Academic Journal
A Clinical Guide to the Treatment of Cellulite and Comprehensive Review of the Etiology, Pathophysiology, and Utility of Intervention.
| Title: | A Clinical Guide to the Treatment of Cellulite and Comprehensive Review of the Etiology, Pathophysiology, and Utility of Intervention. |
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| Authors: | Menon A; Emory University School of Medicine, Atlanta, Georgia., Shauly O; Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Georgia. orr.shauly@gmail.com., Marxen T; Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Georgia., Losken A; Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Georgia., Faulkner HR; Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Georgia. |
| Source: | Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 May; Vol. 48 (10), pp. 1985-1992. Date of Electronic Publication: 2023 Dec 06. |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: Springer-Verlag Country of Publication: United States NLM ID: 7701756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5241 (Electronic) Linking ISSN: 0364216X NLM ISO Abbreviation: Aesthetic Plast Surg Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, Springer-Verlag. |
| MeSH Terms: | Cellulite*/therapy , Cellulite*/physiopathology, Laser Therapy/methods ; Female ; Humans ; Algorithms ; Esthetics ; Risk Assessment ; Severity of Illness Index ; Treatment Outcome |
| Abstract: | Introduction: Cellulite is a common esthetic concern affecting most women. Despite its prevalence, there is no consensus on the optimal treatment approach for cellulite, partly due to the complex and multifactorial nature of its pathophysiology. Understanding the underlying biological processes along with available treatment options is important to be able to effectively counsel patients on effective management of this condition. This review aims to focus on high-quality evidence behind pathophysiology of cellulite, severity and grading, and its available treatment options. Methods: A comprehensive review of the literature was performed using PubMed and Embase databases. Manuscripts that provided objective data with respect to pathophysiology, grading scales, and applications of treatment options were utilized. Results: Using the existing CSS classification, an evidence-based algorithm is proposed for treatment of cellulite. Mild cellulite is best served with lifestyle modifications such as healthy diet, hydration, and exercise. Use of topicals in mild cellulite patients as adjuncts to lifestyle modifications have the highest efficacy, although there are inconsistent data on topical treatments. Moderate cellulite is best targeted with noninvasive treatment options including laser therapy, radiofrequency, and ultrasound. Radiofrequency demonstrates the strongest efficacy in the current peer-reviewed literature. Severe cellulite is recommended to be treated with minimally invasive approaches such as subcision and injectables. Conclusion: Cellulite is a challenging cosmetic problem to treat, and thus multimodal treatment options should be considered in an attempt to achieve optimal outcomes and patient satisfaction. As the pathophysiology of cellulite is further elucidated, more targeted treatments may be developed in the future. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . (© 2023. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.) |
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| Contributed Indexing: | Keywords: Cellulite; Cellulite etiology; Cellulite laser-therapy; Cellulite review; Cellulite treatment; Cellulite ultrasound; Microneedling cellulite; Pathophysiology |
| Entry Date(s): | Date Created: 20231206 Date Completed: 20240528 Latest Revision: 20260402 |
| Update Code: | 20260402 |
| DOI: | 10.1007/s00266-023-03762-9 |
| PMID: | 38057600 |
| Database: | MEDLINE |
| ISSN: | 1432-5241 |
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| DOI: | 10.1007/s00266-023-03762-9 |