Cellulite pathophysiology and treatment 2nd Edition by Mitchel Goldman, Doris Hexsel ISBN 9781439802724 1439802726

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ISBN 10: 1439802726
ISBN 13: 9781439802724
Author: Mitchel Goldman, Doris Hexsel

Cellulite pathophysiology and treatment 2nd Edition Table of contents:

1. Social Impact of Cellulite and Its Impact on Quality of Life

Introduction

Aspects of Cellulite Related to Qol

Conclusion

References

2. Psychological Impact of Cellulite on the Affected Patients

References

3. Anatomy of Cellulite and the Interstitial Matrix

Introduction

Cellulite

Lymphedema

Lipedema and Lipolymphedema

Dercum Syndrome

“Big Leg”

Interstitial Matrix

References

4. Definition, Clinical Aspects, Classifications, and Diagnostic Techniques

Definition

Nomenclature

Clinical Aspects

Classification

Clinical Evaluation of Cellulite Patients

Aggravating Factors

Other Diagnostic Techniques

Differential Diagnosis

Conclusion

References

Appendix A

5. Cellulite Pathophysiology

Introduction

Dietary Influences

Genetically Determined Fat Deposition

Vascular Insufficiency

Excess Adipose Tissue

Chronic Inflammation

Summary

References

6. Diagnostic Techniques

Clinical Evaluation

Biopsy

Photography

Optical Imaging

Ultrasound

MRI

Vascular Imaging

Biomechanical Measurements

Other Techniques

Conclusion

References

7. Cellulite-Associated Clinical Conditions of Aesthetic Interest

Introduction

Skin Flaccidity

General Aspects

Diagnosis and Differential Diagnosis

Treatment

Localized Fat

General Aspects

Diagnosis and Differential Diagnosis

Treatment

Stretch Marks

General Aspects

Diagnosis and Differential Diagnosis

Treatment

Cosmetic Liposuction Sequelae

General Aspects

Diagnosis and Differential Diagnosis

Treatment

Conclusion

References

8. Medical Therapy

Introduction

Subcutaneus Adipose Tissue as Endocrine Organ

Techniques for Measurement of Adipose Tissue

Indirect Techniques

Plicometry

Waist-Hip Ratio (WHR)

Direct Techniques

Computerized analysis of body composition by body impedance analysis

DXA

Macro-Nutrients

Proteins

Carbohydrates

Lipids

Nutritional Treatment

Food Hormones

Overweight/Obese Patients and the Metabolism of Sugars and Fats

Insulin and Inflammation

The Food Pyramids

Anti-Inflammation Diet

Food Intolerance

Cellulite: Immunological Inflammation Function and Other Alimentary Aspects

The Allergy and Intolerance Reactions: Global Involvement

Food-Delayed Allergies: Signal of Adipose Build-Up

Supplementation

Dietary Supplementation and Cellulite

Bioflavonoides

Metabolic Activators

Omega-3

Omega-6

The biological role of omega-3 fatty acids

Synthesis of the Main Action of Omega-3 Fatty Acids

The Biological Role of Omega-6 Fatty Acids

Synthesis of the Main Actions of Omega-6 Fatty Acids

Omega-3 Integration

Vitamin C

Glycine Propionyl-L-Carnitine

Conclusion

Bibliography

9. Topical Management of Cellulite

Introduction

Definition and Nature of Cellulite

Pathophysiologic Mechanisms of Cellulite

Topical Management

Agents that Increase Microvascular Flow

Agents that Reduce Lipogenesis and Promote Lipolysis

Agents that Restore the Normal Structure of the Dermal and Subcutaneous Tissue

Agents that Prevent or Destroy Free-Radical Formation

Combination Agents

External Aids to Topical Therapy

Adverse Events

Conclusion

References

10. Golden Lift in the Management of Cellulite: A New Member from the Golden Peel® Family

Abstract

Introduction

The Golden Peel® Family

The Active Principle and Mode of Action

Application Technique

Complications

Materials and Methods

Results

Discussion

Conclusion

Acknowledgments

References

11. Injection Lipolysis for Body Sculpting and Cellulite Reduction

Introduction

Review of Scientific Literature on Injection Lipolysis

Clinical Safety of Phosphadidylcholine/Deoxycholate Injections

Availability of Lipostabil in the United States and Canada

Contraindications for Injection lipolysis Injections

Systemic Side Effects (Cholinergic – more common with higher dose)

Dosages and Techniques for Injection Lipolysis Injections

Pre-Treatment Considerations for Injection Lipolysis

Injection Lipolysis Formula for Fat Pad Dissolution

Lidocaine

How to Make Injection Lipolysis Solution in the Office

Procedure for Injecting Injection Lipolysis into Fatty Pads Overlying Cellulite

Typical Injection Pattern Using Up One 5 ml Syringe

Injection Lipolysis for Infraorbital Fat Pads (Rittes Technique)

Clinical Examples of Injection Lipolysis Therapy

Injection Lipolysis Summary: Simple Injections for Fat Reduction

References

12. No-Needle Mesotherapy

DermaWave applicator with unit dose of medication

Results: In vitro model

Results: In vivo model

Conclusion

References

13. Endermologie–LPG Systems® after 15 Years

Anatomy and Physiology

The interstitial matrix

Adipose tissue

The Superficial Muscular Fascia

Massage

Manual Lymphatic Drainage

The “Endermologie” Technique

History and principles

What is Endermologie?

