Presence of adiposity in the culotte de cheval (cellulitis)

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Anticellulitic treatment of reduction in the culotte de cheval (saddle bags)

The treatment of the adiposities is one of the most usual requests in any beauty centre. If you want to give it a solution, you must first identify the nature of adipose tissue. If it corresponds to an excess of generalized fat, we will probably find ourselves in front of a case of obesity that will have to be corrected through a hypocalorific diet. If it corresponds to an excess of localized fat, we will probably find ourselves in front of a lipodistrophia (cellulitis) that will have to be treated through a more complex treatment based on the application of electrotherapy and lipolitic substances. For this reason you must differentiate cellulitis from obesity: While in obese people the greases are mobilized with relative ease through a hypocalorific diet, in the lipodistrophy the mobilization is very difficult. This indicates to us that in cellulitis overweight doesn’t necessarily exist.

In order to treat cellulitis with the maximum guarantees of success, we must have a series of information that allow us to appoach the problem correctly. These indications are extendable for all the parts of the body where the lipodistrophy is located (saddle bags, abdomen, waist, buttocks, arms, etc), for which it is sent throughout those treatments to read all the information brought up in this section. Therefore, it is necessary to undertstand its nature before undertaking its treatment independently of the area where it is manifested.

The cellulitis is an alteration of the conjunctive tissue where two fundamental phenomena concur: hiperviscosity of the fundamental substance and hypertrophy of the adipose cells, for a sclerosis to finally be produced.

These phenomena lead to an accumulation of water and toxins in the subcutaneous tissue caused by a slowing down of the circulation, alteration of the cellular exchanges, as well as degeneration of fibres. The aesthetic treatments of cellulitis will be directed to improve the blood and lymphatic circulation, as well as the mobilization of adipose accumulations.

The cellulitis has a multifactorial origin. It can be considered a reactional state of the conjunctive and adipose tissues with various interrelated factors: endocrines, neurovegetatives, genetic, toxical-infectious, psychological, mechanical, etc. It is, therefore, an alteration that needs medical treatment, even orthopoedical, for which the first step will be to send to medical consultation.

Cellulitis is not always associated to excess of weight, for which restrictive diets will not improve it if it is not combined with other treatments. The more instaured is the cellulitis the more difficult it will be the aesthetic treatment. The extreme treatment to apply in case of not obtaining result with electroaesthetic techniqes will be medical-surgical.

The phases of development of the cellulitis happen in a progressive form until establishing itself as a very marked pathology. In the cellulitis phenomena of hyperviscosity of the fundamental substance are produced of the fundamental substance by hyperpolymerization of the mucopolysaccharides, at the same time as hypertrophy of the adipocites are produced. A reduction of the metallic exchanges that leads to a fibrinoid transformation of the fibres (are hardened), a slowing down of the circulation, (stasis and frequently edema), and overcharge of adipocites.

All these processes are usually given in stages, in a way that we can say that cellulitis develops in four stages: In stage 1, there are few clinical signs, but an increase of the consistency of the skin and greater congestion of the zone (circulatory, veinous and lymphatic stasis). In stage 2, the skin is more hardened, more rigid, with greater pastosity due to the edema in the adipose tissue, which is seen by means of the sign of “the skin in orange peel”. In the stage 3, micronodules are produced (the fibres are dissociated and forming swollen bundles by degeneration of the collagen), due to the process of fibrosis (process of formation of fibrous connective tissue. It can also begin to hurt the cellulitic zone. In the stage 4, large nodules (macronodules) of hard and rigid consistency. In this phase there is permanent pain (even without touching the skin), since the fibrosis compresses vessels and nerves.

In order to optimize the treatment with AUTOMATIC VITALTERM, the beauty professional must identify what phase of development the client is in.

The types of cellulitis are also an interesting option of diagnostic and preparation of the treatment to perform. There are different forms of cellulitis, in such a way that it can be classified by its localization, whether generalized or localized, or for its consistency:

According to the localization, the cellulitis can be generalized or localized. Generalized cellulitis appears almost exclusively in obese people and from puberty. In young people, the skin doesn’t present padded appearance any longer, although it lacks elasticity and is less irrigated. In these cases, the treatments can be more effective if they are also accompanied by a good hygiene of life. The localized cellulitis, on the other hand, is the best known form of cellulitis and it is that which is localized in the lower limbs: thighs, hips and buttock region. This type of cellulitis is that which has given rise to the denomination “pantalón de montar” and even knee and ankles. It is usually accompanied by hyperlordosis. It can also be localized in cervicals (due to a postural problem), arms, abdomen or lumbosacral region.

According to its consistency, the cellulitis can be hard, soft or edematose. The hard cellulitis affects young women that do frequent physical exercise or people of normal or inferior weight, that have the localized process. The skin is compact, difficult to pinch, with pain on pressing, with waves that don’t change with corporal movement. The local temperature is usually colder than the rest. In the soft cellulitis, on the other hand, the skin is easy to pinch, soft and of spongy touch. It is common in obese people or those with sedentary lives, or in peolple that have lost weight rapidly. The edematose cellulitis, is found in people of young ages and is characterized by the important edema that is produced in the cellulitic zone, especially when it affects the lower limbs (“very fat legs”). This type is frequently associated to circulatory problems.

The cutaneous needs to perform an appropriate treatment of cellulitis are to correct the etiological (medical) factors, through exercise, orthopoedic correction, diet etc. And favour the blood and lymphatic circulation. Also the proteoglicanos must be depolymerized and the fibrosis reduce, as well as degrading the adipocitary triglycerides.

