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Aesthetics Practice Today

Cellulite Treatment with Thermitight

Published August 4, 2015 3:20 PM by Mina Grasso
Even among the healthiest women 75-85% suffer from the unsightly appearance of cellulite. It can even be seen in young teens and even infants. The cause of cellulite is not fully understood. It is virtually non-existent in men due to the thickness and structure of skin as influenced by male sex hormones. Some common theories include the following: poor circulation, herniated fat cells, water retention, fibrosis of connective tissue and accumulation of toxins in the fat tissue that may be a result of lack of physical activity or hormonal imbalances. Cellulite is defined as persistent subcutaneous fat causing dimpling of the skin, especially on women's hips and thighs. Some have classified different types, as in the appearance of surface skin depressions when a woman crosses her legs, versus a constantly present orange peel deformity.

The search for effective treatment of cellulite has been a source of frustration for women for years. Over the years claims have been made for various treatments including creams, brushes, dehydrating wraps, cellulite garments, magic pills and fitness contraptions. Our involvement with cellulite treatments started almost 20 years ago using Endermologie, which is still an effective short-term treatment using a system of vacuum and rollers. As laser aesthetics developed, awareness in treatment of cellulite grew and patients would demand the latest technology that they saw on TV. We found ourselves replacing previous cellulite technology with the latest, more advanced to attempt to provide the best solution for our patients. We have had as many as four devices at one time. 

The results of cellulite treatment with our prior technologies are short-term and patients require multiple treatments on average one to two treatments a week for 6-12 weeks. Motivated patients accept this just to get mild improvement of the unsightly dimpling. We have a few patients who come routinely, seasonally, while a few come for treatment year round.  

ThermiTight, a skin-tightening procedure that was developed to tighten skin on the face, neck, arms, abdomen and other parts of the body works by stimulating collagen production with radiofrequency energy. Radiofrequency energy is highly penetrating and can be delivered beneath the skin to stimulate collagen production-which can result in the tightening of skin and improve the appearance of cellulite. ThermiTight is a great option because it can improve tightness, smoothness, and produce more youthful-looking skin for all skin types. 

Cellulite treatment with ThermiTight uses a thin electrode about the size of a piece of spaghetti to deliver carefully controlled radiofrequency energy and temperature to the subdermal tissue where cellulite occurs. It is performed using tumescent diluted local anesthetic to maintain patient comfort throughout the procedure. The procedure is minimally invasive and requires minimal downtime. A desired level of energy is delivered gently and evenly with continual monitoring of the energy delivered with control to reach a target temperature with safety and efficacy. Cellulite improvement with skin tightening is gradual and can be long-lasting. Results can be seen starting in a few weeks, but continue to improve up to one year. 

Setting realistic expectations as in any aesthetic procedure is crucial and no guarantees can be made. Traditionally expectations have been set low for cellulite treatments and results are described as temporary. Genetics, hormone status, dietary and other factors may influence the patient's results. Some areas will improve better than others. Therefore it is quite noteworthy that some doctors using Thermitight treatment of cellulite started about three years ago and some patients have maintained results so far. We may finally have a longer lasting answer to cellulite improvement.

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    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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