Aesthet Surg J. 2021 May 18;41(6):NP521-NP537. doi: 10.1093/asj/sjaa226.
Cellulite is characterized by dimpled contour alterations of the skin and is present in approximately 85% to 90% of postpubertal females. Although the pathophysiology of cellulite remains to be fully elucidated, experimental evidence indicates a multifactorial process involving the number and types of fibrous septae, microvascular dysfunction, subcutaneous inflammation, decreased dermal thickness with age, and fat deposition. Cellulite is a major cosmetic concern for many women, and a number of both noninvasive (eg, massage, cosmeceuticals, laser therapy) and minimally invasive techniques (eg, subcision, collagenase injection) have been evaluated to improve the appearance of the affected skin. However, evidence for many of these treatments is limited, largely due to the lack of a validated, convenient tool for the standardized evaluation of cellulite severity. Various imaging modalities have been employed to characterize cellulite severity and the impact of treatment, but only 2-dimensional and 3-dimensional digital photography have been adequately validated. However, in many cases, imaging findings do not correlate with subjective measures of cellulite severity. A number of cellulite rating scales have been developed; some provide only a qualitative measure, whereas others do not fully capture all clinically relevant aspects of cellulite, including the perspective of the patient. There remains an unmet need for global adoption of a validated scale that can be utilized easily by clinicians and patients in clinical and research settings. We propose features that should be included in an ideal rating scale for assessment of cellulite severity.
脂肪团的特征为皮肤出现凹陷性轮廓改变，约 85%至 90%的青春期后女性存在脂肪团。尽管脂肪团的病理生理学尚未完全阐明，但实验证据表明，这是一个涉及纤维隔数量和类型、微血管功能障碍、皮下炎症、随年龄增长真皮厚度降低和脂肪沉积的多因素过程。脂肪团是许多女性关注的主要美容问题，已经评估了许多非侵入性（例如按摩、化妆品、激光治疗）和微创技术（例如皮下分离术、胶原酶注射）来改善受影响皮肤的外观。然而，由于缺乏经过验证的、方便的工具来标准化评估脂肪团严重程度，许多这些治疗方法的证据有限。已经采用了各种成像方式来描述脂肪团严重程度和治疗效果，但只有二维和三维数字摄影得到了充分验证。然而，在许多情况下，成像结果与脂肪团严重程度的主观测量不相关。已经开发了许多脂肪团评级量表；有些仅提供定性测量，而其他量表则不能完全捕捉到脂肪团的所有临床相关方面，包括患者的观点。在临床和研究环境中，临床医生和患者易于使用的经过验证的量表的全球采用仍然存在未满足的需求。我们提出了评估脂肪团严重程度的理想评级量表应包含的特征。
