An Ode to Cellulite: Can a Cure Be in the Offing
Cellulite: Your dimpled past
Has left onlookers quite aghast
When you show your puckered face
The bearer feels herself disgraced.
Away you beggar, you sloth of vision
I will erase your every impression
Whether by sleuth or slight of hand
Your fate is sealed to my command!
Were that I could will cellulite away, I would be rich, I would be famous, I could be King. Alas, it is not yet to be, but not for lack of trying. I had a technique in 1995. It never failed ... except that 3 months later the problem returned. Cutting the fascial fibers that cause cellulite always resolves the problem, a problem I might add that is almost unique to women. It appears that the anchoring fibers from the muscle to skin run more perpendicular in women and more horizontal in men (no aspersions to men behaving in a more predictable straight line and women up and down). Also men have little subcutaneous fat and get beer bellies instead. Women store fat beneath their skin, ostensibly as a competitive advantage to child bearing (as in most things female I am willing to concede this advantage and wish no part of it).
So I have a new solution. Dr. Mitchel Goldman at the University of California, San Diego and I have separately treated several cases of cellulite using laser lipolysis (smartlipo at MetropolitanMD) and the results have been excellent. Once again the technique involves cutting the anchoring fibers inserted into the skin. Then I heated the fibers and the overlying skin by warming injected tumescent fluid with laser energy. The heat presumably shrinks the skin, but I do not think that is the mechanism for treating cellulite. I am guessing that if the fibers are altered in some way they will not re-attach to the skin. I have now treated 4 patients, two of whom were thin and two of whom had excess subcutaneous fat. All 4 patients were pleased with their results. The patients are now up to 3 months post surgery and I will closely monitor these results. I am in a quandary whether I would prefer wealth or fame if I solve this problem. Any suggestions will be appreciated.
Edward B. Lack MD
Has left onlookers quite aghast
When you show your puckered face
The bearer feels herself disgraced.
Away you beggar, you sloth of vision
I will erase your every impression
Whether by sleuth or slight of hand
Your fate is sealed to my command!
Were that I could will cellulite away, I would be rich, I would be famous, I could be King. Alas, it is not yet to be, but not for lack of trying. I had a technique in 1995. It never failed ... except that 3 months later the problem returned. Cutting the fascial fibers that cause cellulite always resolves the problem, a problem I might add that is almost unique to women. It appears that the anchoring fibers from the muscle to skin run more perpendicular in women and more horizontal in men (no aspersions to men behaving in a more predictable straight line and women up and down). Also men have little subcutaneous fat and get beer bellies instead. Women store fat beneath their skin, ostensibly as a competitive advantage to child bearing (as in most things female I am willing to concede this advantage and wish no part of it).
So I have a new solution. Dr. Mitchel Goldman at the University of California, San Diego and I have separately treated several cases of cellulite using laser lipolysis (smartlipo at MetropolitanMD) and the results have been excellent. Once again the technique involves cutting the anchoring fibers inserted into the skin. Then I heated the fibers and the overlying skin by warming injected tumescent fluid with laser energy. The heat presumably shrinks the skin, but I do not think that is the mechanism for treating cellulite. I am guessing that if the fibers are altered in some way they will not re-attach to the skin. I have now treated 4 patients, two of whom were thin and two of whom had excess subcutaneous fat. All 4 patients were pleased with their results. The patients are now up to 3 months post surgery and I will closely monitor these results. I am in a quandary whether I would prefer wealth or fame if I solve this problem. Any suggestions will be appreciated.
Edward B. Lack MD
posted by Edward Lack MD at 8:34 PM
3 Comments:
I believe I am one of those patients. And yes, I am very happy with my results! I think you are definitely onto something here! Not only do I appear much leaner, but my cellulite is virtually gone. Thank you Dr. Lack!
Go for the fame.
I'll be interested to hear updates on those patients.
Hello Ed
As you know one of my focus in Aesthetic Medicine are the research of Cellulite. We know today that the increase of number or size of the fat cell and the fibrous, are a complication of this aesthetic pathology call Cellulite. We need make a comprehensive treatment which star in the extracellular matrix, the continue with the microcirculaotry alteration and in the end working over the complications.
Don't make sense working over the retractions or over tha fat if you dont improve the microcirculation, the micro lymphatic systema and the ECM
Best
Gustavo
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