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Therefore, now that we know half the world are talking about cellulite, what exactly is it, what causes it, how can you grade it and it is there any treatment available for the condition. For a start, many might be surprised to learn that the term cellulite is not actually a medical term and there is some dispute about the etiology of the condition. Some people claim that French and Italian doctors used the term cellulitis over one century ago to describe a condition of fat deposits located under women's skin, which give a dimpled or peau d'orange appearance. The condition was extremely common and many physicians of the period considered it to be normal and were more interested in the fact that Felix Hoffman had just invented Aspirin. The decades passed, the planet went to war twice and conventional medicine was not thinking about treating a condition, which didn't reflect an underlying illness.

5 critical keys to kill your cellulite

Even just in the early seventies, when Martin Luther King cleared his throat and addressed one fourth of a million people by the Lincoln Memorial, the condition was still largely uncommon. However, all that was about to alter in 1973, when New York beauty salon owner Nicole Ronsard wrote her book 'Cellulite, Those Lumps, Bumps and Bulges you couldn't lose before'. For the reason that year, fat must have began to bug the conscience of coastal America since the New York Times best seller non-fiction list best seller for your month was Dr. Atkins' Diet Revolution.

In that year, Ireland joined the most popular Market and also the comely maidens at the crossroads danced to David Cassidy, but in America the game was up....the condition cellulite was now out in the open and the world would never be the same again! Worse still, as more and more women learned that they too had these lumpy deposits all over their bodies, many charlatan doctors and fly by night companies started offering all sorts of dubious cures and preyed them upon their insecurities. One Italian chemist called Gianfranco Merizzi invented a brand new tablet that contained ginko, soya, fish oil, evening primrose oil, bioflavins, and many of the other normal suspects with a promise it would cure the dreaded condition. The CEO of the company, Rexall even continued CNBC in March 1999 claiming 90% success rate for their product. Of course, they could not provide any scientific evidence to validate their results when challenged.

Another company, Relax-Cizor, then appeared on the market with a type of new cellulite machine, using iontophoresis paddles and Faraday current to get rid of the offending dimples. It had not been long before they ran foul of the FDA who charged them with fraudulent advertising. They forgot to say that the machine also was accountable for inducing hernias, creating abnormal cardiac rhythms, and inducing miscarriages. The machine was apparently repackaged and later sold in Europe where laws are thought not as stringent. It never ceases to amaze me how these companies can flourish on this side of the big pond and nobody seems to inquire further whenever they use 18th century terminology like Faraday current or iontophoresis to describe a simple thing like electromagnetism or electricity. Imagine trying to sell the latest pc to someone using Pascal or Babbage terminology. It's fair to state most people would immediately recognise the spoof!

However, it was not the case with cellulite because nobody had bothered to scientifically evaluate what exactly the problem was. Accept is as true nor not, it took until 1996, for Dr. Neil Solomon in the Johns Hopkins University to look more closely at the phenomena of cellulite. In a paper of this period, this doctor concluded that under the microscope cellulite looked just like ordinary fat. In 1998, some researchers in the Rockefeller Institute examined the problem more closely plus they concluded that there was no significant difference between the appearance or function of fatty tissue or even the regional blood flow between individuals who had cellulite and those who did not. Additionally they stated there was some characteristic within female skin that made them more prone to developing the condition.

Meanwhile, because the new wonder pill Viagra hit the planet market, the sale of miracle creams containing caffeine, green tea extract, theophylline and theobromine from cocoa continued and one company even produced a tablet that promised to take away cellulite while the patient slept. Things went from the sublime to the surreal as the second company promised to get rid of the cellulitic condition by wrapping their customers in a type of snap wrap that caused water loss by perspiration and compression of the swollen tissues. The merchandise was marketed through television and it caused the U.S. Federal Food and Drug Administration (FDA) and the Federal Trade Commission (FTC) to consider notice and convey regulations and guidelines for the advertising of cellulitic products. The quickly realised they needed to be more scientific in their approach and they quickly produced literature proclaiming that caffeine used topically could actually reduce fat content in cells by blocking an enzyme that inhibits fat breakdown. Because the pace quickened, others claimed that an alkaloid in cocoa called theobromine could penetrate to the subcutaneous fat layer and help stimulate the release of body fat. Into this new age of scientific enlightenment came other prophets who claimed that horse chestnut contained a chemical called aescin, which could reinforce the strength of veins, support circulation and stop swelling. Despite the rash of scientific opportunism, there was little on the market that could really reduce the cellulitic condition. It did not take a genius to realise that it would require more than tablets to get rid of those stubborn fibrous bands of tissue.

