Cellulite: What is allowed …

What is cellulite? Cellulite is an “infiltration of the subcutaneous tissue with fat cells present in excess,” says Professor Guillot. “It causes a thickening of the lining under the skin with a rather characteristic type ‘orange peel’. It is therefore both an excess and an abnormal distribution of fat tissue. ”

You said adipocyte lipolysis? This practice has many other names, which often vary according to those who market: lipodissolution, Morpholiposculpture, lipoclasie … all these techniques were designed to refine the silhouette by destroying cellulite or localized fat. They resorted to methods for this so-called “invasive” – ​​that is to say requiring incision – using a transcutaneous laser or injection of chemical agents. Other techniques known as non-invasive, ultrasound, laser, infrared or radio frequency radiation were also proposed.

The techniques now off-the-law are particularly numerous. In detail, include for example – and without being exhaustive – injections of chemical agents, hypo-osmolar solutions, lipolytic products, mixtures mésothérapeutiques. Not to mention the Carboxytherapy, the ultrasound, lasers (including laser transcutaneous without aspiration), infrared, radio frequency …

Why lipolysis is dangerous? In recent years, the Ministry of Health has identified many serious complications: 23 cases related to acts of lipolysis by injection of hypo-osmolar solutions and more than thirty cases of complications due to acts of lipolysis by mesotherapy. These notifications “can consider that there are many other cases in an area where complications arising from acts for aesthetic purposes are rarely taken up by complaints from patients themselves,” the ministry said.

That’s not all. The Health Authority also found apparent breaches of security regarding interventions. “The problem with these techniques lipolysis, especially invasive procedures for which recognized a serious danger to patients is that they were not necessarily performed in Envrionment surgery,” said Professor Bernard Guillot. “So we were faced with non-negligible risk of infection.”

The second reason for the ban made by the Government is due to complications in themselves. “They were the cause of accidents more or less severe necrosis, edema and other nodules.” So many complications closely related to the fact that these interventions were not performed in a technical environment appropriate.

A decree “more comprehensive framework that will better acts for aesthetic purposes is also being prepared.” It will state what should be in surgery or cosmetic surgery, but also the conditions for the exercise thereof, and qualifications required to exercise it.

Meanwhile, the options available to patients and patients wishing to get rid of excess cellulite are not numerous. There are of course liposuctions. Also known as liposuction, the surgical procedure involves aspiration of subcutaneous fat. With what results and what risks? No response to date. As we said Bernard Guillot, ‘HAS’ s “has been consulted on adipocyte lysis without aspiration (non-surgical). So we do not work on liposuction. ”

He concedes, however, that with this technique of liposuction, “While we see the results” before / after ‘showing a profit … knowing that aesthetic aesthetic benefit is always difficult to assess. ” Unlike lipolysis, liposuction is therefore the operating room. As for the destroyed fat, they are removed and not left in place, as with the techniques now off-the-law. “We were indeed many doubts about the future of these dead cells in the skin,” says Pr.Guillot. He added: “This does not mean that the techniques of liposuction are devoid of any risk of complications ….”

The other options open to patients, based on “means that are very soft creams and other so-called slimming massages, where the risks are indeed limited. But also no scientific proof of effectiveness, “said he.

The new techniques ‘surf’ on the decree. Until the new text to regulate these practices, many companies rush into the gaps left open by the decree of April 12. Thus the new mode of communication is no longer on the disappearance of fat but the fat volume reduction. Like shock waves … the examples are not lacking! These techniques are certainly legal, but their effectiveness and scientific basis yet to be proven. Bernard Guillot admits a bit fatalistic, “we will never stop this kind of inflation. The problem is that we are in an essentially commercial market and not at all a health approach. “That is, if you wonder about a possible excess of cellulite, start first by talking to your doctor.

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