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    Top 5 dermatology controversies


    #3: Solving Cellulite

    “Dermatologic surgeons have struggled in finding effective treatments for cellulite. Perhaps no condition has had more ineffective therapies promoted for its treatment. Physicians remain skeptical of any new treatment for this condition,” Dr. Coleman says. “Recently, various energy-based devices have been proposed to treat cellulite, including a novel laser fiber for subcutaneous release of fibrous bands, which pull the skin in. Although this should theoretically give excellent results, patient responses have been variable. The newest treatment for cellulite, Cellfina [Ulthera], uses a small blade to lyse the bands. The disposable device includes a motorized housing which powers the blade. The treated tissue is fixed by suction so that a precise lysis of the bands can be performed. The results are typically very good and last for years.”

    Derm speaks up

    There are probably two cellulite treatments available today that have been shown to be most effective, according to Dr. Katz.  

    ALSO READ: Technology advances cellulite treatment

    “The first is Cellulaze, which is a laser treatment. And this treatment actually addresses the three components of cellulite. If you look at cellulite, there are changes in the skin, we call the hills and valleys. The hills are the areas where fat is pushing out or are herniated through the dermis, and the valleys are where the fibrous bands pull down and cause these depressions. And the third issue is the laxity of the dermis, in general, that allows the other two issues to occur. Cellulaze [Cynosure] works by going under the skin … and that addresses all three of those components of cellulite,” Dr. Katz says. “The newest one is called Cellfina, which is actually basically a variation on subcision…. So, Cellfina works, but it doesn’t address the other two issues—the raised areas or laxity of the dermis. It only treats the little depressions or valleys.”

    Manual subcision, which requires no expensive technology, also works to treat the depressions, according to Dr. Katz.

    NEXT: Ablative versus nonablative

    Lisette Hilton
    Lisette Hilton is president of Words Come Alive, based in Boca Raton, Florida.


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