser, by its thermal effect, will allow the disappearance of fatty dimples :
- Controlled, thermal effect induced by laser, will allow the destruction of the adipocytes (fat cells) and thereby a fat liquefaction.
- The disappearance of depression.
- Cellulite being separated by fibrous walls, or septa, the latter will be incised by optical fiber laser.
- Division of these septa will allow the release of deep adhesions and so the disappearance of the « valleys ».
- A skin remodeling.
- This new collagen production gives a smoother appearance to the skin. In the end, this laser reserved exclusively for the treatment of cellulite will allow to erase « bumps » and « troughs » induced cellulite.
- Finally, the thermal effect created by the laser will stimulate the neo-collagenesis (creation of new collagen fibers), allowing a discount in cutaneous tension.
Source cellulite treatment : better from the book « aesthetic surgery, solutions, and advice from my surgeon » © Ambre Publishing | Author: Dr. Sylvie POIGNONEC - plastic and aesthetic surgeon, located in the heart of Paris, specialized in plastic surgery, aesthetic & reconstructive
Antiaging Magazine :
What is the difference between cellulite, saddlebags and love handles?
Dr. Sylvie POIGNONEC : Cellulite is extremely common in women after puberty, particularly at the level of the thighs and buttocks. Cellulite is not a problem of excess fat but structural changes under skin affecting microcirculation blood and lymph, connective tissue and the fat cell (adipocyte). It must absolutely be differentiated from deep fat overload (saddlebags, handful of love…) which are due to an excess of fat located and whose treatment is radically different.
Antiaging Magazine :
What are the objectives of the treatment?
Dr. Sylvie POIGNONEC : The treatment must act on 3 clinical aspects of cellulite :
- Remove the fatty dimples (fat hernias) in the tissue under the skin.
- Cut the flanges or septa to a correction of depressions.
- Stimulate the production of collagen for skin remodeling.
Anti Age magazine :
Is always associated with one on weight?
Absolutely not, you can be thin and have cellulite. In fact, there is no one type of cellulite but many forms depending on the clinical appearance and the type of predominant alteration (circulatory, lymphatic, conjunctiva…)
Antiaging Magazine :
Liposuction treats – she cellulite?
Dr. Sylvie POIGNONEC : We must differentiate the liposuction of the deep and superficial liposuction. Deep liposuction can sometimes be indicated (compact cellulite). It does not treat the surface but decreases fat overloading in depth and so skin tenson, it therefore has an indirect effect on cellulite.
Some suggested to treat cellulite by sucking the superficial fat. I think that it is a technique not adapted for several reasons :
- Cellulite as we have said is not a fat problem.
- It cannot treat as fatty dimples, but has no effect on depression and skin remodeling.
Antiaging Magazine :
What are the « classic » cellulite treatments?
Dr. Sylvie POIGNONEC : There is not a treatment of cellulite, but an association of methods that begin with a « purification » of the body :
- Physical activity
- Balanced diet and physiotherapy
Among the classically treatments for cellulite can be :
The massages, lymphatic drainages and especially endermologie (massage with depression association) indicated only in case of edematous cellulite.
All non-invasive external techniques :
radio frequency external, ultrasonic focused or not, external laser, cryotherapy…
All these techniques have in common to want to destroy the fat by a thermal effect deep without harming the skin.
Antiaging Magazine :
What do you think of Mesotherapy for cellulite?
Dr. Sylvie POIGNONEC : the mesotherapy ou lipolysis chemical is to inject sub dermal fat from products that are supposed to destroy the FAT (phophatidylcholine, desoxycholate…).
These injections are painful, inefficient (there still possible action only on the greasy dimpling) and dangerous because the products used are not the subject of authorisation for placing on the market and can be the cause of serious complications (skin necrosis, infection).
It is banned in France since the Decree of March 2012.
Antiaging Magazine :
What are the techniques of news?
He had to find a treatment that acts on the 3 anatomical components of cellulite: greasy dimpling, bridles at the origin of the depressions and sagging skin. laser lipolysis to use in the treatment of certain localized fat overload (inner surface of thighs, arms, etc…) is, by its double action on fat and skin, an interesting technique for the treatment of cellulite. It must be associated with a liposuction of debris (decree march 2012).
Dr. Sylvie POIGNONEC : The fiber laser is introduced under the skin directly in contact with cellulite. The laser will create a thermal effect. This increase of heat will lead a cast of fat cells (and thus fatty dimples), a section of the clamps to a “relaxation of the skin’ and therefore a disappearance of the irregularities and skin remodeling (making a new collagen and elastic fibres reorganization).
Anti-aging Magazine :
What is the Lipolunch?
Dr. Sylvie POIGNONEC : In case of small treatment area or if the patient accepts the idea of several sessions, laser lipolysis or liposuction can be performed under local anesthesia. The patient remains at the clinic as the time of the Act and can resume its activities immediately: this is what the Americans have dubbed the lipolunch.
This is a promising technique that is finally tackling all of the anatomical lesions of cellulite.
The patient must understand that the results are delayed compared to the Act (best results 6 months after). It is a technique (cost of materials, realization in the clinic) expensive and which may require several sessions in case of cellulite broadcasts.
Dr. Sylvie POIGNONEC : This technique which finally allows us to offer effective treatment to our patients. I would add that this treatment does not continue to the hygieno-dietary rules because the causes of cellulite are varied and complex and possible recurrences (interest of massages in the prevention of recurrences).
Article source : treatment cellulite © anti-aging Magazine N ° 6 - the Dr. Sylvie POIGNONEC participated in this issue
Mis à jour le: 21 June 2018 [MàJ]