Around this time, another technology entered the marketplace. It had started its earlier life in France like a deep tissue massage for horses until a company called LPG systems chose to try its impact on cellulite. The company called the procedure, Endermologie(r) and claimed it could increase circulation by 200%, by expelling toxins and water build up while the underlying connective fibres were stretched. The merchandise was again heavily marketed in gossip columns and on the TC networks. Despite many numerous studies, the clinical evidence of the procedural effect remains ambiguous. One study performed in 1998, showed an average index decrease in body circumference which is between 1.34 and 1.83cms. It was the same year that President Bill Clinton risked impeachment over his affair with Monica Lewinsky. Regardless of this evidence, another clinically controlled trial by Collins and others, Cellulite Treatment, A Myth Or Reality. A controlled trial of two therapies Endomologie and Aminophylline cream' was published in Plastic and Reconstructive Surgery 104:1110-1114, 1999. This research found no objective difference in the thigh girth or thigh fat depth of 52 ladies who were measured by ultrasound. It further demonstrated that only 3 of 35 patients with aminophylline-treated legs and 10 of 35 patients with Endermologie-treated legs actually felt that their cellulite appearance had actually improved. The authors figured neither of the two treatments was good at improving the appearance of cellulite. Despite these findings, the Endomologie (r) procedure continues to be widely marketed and also the process has became popular in some quarters. My very own impression from the experience of many colleagues would be that the procedure typically takes 10 to 20 treatments to determine any results and also the patient needs to do a couple of maintenance treatments per month to maintain any beneficial effect.

Therefore, where does that leave us regarding the scientific evaluation of cellulite? There is no doubt; most doctors now agree that cellulite is much more often seen in women due to hormonal reasons. The scientific rationale behind it has not been fully evaluated along with a cynic would suggest that this conclusion isn't particularly difficult to make. We also know that cellulitic fat is arranged in large chambers of macromolecules which are separated by columns of collagen fibres. It does not take a University qualification to determine that whenever extra fat is stuffed in to these fibrotic compartments, it will cause them to bulge out, giving the top dimply appearance of cellulite. Scientists also know that the 'dimpling' is created worse because of underlying water retention and fibrosis brought on by impaired circulation and destruction of the tissues in this area. This is the main reason that many treatments can give a temporary solution to the problem. The result is only temporary because in effect, cellulite is localised fat 'caught inside a jail' of surrounding scar tissue and these fibrotic walls must be broken down before we can see a more long-term means to fix the problem.

Recently, there have been two substantial alterations in the continuing war against those offending dimples. In 2003, the Lipodissolve (r) procedure was introduced to the Irish market. In this procedure, phosphotidyl choline is injected directly into subcutaneous fat in an effort to dissolve it. It is not surprising that this method would be evaluated in an effort to see its impact on cellulite. In 2004, Network Lipolysis invited me to become European Group Leader for that evaluation of the pharmaceutical within the treatment of cellulite. The injections are quite painful and in my experience not always successful for the resilient condition. It requires multiple treatments to see any reduction in size and also the dimpling effect often remains. We have treated nearly 500 patients with this particular compound in differing areas to date and our results will soon undergo scientific evaluation included in a European trial.

This season, a new medical device arrived, which promises to be the most interesting development up to now in the battle against cellulite. The product is called the VelaSmooth (r) and the machine has already undergone rigorous medical testing in the usa. The products functions by using a mixture of bipolar Radio Frequency, Infrared light, and suction in an effort to safely and effectively re-contour your skin surface. In numerous studies in both Israel and also the United States, it appears to be the most effective treatment open to date. The device apparently works by allowing radiofrequency to heat fat tissue to some depth of 10mm and the makers claim this process increases oxygen intracellular diffusion. The infrared light area of the product heats fat under the skin to a degree of 3mm and increases skin elasticity.

The suction device is similar to Endomologie (r), for the reason that it can manipulate and smooth out the skin. The procedure requires two treatments per week for 5 to 6 weeks and the effects last about 6 months before requiring a high up treatment. The overall cost is about e750 for the complete package. Our clinic was selected to trial the brand new technology for that European market and we shall start evaluating our results in a few months.

Where does that leave us? I feel it will take a mix of the above treatments to eventually solve the issue of cellulite. Such as the old spaghetti westerns, we will need technology like Velasmooth (r) to collapse the walls of the jail along with a compound like Phosphotidyl Choline to dissolve the baddies contained within. The trials surrounding this combination therapy have previously begun in Canada and Italy and gradually patients are realizing medicine and doctors finally becoming interesting in dealing with this tenacious condition.