Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Corona Del Mar, CA
Cosmetic and Facial Plastic Surgeon
Medical Director of The Institute of Advanced Body Sculpting (*)
Here is a list of current treatment modalities for Cellulite. Dr Troell is performing the first world-wide study objectively analyzing the cellulite treatment options:
What is CELLULITE?
Cellulite affects an estimated 85% of post-pubescent women. The association with woman is linked to the effect of estrogen hormone on the skin and soft tissues, which we do not fully understand. The cellulite results in dimpled, uneven skin with a cobblestone appearance or orange peel effect.
The soft tissue alterations in cellulite include:
- Fibrous septae attachments of the skin extending into the underlying fat and even connecting to the underlying muscle
- Thickened fat layer
- Fat lobule herniation up into the skin-fat interface
- Reduced blood circulation of the skin
The most common areas of the woman’s body affected by cellulite are the thigh and the buttock, however, cellulite may effect other areas as well:
A Universal Cellulite Grading System was developed in 1972, known as the Nurenberger-Muller Grading Scale. There are four grades of cellulite ranging from grade 0-3:
How severe is your Cellulite?
Grade 0: “No cellulite”. There is no visible cellulite while standing. With pinching the skin, there is no appearance of cellulite. This grade of cellulite is rare and very desirable.
Grade 1: “Tight cellulite”. There is no cellulite when standing, however, when one pinches the skin of the thigh/buttock or when the thigh/buttock muscles are contracted, one will see the appearance of orange peel or mattress appearance of the skin. The pinch test should be painless and the skin-fold small.
Grade 2: “Loose cellulite”. There is visible cellulite while standing, but it is not visible when lying. The cellulite is visible when the subject contracts the buttocks or when the skin is pinched. The skin is generally loose and has a painless skin pinch.
Grade 3: There is visible cellulite while standing and in the supine position. Some refer to this as “painful cellulite”, any type of cellulite, which is characterized by significant tenderness during the pinch test.