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Comparison of Cellulite Severity Scales and Imaging Methods

Cellulite is characterized by dimpled contour alterations of the skin and is present in approximately 85% to 90% of postpubertal females. Although the pathophysiology of cellulite remains to be fully elucidated, experimental evidence indicates a multifactorial process involving the number and types...

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Autores principales: Young, V Leroy, DiBernardo, Barry E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129470/
https://www.ncbi.nlm.nih.gov/pubmed/32785706
http://dx.doi.org/10.1093/asj/sjaa226
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author Young, V Leroy
DiBernardo, Barry E
author_facet Young, V Leroy
DiBernardo, Barry E
author_sort Young, V Leroy
collection PubMed
description Cellulite is characterized by dimpled contour alterations of the skin and is present in approximately 85% to 90% of postpubertal females. Although the pathophysiology of cellulite remains to be fully elucidated, experimental evidence indicates a multifactorial process involving the number and types of fibrous septae, microvascular dysfunction, subcutaneous inflammation, decreased dermal thickness with age, and fat deposition. Cellulite is a major cosmetic concern for many women, and a number of both noninvasive (eg, massage, cosmeceuticals, laser therapy) and minimally invasive techniques (eg, subcision, collagenase injection) have been evaluated to improve the appearance of the affected skin. However, evidence for many of these treatments is limited, largely due to the lack of a validated, convenient tool for the standardized evaluation of cellulite severity. Various imaging modalities have been employed to characterize cellulite severity and the impact of treatment, but only 2-dimensional and 3-dimensional digital photography have been adequately validated. However, in many cases, imaging findings do not correlate with subjective measures of cellulite severity. A number of cellulite rating scales have been developed; some provide only a qualitative measure, whereas others do not fully capture all clinically relevant aspects of cellulite, including the perspective of the patient. There remains an unmet need for global adoption of a validated scale that can be utilized easily by clinicians and patients in clinical and research settings. We propose features that should be included in an ideal rating scale for assessment of cellulite severity.
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spelling pubmed-81294702021-05-21 Comparison of Cellulite Severity Scales and Imaging Methods Young, V Leroy DiBernardo, Barry E Aesthet Surg J Cosmetic Medicine Cellulite is characterized by dimpled contour alterations of the skin and is present in approximately 85% to 90% of postpubertal females. Although the pathophysiology of cellulite remains to be fully elucidated, experimental evidence indicates a multifactorial process involving the number and types of fibrous septae, microvascular dysfunction, subcutaneous inflammation, decreased dermal thickness with age, and fat deposition. Cellulite is a major cosmetic concern for many women, and a number of both noninvasive (eg, massage, cosmeceuticals, laser therapy) and minimally invasive techniques (eg, subcision, collagenase injection) have been evaluated to improve the appearance of the affected skin. However, evidence for many of these treatments is limited, largely due to the lack of a validated, convenient tool for the standardized evaluation of cellulite severity. Various imaging modalities have been employed to characterize cellulite severity and the impact of treatment, but only 2-dimensional and 3-dimensional digital photography have been adequately validated. However, in many cases, imaging findings do not correlate with subjective measures of cellulite severity. A number of cellulite rating scales have been developed; some provide only a qualitative measure, whereas others do not fully capture all clinically relevant aspects of cellulite, including the perspective of the patient. There remains an unmet need for global adoption of a validated scale that can be utilized easily by clinicians and patients in clinical and research settings. We propose features that should be included in an ideal rating scale for assessment of cellulite severity. Oxford University Press 2020-08-12 /pmc/articles/PMC8129470/ /pubmed/32785706 http://dx.doi.org/10.1093/asj/sjaa226 Text en © 2020 The Aesthetic Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Cosmetic Medicine
Young, V Leroy
DiBernardo, Barry E
Comparison of Cellulite Severity Scales and Imaging Methods
title Comparison of Cellulite Severity Scales and Imaging Methods
title_full Comparison of Cellulite Severity Scales and Imaging Methods
title_fullStr Comparison of Cellulite Severity Scales and Imaging Methods
title_full_unstemmed Comparison of Cellulite Severity Scales and Imaging Methods
title_short Comparison of Cellulite Severity Scales and Imaging Methods
title_sort comparison of cellulite severity scales and imaging methods
topic Cosmetic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129470/
https://www.ncbi.nlm.nih.gov/pubmed/32785706
http://dx.doi.org/10.1093/asj/sjaa226
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