ASCP Skin Deep

September | October 2019

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ascp now offers advanced modality insurance! ascpskincare.com/ami 37 e Fight Against Cellulite Energy-based modalities may be the best way to reduce "orange peel" skin by Maggie Staszcuk Oh, cellulite. It's a word few women want to hear and a condition no woman wants to see. But what is cellulite, and what can we do for clients who want us to make it disappear? WHAT IT IS Glycolic cellulite is the dimpling, puckering, and irregular skin texture that can occur anywhere on the body, but most commonly aff ects the buttocks, thighs, and hips. While men can experience cellulite, it is women who are affl icted with this "orange peel" appearance. At least 85 percent of women over the age of 21 are aff ected.1 This has to do with the amount of estrogen in the body and the diff erence between men and women's connective tissue and distributions of fat. Cellulite is classifi ed into three grades (the ability to eff ectively treat cellulite is partly based on its grade). Grade 1 is considered mild. The skin has 1–4 superfi cial depressions and a slightly draped or sagging appearance. Grade 2 is moderate, with 5–9 medium- depth depressions in the skin, a "cottage cheese" appearance, and the skin is moderately draped. Grade 3 is severe. There is a "mattress" appearance with 10 or more deep depressions and the skin is severely draped.2 HOW TO TREAT IT Many factors are said to contribute to the development of cellulite, such as long-term infl ammation, thinning of the epidermis, and an increase of estrogen in the body.3 While no one wants cellulite, it is genetic and often uncontrollable. Nonetheless, there are a variety of noninvasive modalities available to treat or curb the appearance of cellulite. These include radio frequency (RF), ultrasound, and infrared light. Each modality comes with its own studies and degree of eff ectiveness, and each practitioner also has their own anecdotal theories to accompany the treatment plan for best results. Some of those theories include increasing water intake, boosting circulation, or applying topical creams with active ingredients like caff eine or retinol. expertadvice ADVANCED MODALITIES According to the American Board of Cosmetic Surgery, there are only four energy-based devices cleared by the FDA for the treatment of cellulite. These include VelaShape (RF and infrared light), Venus Freeze (RF and pulsed electromagnetic fi elds), ThermiSmooth Body (RF), and Zimmer Z Wave (radial pulse therapy).4 Energy-based cellulite treatments are delivered through the skin, so they are considered noninvasive and have little or no downtime. Additionally, results are usually temporary. In order to maintain optimal results, a series of treatments is required followed by repeat visits. An additional advantage of energy-based cellulite reduction is that it may also help achieve mild fat reduction and result in a smoother, more even skin texture. During treatment, the combination of RF, vacuum massage, and other modalities like infrared heat allows for deep heating of the connective tissue and fat cells. As a result, it stimulates new collagen and elastin. This leads to a reduction in skin laxity and overall appearance of skin texture. An average of fi ve treatments are needed, with most people requiring a series of 4–6. Results are gradual. Some clients may see a change in just one treatment, while most people will see results after the fi rst few treatments.

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