Department of Dermatology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Cosmetic Laser Dermatology, San Diego, California.
Dermatol Surg. 2019 Sep;45(9):1171-1184. doi: 10.1097/DSS.0000000000001776.
More than 90% of women have reported concerns of cellulite on their skin. Both commercially advertised creams and topical pharmacological agents have shown limited improvement. Thus far, there has been a paucity of thorough review articles on how to address and treat this condition.
To investigate how the etiology and pathogenesis of cellulite can help guide treatment combinations and provide a more algorithmic approach to comprehensively address a condition that affects so many women.
A review of the literature surrounding treatment options for cellulite and the authors' experience in this area are provided.
This review summarizes available treatment options for cellulite, including topical agents, controlled subcision, energy-based devices, dermal fillers, and new injectable medications. Furthermore, the various ways that these treatments can be combined in an algorithmic and sequential approach based on the degree of volume loss, skin laxity, and excess adiposity associated with cellulite are addressed. These combination therapies for cellulite are supported both in the published literature and the authors' experience to help clinicians tailor a comprehensive treatment plan for the multiple factors that contribute to cellulite. Further clinical trials are needed to compare various devices and techniques for cellulite as well as combination treatments.
超过 90%的女性表示对其皮肤的橘皮组织存在担忧。商业宣传的乳膏和局部药理制剂仅显示出有限的改善。迄今为止，关于如何解决和治疗这种情况的全面审查文章很少。
探讨橘皮组织的病因和发病机制如何帮助指导治疗组合，并为全面解决影响如此多女性的这种情况提供更具算法性的方法。
对橘皮组织治疗选择的文献进行回顾，并提供作者在这一领域的经验。
本综述总结了橘皮组织的现有治疗选择，包括局部制剂、可控微切割、能量设备、真皮填充剂和新的注射药物。此外，还根据与橘皮组织相关的体积损失、皮肤松弛和多余脂肪程度，以算法和序贯的方式探讨了这些治疗方法的各种组合方式。这些橘皮组织的联合治疗方法既得到了已发表文献的支持，也得到了作者经验的支持，以帮助临床医生针对导致橘皮组织的多种因素制定综合治疗计划。需要进一步的临床试验来比较治疗橘皮组织的各种设备和技术以及联合治疗。
