Tag Archives: fat

Cellulite. Ew.

20 Apr

“That’s some good fat.” My least favorite plastic surgery quote.

I took some time off from working out and eating healthy (called being in a relationship and my busy season with work). I’m back to the gym and avoiding carbs (aka I’m single). If only there was a laser that could help… oh wait… we just got one called Velashape. Not only is it a great way to tone an area you just can seem to get, but it also works great for cellulite!!!!! Ew. Cellulite. Although I have never had the wonderful experience of being pregnant, this machine is supposed to be great for that post-pregnancy weight/skin you just can’t loose/tighten. (Just FYI, I’m having a celebrity birth, no husband present, just me, my plastic surgeon and a few staff, and a nice big liposuction canister. And some Botox. And that epidural pumpin’! Then I’ll tell everyone that I lost the weight naturally like Mariah Carey did- liaaaaaar- just saying.)

What is Cellulite?

Fat deposits that push and distort the connective tissues beneath skin, creating a lumpy appearance of the tissue of the thighs, hips, and buttocks.

The extent to which it is visible is influenced by:

  • Genetics
  • Skin thickness (darker skin is thicker than lighter skin)
  • Gender (affects women more than men—like EVERY sign of aging!)
  • Amount and distribution of body fat
  • Age


Treatments

Most people dislike the appearance of cellulite and prefer to have skin as smooth as they possibly can (and by most I mean all).

  1. Methylxanthines: Methylxanthines are a group of chemicals that include aminophylline, caffeine, and theophyilline. These chemicals are present in many cellulite creams and are promoted as treatments for cellulite because of their known ability to break down fat stores. However, skin creams cannot deliver the required concentration of these chemicals for the length of time required for significant fat breakdown. While studies have shown a small reduction in thigh measurements with some of these preparations, they do not promote significant loss of cellulite.
  2. Diet
    1. Dietary supplements: Dietary supplements are not monitored by the FDA and cannot be deemed safe or effective. There are no valid clinical studies to support the use of these dietary supplements for the treatment of cellulite. They can be unsafe for people with certain conditions (like thyroid problems), so please be careful. Actually, since they don’t work… just avoid them altogether.
    2. Cellulite diets: Special “cellulite diets” have been proposed that claim to be effective in treating cellulite. Arguments for these diets claim that the combination of foods in the diet can reduce inflammation and improve circulation in affected areas and diminish cellulite. However, no studies published in the medical literature have supported these claims. Experts note that eating a healthy diet can decrease fluid retention and improve the overall health and appearance of skin, but specific diets designed to target cellulite are unnecessary.
  3. Massage treatments: Machines that massage the tissue can temporary decrease the appearance of cellulite, but the technique appears to redistribute fat rather than permanently alter its configuration under the skin. Regular maintenance treatments are required after the initial effect has been achieved or the appearance of cellulite will return.
  4. Laser or light therapy: Devices that combine suction or massage with light therapy for the temporary reduction of the appearance of cellulite. Treatments require multiple treatment sessions and maintenance treatments to keep up the improved appearance.
  5. Mesotherapy: A controversial treatment for cellulite that involves injecting drugs or other substances directly into affected tissue.
  6. Wraps: Many salons offer herbal or other types of body wraps as treatments for cellulite. While wraps may decrease fluid retention and improve the overall appearance of skin, these effects are temporary. It is also not possible to “detoxify” the body by the use of herbal or other wraps.

Velashape

Velashape gradually smoothes the skin’s surface with a noticeable reduction in cellulite as well as a noticeable reduction in circumferential measurements of the treated area.


This machine combines Radiofrequency (RF) and Infrared Light Energy to heat the tissue to a precise temperature which results in the increased metabolism of stored energy, increases lymphatic drainage, and reduces or shrinks the size of the actual fat cells and fat chambers. Vacuum and specially designed rollers for the Mechanical Massage smooth out the skin to facilitate safe and efficient heat energy delivery. There is no downtime!

Is VelaShape right for you?

This system works best for patients who have a BMI of less than 30 and who fall in the Nurnberger-Muller Cellulite Classification of Stage 1 or Stage 2. Yes, there is actually a classification scale for cellulite.


My Experience with VelaShape

Like I said, I am getting back in shape. When I posted that I was starting the treatments, my friend D Facebook messaged me.

“I did 6 treatments of Velashape before going on the back of my legs and butt. It was amazing! U will love it.” (That was verbatim).

Although I vowed to follow the six treatments strictly, my schedule is way too busy right now with the new spa! I was able to get one treatment in with Larisa (she’s been doing a LOT of Vela treatments), and I liked how I looked after. Although, I don’t really have much cellulite to begin with (thanks to my good genes!)…

I feel like this would probably be the biggest issue to getting the best results… finding the time to go once a week for six weeks! Now is a good time to start with summer right around the corner!

Honestly, as I’m writing this blog and looking at patient’s before and after pictures… I’m inspired to find the time to do it over the next six weeks (along with diet and exercise!). It looks amazing on some people!

What to Expect:

During Treatment: It feels weird. The vacuum part sucks up your fat and it gets pretty hot.

Duration of Treatment: Expect about an hour depending how many areas you are treating.

After Treatment: Redness and swelling is normal and usually lasts less than 4 hours. Bruising is common.