Mechanism of action

Treatment phase

Indications

a) Phebolymphology

b) Plastic and aesthetic surgery

c) Cellulitic syndromes

1) Edematous cellulite

2) Adipose cellulite

3) Interstitial cellulite

4) Fibrous cellulite

5) Localized adiposity

The method

Conclusions

References

14. The Use of the Tri-ActiveTM in the Treatment of Cellulite

Mechanism of Action

Parameters

Low level light energy

Other Uses

Contra indications

Treatment Protocol

Initial Clinical Studies

References

15. VelaSmooth and VelaShape

Introduction

Mechanism of Action

Patients

Treatment Protocol

Clinical Studies

Velashape

Conclusion

References

16. Accent® Unipolar Radiofrequency

References

17. Scientific Bases for the Use of Low-Level Light Energy on the Treatment of Cellulite

Introduction

LED Theory for Cellulite Skin Treatment

LED Source

Non-coherent LED Light

Optimal Wavelength and Physics

Power for Photobiomodulation

Controlled Biochemical, Histological-Ultrastructural and in vitro/Clinical Studies

Conclusions

References

18. SmoothShapes® Treatment of Cellulite and Thigh Circumference Reduction: When Less Is More

Introduction

Treatments for Cellulite

Clinical Study Utilizing Low Intensity Light Therapy

Subjects

Device

Treatment

Results

Discussion

Clinical Study Utilizing LILT and a High Power Infrared Wavelength for Thigh Circumferential Reduction

Study Design

Subjects

Device

Treatment

Results

SmoothShapes — Mechanisms of Action

Conclusion

Acknowledgement

References

19. High Frequency Ultrasound Evaluation of Cellulite Treated with the 1064 nm Nd:YAG Laser

Introduction

Materials and Methods

Screening and Measurements

Ultrasound Image Acquisition and Image Processing

Laser Treatment

Follow-up Procedure

Statistical Analysis

Results

Ultrasound Examination

Qualitative aspects

Quantitative aspects

Discussion

Conclusion

Acknowledgments

References

Appendix 1

20. Dermoelectroporation and Biodermogenesi®

What’s “dermoelectroporation”?

Why does the new method work well only after dermabrasion of the horny layer?

“Transderm® methodology”

Possibility of use

Biodermogenesi

Dermoelectroporation and Biodermogenesi

References

21. Carboxitherapy

Pharmacodynamics

Indications

Cosmetic Surgery

Treatment Method

Equipment

Contraindications of CDT

Side Effects of CDT

Protocol in Cellulite

Frequency of Sessions

On a daily basis

Two or three sessions per week

One session per week

Stretch Marks

Conclusions

References

22. TriPollarTM Radiofrequency

Introduction

Mechanisms of Action

Indications

Contraindications

System Overview

Treatment Technique

Treatment Regimen

Initial Studies

Treatment Tolerability

Side Effects

Conclusions

References

23. CryolipolysisTM for Subcutaneous Fat Layer Reduction

Introduction

Background

Preclinical Studies

Mechanisms of Action of Cryolipolysis

Clinical Studies

Discussion

Conlusion

References

24. Subcision®

Introduction

Indications and Action Mechanisms

Contraindications for Subcision®

Pre-Operative Consultation

Surgical Technique

The Post-Operative Period

Complications

Associated Procedures

Conclusions

References

25. Surgical Treatment: Liposuction, Liposculpture, and Lipoplasty

Historical background

Patient Selection

Pre-Surgical Visit

Prescriptions

The steps for a safe lipoplasty (lipo)

Laserlypolisis

Rules for a Safe Liposuction

Facts in Determining a Safe Liposuction

Lipoplasty

References

26. Study Protocols in Cellulite

Introduction

History

Ethical Aspects

Clinical Trial Responsibilities

Sponsor

Main or principal investigator

Co-investigator

Clinical trial coordinator

Other clinical trial staff

Study Protocol Structure

Study Protocols in Cellulite

Inclusion and exclusion criteria

Clinical and cosmetic evaluation

Photographic images

Methods evaluated

Conclusion

References

27. Digital Photography and Other Imaging Techniques in Cellulite

Introduction

Digital Photography

Requirements to Perform Macro Photography

The photographer

The camera

Light source

Subject

Image Standardization

Other Imaging Techniques Used in Research

Photographs of Pinched Thighs

Image acquisition

Image analysis

Three-Dimensional Skin Surface Images

Image acquisition

Image analysis

Thermography

Contact thermography

Infrared Thermography

Image acquisition

Image analysis

Image Management

Acknowledgements

References

Index

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Tags: Mitchel Goldman, Doris Hexsel, Cellulite pathophysiology, treatment