Abstract
Publisher Summary This chapter discusses cellulite reduction. Cellulite is a means to maximize subcutaneous adipose retention, ensuring sufficient caloric availability for pregnancy and lactation. Cellulite, which is mainly located on the lateral aspects of the thighs and buttocks, is thought to primarily exist due to the underlying connective tissue anatomy rather than from excessive adipose tissue. Therefore, cellulite is not synonymous with obesity, which is marked by hypertrophy of adipocytes. Since it can be located in any area of the body that contains subcutaneous adipose tissue, thin and obese women, alike, are inflicted with this condition. While many women may view cellulite as a pathologic condition, there is no morbidity or mortality associated with it. However, if serious cases of cellulite are not adequately treated, this condition can cause pathological tissue alterations such as lipodystrophic and fibrosclerotic degeneration. Cellulite can be illustrated further by dividing it into two distinct grades: incipient cellulite and full-blown cellulite. Incipient cellulite, which is hardly visible, is characterized by a discrete padded look or “orange peel” aspect, demonstrable by the “pinch test.” The lumpy-bumpy appearance of a skin surface with cellulite results from a weakening and thinning of the connective tissue network that normally tethers the dermis to deeper skin layers.
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