Number of Treatments: expect 6-8 treatments at 1 week intervals. Monthly maintenance treatments are recommended for the first 3 months and then as needed.

Cost: about $250-$350 for the size of a sheet of paper

Is it Worth it?

Like with any of these non-invasive treatments, results can’t be guaranteed. “Nothing Replaces Traditional Liposuction”- another great plastic surgery quote. If you have a few extra pounds that you just can’t shed, like from post-pregnancy weight gain, then Velashape is a really good option.

Try it, what do you have to lose? (Get it! Lose weight! I’m funny!)

**VelaShape is not a permanent cure for cellulite or body reshaping. It is a temporary measure and all clients will require maintenance therapy to maintain the cosmetic benefit. Exercise and a balanced diet is important to maintain and augment the effects of VelaShape.




Structural Changes in the Aging Face

3 Jan

Wrinkles and sun spots aren’t the only things we can expect to happen to our face as we age. There are many structural changes going on below the skins surface that contribute to an aging face that most people would never have noticed when they look in the mirror.

The young face on the left is round, contoured at the cheeks, and has a sharp jaw line (oh and hair and no wrinkles). The face on the right appears narrower, sunken, and droopy.

So besides the integrity of your skin, what else has changed?

Below the Skin

Bone Structure

Let’s start at the ground level. Your bones.

Your bones are always being built up and broken down. The rate at which the bone is broken down slowly starts to exceed the rate at which the bone is being built up as you age.

Bone changes cause:

  • a reduction in facial height
  • Increase in facial width and depth
  • The fat pad under the eye to bulge
  • A change in the shape and projection of the chin

Teeth

Injury and periodontal diseases result in loss of teeth, and it’s not like when you were young and the tooth fairy came and left you a dollar and a new tooth grew in (I hear with inflation it’s like $5 now!).

Loosing teeth affects the jaw bone and the muscles which attach to the jaw bone, which can result in make the face look narrower, hollow, and concave on profile.

Taking care of your teeth is super important, and not just for that pretty smile!

Fat Compartments

Collapsing fat compartments in the cheeks and temples reduce support to the overlying skin (side note: don’t worry! These fat cells go to other places… like your hips! j/k).

Splitting the face into thirds


Upper Third

Most people miss this when they look into the mirror at their aging face, but loss of fat in the temples results in the phenomenon I like to call “peanut head, ” which is also noticeable on super athletic people.

The presence of peanut head reflects a lack of support of the outer brow, which, along with loss of subcutaneous fat in the upper lid, causes the appearance of a droopy upper brow.

Blephroplasty anyone?  (Observing Surgery: Blepharoplasty.)

Middle Third

Eye sockets become wider and longer, resulting in a bulge of the cushiony fat pad that lies underneath the eye.

The cheeks start to flatten out, and the fat from the cheek descends to create a deep nasolabial fold.

The tear trough (area where eye skin and cheek skin meet) becomes noticeable. The middle third no longer has that fluid contour. This loss of fullness and form change causes shadowing in the trough, making a person appear to have dark circles, resulting in a tired appearance (just one of the things that causes dark circles).

Angles of the nose change, giving the appearance of increased length and the tip of the nose begins to droop.

Decrease of collagen and increase in tooth display at rest cause the upper lip to lengthen. Fun Fact: the upper lip can stretch by almost 4mm as you age.

(Stolen from another site…shhhh…) Image A shows a youthful face. Look at the contouring from the eye to the cheek. As you age, it can be convex like image B, which shows the fat pad bulging, or it can be concave like image C, making the eyes look hollow. Both B and C show a flat cheek when compared to Image A.

Lower Third

With all this stuff happening in the upper portions of the face, skin sags and starts to hang in the lower third. Adding insult to injury, the angle of the jaw changes, the jaw line, becomes less defined, and the chin shortens. Excess skin droops from the jaw line from gravity and loss of elasticity. Loss of ligament support in the jaw leads to the formation of jowls.

Even with droopy skin, the lower portion of the face starts to look smaller than the upper and middle third.

advancedskinwisdom.com a

(This image was also stolen).

What are your options?

Don’t worry. There are things you can do for volume loss! They do NOT include Oil of Olay, although the new commercial on tv claims it can (they lie).

Injections

For advanced volume loss, Sculptra is really the best injectable product. This product is a biostimulator; it works by stimulating your body’s own natural collagen. Results are the most natural of all the fillers, and the product lasts 2 years. I plan on writing a lot more about Sculptra, so stay tuned!

If you aren’t mentally or financially ready to jump into Sculptra, Radiesse is a wonderful thick, volumizing filler. It is usually my product of choice for cheek augmentation, naso-labial folds, and marionette lines.

For tear troughs, I LOVE Belotero (which is made by the same company as Radiesse). Filling this area literally takes ten years off your face, but remember, it is a very advanced procedure. Stick to a friend’s referral as to who to go to; I have seen a lot of over treated troughs!

For more help with fillers, check out What Goes Where?.

Surgical

Another option is fat transfer. I have assisted in several fat transfers; it is a very interesting procedure. If you are planning on liposuction, I highly suggest inquiring about fat transfer as well.

For sagging skin around the neck and jaw line, surgery is the only real option to date.

XOXO, old LK

(I found the ‘Age My Face’ Ap… yes… there’s an ap for that!)

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