Cellulite: The medical treatment with mesotherapy

Cellulite is the common name for the degenerative changes in the upper fat layer, resulting in an irregular pattern of the surface, mainly on the thighs. These changes are the result of a dysfunction of 4 key structures. The skin loosens. The fat cell metabolism is deregulated and the fat layer grows in volume. The venous, arterial and lymphatic vasculature slows down. And finally the meshwork of conjunctive tissue that connects the skin to the superficial fascia, becomes tight and fibrotic. All of these changes are subjected to genetic, hormonal and hygienic factors that can enhance the expression of the degeneration. In order to remediate directly on the superficial fat layer, active ingredients are injected just below the basal membrane and even several millimetres below the dermis, where they can act with full force on the above described structures. An adapted or even personalised mixture of active ingredients can be used according to the type of cellulite. The technique of mesotherapy tries to present the advantage of a „local treatment“ and at the same time to avoid the disadvantages of a systemic treatment. After more than several decades of success the technique has become a standard treatment mode in cellulite. Nevertheless new ingredients and new pneumatic-electronic injection modes are still adding to the efficacy. Combination treatments with local creams and systemic drugs are still possible and in some cases even advisable.