Cellulite L03.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cellulite; dermatopanniculosis deformans

Definition
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A popular term for a constitutionally determined, circumscribed increase and change in subcutaneous fatty tissue in the thigh and glutaeal area. When the skin in the affected area is pushed together, the so-called mattress phenomenon and orange peel phenomenon can be triggered. In the American cosmetics industry cellulite is described as "that lumpy-bumpy skin of the thighs that 90% of the women have and all hate".

Classification
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4 stages are distinguished according to their severity:
  • Stage1: Only when the skin is pushed together tangentially, a "peau-d`orange" aspect appears.
  • Stage 2: In case of muscle tension, a wavy skin surface becomes visible, especially on the buttocks.
  • Stage 3: Even at rest and when lying down, a wavy skin surface is visible.
  • Stage 4: Even at rest and when lying down, the skin has a bumpy surface.

Etiopathogenesis
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Caused by a special anatomical condition of the female fat tissue. The phenomenon has no pathological basis whatsoever. Accused "disturbances of the microcirculation", "endocrine metabolic anomalies", "metabolic inertia" belong to the realm of legends.

Manifestation
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Almost exclusively in women. Also in obese male children. The phenomenon can also be observed in neuters.

General therapy
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Weight reduction, physical exercise, robotic measures and massages.

External therapy
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Attempt of external application of caffeinated (2%) hydrophilic lotions or creams, e.g. Crealite.

Note(s)
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Most propagated therapies are ineffective. In this respect, every serious doctor should refrain from propagating scientifically unproven therapy modalities.

Literature
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  1. Koblenz CS (2003) Psychosocial aspects of beauty: how and why to look good. Clin Dermatol 21: 473-475
  2. Nuremberg F, Müller G (1978) So-called cellulite: an invented disease. J Dermatol Surg Oncol 4: 221-229
  3. Pierard-Franchimont C et al (2000) A randomized, placebo-controlled trial of topical retinol in the treatment of cellulite. At J Clin Dermatol 1: 369-374

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020