Julia has it.

and uma.

And even Alessandra.

Maybe even Cindy.

Skinny, curvy, teenagers, fifties, athletes... Cellulite does not 'respect' almost anyone and it is estimated that

90% of women on this planet suffer from it

to a greater or lesser extent during some stage of their life.

Although what generates the most uneasiness in us is the aesthetic issue, Cristina de Las Heras De Gracia, a specialist in Aesthetic Medicine at the Madrid International Dermatological Clinic, warns us that "cellulite should not be considered only as an unaesthetic (imperfection), but rather It should be managed as a

chronic disorder of the subcutaneous tissue,

called edematous-fibro-sclerotic pathology in allusion to the

metabolic and dystrophic alterations

of the adipose tissue parenchyma and the interstitial matrix with a clear circulatory compromise that are produced".

Of multifactorial origin, Dr. de Las Heras explains that it affects "only women (

estrogen-dependent

) and with a

clear genetic component

, it appears at puberty and is practically maintained throughout life:

lifestyle

(diet, physical activity and rest) plays a fundamental role in its evolution".

Any treatment to combat it, therefore, must be approached considering "these three main causes".

What bothers us is what is seen, the dimples, but what should really worry us is its origin: "Cellulite encompasses a localized accumulation of fat in an area, associated with a

blockage of blood and lymph circulatory flow

. This is translates into an increase in volume at the expense of fat and edema, due to fluid accumulation and circulatory insufficiency".

Maintaining this situation leads to "the production of fibrotic partitions that are generated between fat cells (adipocytes), retracting the skin and giving it

a typical 'orange peel

' appearance".

HOW IT IS PRODUCED

But how is it produced?

"Cellulite begins with the alteration of the vascularization of the dermis, particularly due to the alteration of the sphincters of the capillaries that

do not allow the entry of oxygen

into the tissues".

Dr. De Las Heras explains that "metabolic and gas exchange occurs in the dermis through circulation. Glycosaminoglycans are deposited on the walls of blood capillaries and in the collagen and elastin framework, favoring

water retention

( edema) in the dermis, in the fat cells (adipocytes) and in the septa between them".

These alterations cause "cellular changes and cell compression that end up leading to a decrease in venous return and a decrease in tissue oxygenation (ectasia). Fat cells hypertrophy and take the form of

micronodules

; collagen fibers become less pro-inflammatory cytokines flock to the fatty tissue and reactive fibrosis occurs."

And the dimples, why do they appear?

"Due to the

continuous and progressive stretching of the collagen fibers

that weaken and cause the fat to 'herniate' upwards".

AGGRAVATING FACTORS

According to this specialist, "there are external factors that 'excruciate' cellulite by affecting one or more facets that originate it: the

intake of caloric foods

and foods made with saturated fats (such as precooked foods);

coffee, alcohol and tobacco

that they worsen microcirculation; the lack of intake of useful fibers to promote intestinal transit and, therefore, the elimination of toxins; and a

sedentary lifestyle

, which has a negative influence since we do not favor correct blood circulation (worsens venous return; worsens constipation) ".

This would be the robot portrait of the 'ideal' candidates to suffer from it:

Sex:

mostly women.

Race:

majority, white.

Background

: hereditary endocrine-metabolic syndromes, nutritional errors...

Hormonal treatments:

above all, contraceptives.

Eating disorders:

excess sugars and fats.

Digestive disorders:

intestinal dysbiosis, constipation, wrong diets, etc.

External compressions

: excessive use of heels, practice of impact sports, etc.

Lifestyle:

sleep, tobacco, stress, sedentary lifestyle...

infections.

THERAPEUTIC OPTIONS

These are the most effective treatments to combat it:

Mesotherapy:

"It consists of the infiltration of drugs that stimulate the elimination of water and accumulated toxins, accelerate the emptying of fat from the adipocyte and improve blood microcirculation. It is characterized by the application of these principles in the dermis, specifically in the mesoderm , through a very fine needle, superficially covering the involved area, as well as the venous and lymphatic pathways through which the debris is drained.Mesotherapy is a technique that must be carried out by a doctor, whose criterion of The choice of drug to correct the pathology is essential for the safety and success of the treatment".

Shock waves:

"It is very useful to treat other aspects associated with cellulite on the legs and buttocks. An ultrasound is applied that causes a mechanical effect on the adipocyte to destabilize it and favor its drainage."

Cellfina:

"This is a device that makes it possible to eliminate the retractable fibrotic partitions that form between the fatty nodules and that are responsible for the 'dimples' on the surface. It is a complete system that breaks adhesions prior to the infiltration of a localized anesthetic solution into each dimple through tiny entry points from the surface. The results are definitive."

Radiofrequency.

"It is based on heating the deep dermis and hypodermis to achieve an emptying of the adipocyte by thermal effect and an improvement in skin tone by direct formation of collagen and elastin fibers."

Cryolipolysis:

"It is based on the definitive necrosis of the adipocyte by freezing. It is useful in gynoid distributions, where the fatty component predominates, as is the case of the trochanteric areas (saddle bags and knees).

And the creams

... are they useful for anything?

"Creams have a very limited effect, since the ability to provide active ingredients that penetrate to the necessary depth is practically impossible. But it is advisable to use a good moisturizing cream. In this way, we will keep our skin elastic for longer and the appearance of other alterations such as stretch marks is prevented", concludes this specialist.

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