It is perhaps the most common skin blemish among women all over the world: it affects 7 out of 10. It presents with the characteristic "orange peel" skin or real "holes" on the thighs, hips, buttocks. Guess what we're talking about? Just her, the much hated cellulite. Sometimes the disorder appears or worsens in pregnancy, but something can be done even during the 9 months. The doctor speaks to her Eliana Lanza, specialist in aesthetic medicine.
Dr.ssa Eliana Lanza
Doctor Lanza, let's give a definition of cellulite ...
“What we commonly call cellulite is a 'disease' which is called PEFS, Edematous-Fibro-Sclerotic Panniculopathies. PEFS is the acronym of the various stages of cellulite that characterize it. The first aesthetic drawback of the civilization of well-being is cellulite: a pathology of the integumentary system that has been so much talked about and discussed in the field of aesthetic medicine. The cellulite problem is complex in all respects. It is a degeneration of the tissue that manifests itself with a hypertrophy of the adipose cells and with edematous stasis, in the intercellular spaces, which cause the rupture of the cytoplasmic membrane ".
What are the triggers?
“At the origin of cellulite there is a set of causes such as: family predisposition linked to genetic factors; constitutional, hormonal (estradiol) and vascular factors. All these factors are aggravated by a sedentary lifestyle; stress; liver disease; intestinal disorders; bad nutrition ".
Is there a greater predisposition during gestation?
"In pregnancy both the triggering causes and the aggravating factors increase, so it is more likely that cellulite can arise or worsen".
Can cellulite be prevented? If so, with what precautions?
“Cellulite can be fought with many therapies and methods, but also appropriately prevented, by intervening on some of the responsible causes. For example, improper eating habits such as diets high in fat and calories, excess salt and a lack of fresh fruit and vegetables. Eating irregular meals and carrying out drastic diets on an occasional basis (yo-yo effect) contributes to weight changes and the formation of cellulite. Therefore, to prevent cellulite it is good to do the opposite of what has been listed so far. Other causes of cellulite include poor blood circulation, not very effective lymphatic drainage and water retention, as well as excess fat deposits and poor skin elasticity. To prevent cellulite as a function of these causes, it is advisable to do a lot of movement, to support massage sessions (lymphatic drainage) and to resort to specific beauty treatments, such as bandages, mud baths and so on ".
And if it is already too late, how can we run for cover?
“We will give you some simple advice, practicable by everyone, well in advance of the much feared costume fitting. First of all, there is nothing better, to activate the circulation, than a nice walk. Three kilometers a day, for about half an hour, allow our body to dispose of water retention and at the same time eliminate accumulated toxins. It is good to carry out this practice in green and well-oxygenated areas, as well as relaxing. Remember that stress greatly affects the formation of cellulite. Even the sea can be an excellent context in which to walk, due to the presence of iodine, which promotes good circulation. From a food point of view, it is good to consume an apple for breakfast or, alternatively, a little pineapple, preferably accompanied by a cup of water with a teaspoon of ventilated clay or lemon juice. Sports activity also plays a very important role in the prevention and treatment of cellulite; sign up for a hydrobike or water aerobics course, disciplines that contemplate movement in water, or do cardio-vascular activities to increase cellular metabolism and oxygenate the tissues. If, on the other hand, you don't really want to socialize, just use cold water when you wash your legs or sign up for a yoga class ”.
What are the most effective treatments?
“There are various therapies to combat cellulite, all designed to improve tissue oxygenation, microcirculation and lymphatic stasis, and increase cellular metabolism. Mesotherapy (district intradermal therapy): it is a medical practice that consists in the district and / or regional intradermal inoculation of small quantities of substances, be they classic drugs or phytotherapeutic or homeopathic products. Mesotherapy, often used in aesthetic medicine, is a technique conceived in the second half of the twentieth century by a French doctor, Michel Pistor, who thought of using certain drugs through intradermal injections both to limit their side effects and to increase them. direct distribution in the area where the pathological process is present. According to its creator, the cornerstones of the mesotherapy technique are three: little, rarely and in the right place. Therefore, mesotherapy against cellulite aims to introduce drugs that will fight the causes of cellulite, improving its stages. Ultrasound: increase the permeability of the cell wall by improving metabolic processes and promoting the absorption of drugs in the skin. Electroliposis: acts on the liquids that separate the adipocytes thanks to current flows; Iontophoresis: electric current that causes a chemical product in aqueous solution to penetrate inside the tissues; Carboxytherapy: introducing co2 it acts on the microcirculation and on the tissue, improving oxygenation and intra and extracellular exchange; Shockwave: this very innovative treatment allows us to work on the ugly "cellulite hole" by breaking the fibrous shoots that created them. Together with the lifestyle and the correct treatments to be carried out with your trusted doctor, it is right to provide our body with those substances that "from the inside" will help us in this long battle against cellulite. Concluding the picture: L. CARNETINA the only drug, which acts as a vector, through which fatty acids can cross the mitochondrial membrane. It is with mesotherapy (injection technique of micro wheals that is practiced on the legs by means of a syringe with a 27 G needle) combined with other drugs such as THEOPHYLIN; Antioxidant food SUPPLEMENTS (VIT. C, VIT. A, VIT. E); GLUTATHIONE, LIPOIC ACID, SELENIUM administered orally. In addition, the patient can continue to treat cellulite at home with centella, escin and rutin-based creams ".
What can be done during pregnancy to combat cellulite?
“Many of the things described here cannot be done during pregnancy, but you will have to wait until your puppy is born, but we must not neglect our physique for this. Take long walks, sign up for a course in the swimming pool for pregnant women or be followed in the gym by a personal trainer who will be able to advise you on the most appropriate physical activity for your condition. Pregnancy is not a disease but a splendid period in the life of every woman that must be faced with the right attention to detail. Also, take care of your diet, do not eat "for two" and prefer animal and vegetable proteins, especially in the evening, to carbohydrates. Drink a lot and hydrate yourself by consuming fruit and vegetables. The hated cellulite is a problem that affects seven out of ten women. One thing is certain is that it does not appear in a day and does not eliminate or reduce in a month, but fortunately, today, we have many means to counter it ”.
Who would like your advice where can you find it?
"I work at the Estederm Polyclinic (Via Monfalcone 28 / A, Catania), the Ambromia Polyclinic (Via Francica Nava 54, Syracuse), the Works Polyclinic (Via Galileo Galilei 43, Porto San Giorgio, Fermo), the Q-bo Wellness Polyclinic medical center (Contrada Piane di Monteverde, Montegiorgio, Fermo) ".