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Therefore, since we know half the planet are talking about cellulite, what exactly is it, what causes it, how do you grade it and is there any treatment available for the condition. For a start, many might be surprised to understand that the term cellulite is simply not a medical term and there's some dispute concerning the etiology of the condition. Many people claim that French and Italian doctors used the word cellulitis over one century ago to explain a condition of fats located under women's skin, that provide a dimpled or peau d'orange appearance. The problem was extremely common and many physicians from 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 world went to war twice and traditional medicine was not interested in treating a condition, which did not reflect a fundamental illness.
5 critical keys to kill your cellulite
Even just in the early seventies, when Martin Luther King cleared his throat and addressed a quarter of a million people through the Lincoln Memorial, the problem was still largely uncommon. However, all that was about to alter in 1973, when Ny 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 should have began to bug the conscience of coastal America because the New York Times best seller non-fiction list best seller for that 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 Driving while impaired, but in America the sport 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 found out that they too had these lumpy deposits throughout 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 new tablet that contained ginko, soya, fish oil, evening primrose oil, bioflavins, and lots of of the other normal suspects with a promise it would cure the dreaded condition. The CEO from the company, Rexall even went on CNBC in March 1999 claiming 90% rate of success for their product. Obviously, they could not provide any scientific evidence to validate their results when challenged.
Another company, Relax-Cizor, then appeared available on the market with a kind 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 responsible for inducing hernias, creating abnormal cardiac rhythms, and inducing miscarriages. The machine was apparently repackaged and later sold in Europe where laws are considered not as stringent. It never ceases to amaze me how these companies can flourish about this side of the big pond and no-one seems to question them whenever they use eighteenth century terminology like Faraday current or iontophoresis to explain a simple thing like electromagnetism or electricity. Imagine trying to sell the latest personal computer 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 just what the problem was. Believe it nor not, it took until 1996, for Dr. Neil Solomon from the Johns Hopkins University to look more closely at the phenomena of cellulite. In a paper of this period, this doctor figured under the microscope cellulite looked just like ordinary fat. In 1998, some researchers at the Rockefeller Institute examined the problem more closely and they concluded that there was no significant difference between your appearance or purpose of fatty tissue or the regional blood flow between individuals who had cellulite and those who did not. Additionally they stated that there was some characteristic within female skin that built them into more prone to developing the condition.
Meanwhile, as 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 something company even produced a tablet that promised to consider away cellulite while the patient slept. Things went from the sublime towards the surreal as the second company promised to remove the cellulitic condition by wrapping their customers in a kind of snap wrap that caused water loss by perspiration and compression from the swollen tissues. The merchandise was marketed through television and it caused the U.S. Federal Fda (FDA) and the Ftc (FTC) to take notice and produce regulations and guidelines for that advertising of cellulitic products. The industry quickly realised that they needed to be more scientific within their approach plus 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 towards the subcutaneous fat layer and help stimulate the release of stored 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 available on the market that could really lessen the cellulitic condition. It didn't take a genius to understand that it would require more than tablets to get rid of those stubborn fibrous bands of tissue.
Around this time, another technology entered the market. 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 might increase circulation by 200%, by expelling toxins and water develop while the underlying connective fibres were stretched. The product was again heavily marketed in magazines and on the TC networks. Despite many clinical trials, the clinical evidence of the procedural effect remains ambiguous. One study performed in 1998, showed a mean index decrease in body circumference of between 1.34 and 1.83cms. It was the same year that President Bill Clinton risked impeachment over his affair with Monica Lewinsky. Despite this evidence, another clinically controlled trial by Collins yet 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 their cellulite appearance had actually improved. The authors figured neither of these two treatments was effective in improving the appearance of cellulite. Despite these findings, the Endomologie (r) procedure continues to be widely marketed and the process has gained popularity in some quarters. My own impression in the experience of many colleagues is that the procedure typically takes 10 to 20 treatments to determine any results and also the patient has to do one or two maintenance treatments per month to maintain any beneficial effect.
Therefore, where does that leave us concerning the scientific evaluation of cellulite? It is obvious; most doctors now agree that cellulite is much more often seen in women because of hormonal reasons. The scientific rationale behind it has not been fully evaluated along with a cynic would state that this conclusion is not particularly difficult to make. We know that cellulitic fat is arranged in large chambers of macromolecules that are separated by columns of collagen fibres. It doesn't take a University qualification to determine that whenever extra fat is stuffed into these fibrotic compartments, it'll cause them to bulge out, giving the surface dimply appearance of cellulite. Scientists also realize that the 'dimpling' is created worse due to underlying bloating and fibrosis brought on by impaired circulation and destruction of the tissues in this region. This is the main reason that many treatments can give a temporary means to fix the problem. The effect is only temporary because in effect, cellulite is localised fat 'caught in a jail' of surrounding scarring and these fibrotic walls must be broken down before we are able to see a more long-term solution to the problem.
Recently, there has been two substantial changes 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 straight into subcutaneous fat in an effort to dissolve it. It is not surprising that this method could be evaluated in order to see its impact on cellulite. In 2004, Network Lipolysis invited me to become European Group Leader for the evaluation of this pharmaceutical within the treatment of cellulite. The injections are quite painful as well as in my experience not necessarily successful in treating the resilient condition. It takes multiple treatments to see any decrease in size and also the dimpling effect often remains. We have treated nearly 500 patients with this particular compound in differing areas up to now and our results will quickly undergo scientific evaluation as part of a European trial.
This season, a new medical device arrived, which offers to be the most interesting development up to now in the battle against cellulite. This product is called the VelaSmooth (r) and also the machine has already undergone rigorous medical testing in the usa. The products functions by using a combination 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 the United States, it appears to be the most effective treatment open to date. The unit apparently functions by allowing radiofrequency to heat fat tissue to a depth of 10mm and also the makers claim this process increases oxygen intracellular diffusion. The infrared light part of the product heats fat under the skin to a degree of 3mm and increases skin elasticity.
The suction system is similar to Endomologie (r), for the reason that it can manipulate and lessen the skin. The process requires two treatments a week for 5 to 6 weeks and the effects last about 6 months before requiring a high up treatment. The total cost is about e750 for that complete package. Our clinic was selected to trial the new technology for that European market and that we shall start evaluating our produces a few months.
Where does that leave us? I feel it will take a combination of the above treatments to eventually solve the problem of cellulite. Like 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 mixture therapy have already begun in Canada and Italy and gradually patients are realizing medicine and doctors at last becoming interesting in working with this tenacious condition.
