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Localised adiposity and tissue stabilized guided subcision

Localised adiposity and tissue stabilized guided subcision

Written on 5th October 2017
by Cellulite Institute editorial staff

Localised adiposity or cellulite? And what do fibrous septae have to do with it?

What is cellulite? And localised fat? Are there effective treatments? Does treating fibrous septae eliminate both?

Patients often ask many questions and therefore answers must be given that can satisfy them.

Cellulite and localised adiposity can be treated, treatments for fibrous septae improve cellulite, but they do not act on reducing volumes.


Localised fat and tissue stabilized guided subcision: cellulite

Cellulite is a chronic inflammatory alteration of the subcutaneous adipose tissue, caused by insufficient vascularisation of superficial venous and lymph discharge.

This vascular anomaly results in accumulation of fluid and oedema in the subcutaneous adipose intercellular space, which triggers an inflammatory process.

Cellulite is an inflammatory disease that is manifested due to several, often concomitant factors; the most common include:

  • Genetic inheritance
  • Hormonal factors (including the contraceptive pill)
  • Unbalanced diet
  • Incorrect lifestyle characterised by
  • Sedentariness

Little physical activity, in particular, contributes to the formation or worsening of cellulite since a loss of muscle tissue occurs and, at the same time, slowing down of the metabolism, resulting in accumulation of fat and an increase in visible cellulite.

Cellulite leads to an accumulation of metabolic toxins and fluids in the intracellular spaces; as it becomes chronic, it shows up as “orange peel” skin. It may be present in a more or less acute form, depending on the stage it is in.

There are three stages of cellulite:

  • Edematous
  • Fibrous
  • Sclerotic

Cellulite follows certain phases of development, which are:

  • First phase – a buildup of fluids occurs inside the adipose tissue (with swelling of the ankles, calves, thighs and arms).
  • Second phase – there is a hardening of the fat tissue with the formation of small nodules.
  • Third phase – nodules take root in the tissue and become larger, often causing severe pain.

You should contact an expert doctor who knows how to diagnose the type of cellulite and can thus advise on the best treatment or treatments to undergo. Severing of the fibrous septae using the piloted subcision technique – a non-invasive long-term treatment – could help improve cellulite but does not affect volumes.


Localised adiposity and tissue stabilized guided subcision: What is localised adiposity?

It is an accumulation of fat which, despite a balanced diet and a proper lifestyle, cannot be eliminated by physical exercise.

How can localised fat be reduced?

It is not always possible to remove accumulations of fat with diet and movement.

In some cases, cellulite is also present.

Only a doctor, following assessment of accumulations of adipose tissue and their location, can recommend the best treatment for this specific problem.

It is important to follow a healthy, balanced diet, and physical activity. These can also be supplemented with:

  • Massages
  • Mesotherapy
  • Liposuction surgery

What the results and expectations might be, and being aware of the risks and limitations of interventions, are the basis of satisfaction with results. You must always have realistic expectations so that you can be satisfied.


Localised adiposity and tissue stabilized guided subcision: what makes one treatment for cellulite more effective than another.

When fat and cellulite meet, it is possible to intervene immediately with a treatment for reducing oedema, but it certainly does not have any effects on skin blemishes; that is, on the typical cellulite dimples.


Localised adiposity and tissue stabilized guided subcision: combined treatments 

Several treatments, from among the many currently available on the market, can be combined; the following are just a few:

  • Mechanically-assisted lymphatic drainage massage
  • Ultrasound
  • Carboxytherapy
  • Mesotherapy
  • Cavitation

To date, however, none of these methods has been effective in the treatment of delayed blemishes caused by hardened fibrous septae. In such cases, tissue stabilized guided subcision is recommended.

Combining the treatments with those that break the fibrous septae contributes to increasing satisfaction with the results.


Localised adiposity and tissue stabilized guided subcision: not just treatments

Although they are not the same thing, localised adiposity and cellulite can also be improved by changing lifestyle:

  • Practise regular physical exercise. Aerobic sports activities stimulate the respiratory and circulatory systems, and reactivate microcirculation and the venous and lymphatic system. The fluids that accumulate between the cells are removed by the lymphatic circulation, which is stimulated by muscle contractions; this explains why a decrease in muscle activity causes the fluids to stagnate to a greater degree.
  • Follow a low-sodium diet and drink plenty of water. To counteract the accumulation of fluids and metabolic toxins, it is important to eat foods rich in vitamins and mineral salts, drink plenty of water (experts recommend at least 2 litres per day) and avoid particularly fatty foods or salt-rich condiments.
  • Eliminate alcohol and smoking


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