The signs associated to the cellulitis are, the telangiectasias at the level of the plates of cellulitis. The client will also indicate to us that she observes sensation of heaviness with or without edema, stiffness of the lower limbs, cramps, often cold feet, etc.

The causes of cellulitis are various. Nowadays, it is still assimilable to a clear ethiology, without rather a state related to the conjunctive and adipose tissue, as well as to different interrelated factors. These factors are endocrine, neurovegative, genetic, toxic-infectious, psychological, mechanical, etc.

Endocrine factors are those derived from different hormones over the fundamental substance. It is known as some favour the polymerization such as ACTH and the glucosorticoides, while others are depolymerizing as the somatotropine and progesterone. The hipofisary and ovarian disfunctions, the hipotirodism and the hyperfolliculism are probable factors. The alterations of the oestrogen-progesterone equilibrium favour the polymerization of the fundamental substance and retention of water. These disorders are frequent in puberty, menopause, pregnancy and during ingestion of oral contraceptives. Although in the origin of many cellulitis, endocrine causes are found, it has not been demonstrated clearly and constantly of the hormonal secretions in women predisposed to obesity and to obesity and cellulitis.

Neurovegetative disorders are disorders of a nervous type, emotive or anxious type that could predispose to cellulitis through a neurovegetative distonia, given the influence of the catecoleminas in the lipid metabolism and in the regulation of the capillaries.

Genetic factors would be those that would reveal a genetic predisposition to obesity and cellulitis. However, it is complex and difficult to establish.

Metabolic factors can give rise to lymphatic alterations and to circulatory problems that influence in the unchaining of cellulitis. This is the case of diabetes, obesity, hepatic disorders, etc.

Eating factors can also influence in the appearance of the lipodistrophy. An excessive consumption of calories causes an excessive accumulation of fat in the adiposites that makes difficult the lymphatic drainage and collaborates in the formation of cellulitis. An excess of carbohydrates, badly spread out in the day, also favours the synthesis of fats.

Toxic factors, amongst them the exogenous and endogenous intoxications, can intervene favouring the accumulation of wastes with a perturbation of the return circulation. In this way we have the hyperuricemias, hypercolesterolemias, hyperglucemias, abuse of alcohol, coffee, tobacco, the tendancy to constipation, bad hygiene of life and of food.

Social factors and those of quality of life are essential to understand the formation of cellulitis. A sedentary life, lack of exercise, the use of very tight clothes and posture problems make return circulation difficult and favour cellulitis.

Medical factors also have an influence. Some medicines favour the polymerization of the fundamental substance, like sleeping pills, tranqulilizers, antiinflamatories and anovulanys.

Psychological factors also have an influence. Cellulitis affects more those people with anxieties, depressives or unstable people. In these cases, it is necessary the recommendation of attention to a specialized consultation.

Mechanical and vascular factors like pregnancy, the tiring positions (prolonged seated position, for example), repeated microtraumatisms, the vascular hypotonia or the veinous insufficiencies are factors that can predispose or that aggravate the cellulitis.

The treatment of cellulitis is performed according to the type that is presented to us and the stage of its development. The treatment is directed to activate the systems of degradation of lipids. For this reason, lipolitic substances will be used penetrated locally through the AUTOMATIC VITALTERM and that can be combined additionally with techniques like the ultrasounds that increases the circulatory drainage and possesses fibrinolitic action. The penetrated active substances will be the L-carnitina, caffeine, lipolitic enzymes, iodine derivates, manuronic acid, extracts of fucus, etc, and the cosmetic forms can be concentrated solutions (ampoules), gel or creams.

The time of application of the AUTOMATIC VITALTERM in this first phase of the treatment is of approximately 10 minutes in each treated zone. Then the active plate will be applied in treatment zone tied with some supporting straps for 10 more minutes. The total treatment time for each treated surface is of approximately 20 minutes, being able to widen in chronic cases. Next, AUTOMATIC VITALTERM will be used in its format of active plates in the treatment of lymphatic drainage (see lymphatic drainage treatment), in order to mobilize and eliminate the metabolic residues resulting from the process of lipolisis.

If the cellulitis is edematose, it will be tried to improve the microcirculation, for which venotonic cosmetics and antiedematoses (rusks, horse chestnut, equiseto, arnica, guarana) and draining techniques. Finally it is necessary to reconstruct the altered tissue, for which the restructuring cosmetics are indicated, based on chamomile, altea, quiseto, organic silicon, asian centella, etc. are indicated.

Due to the complexity of the treatment of reduction of localized adiposity, next are described different techniques that can be used as complement to the application of the AUTOMATIC VITALTERM. These techniques can be used before or after the application of the capacitive current. The valoration of the order of the application of the different techniques depends on the criterion of the professional and of its knowledge of the acting of the currents of the appliances. You must take into account that the AUTOMATIC VITALTERM is characterized by the important vasodilation that it generates in the tissues and for the great improvement of the physiological effects of the currents applied later.

Amongst the available techniques, ionization is found (galvanic current), which improves the penetration of cosmetics or the galvanization that collaborates in the improvement of the metabolic exchanges, since it facilitates the mobilization of the ions in a way that improves the general state (elimination of exceeding liquids and waste products, circulatory improvement, etc. ). This technique is improved to the maximum when it is performed together with the currents of electrostimulation. The sum of a continuous and alternate current favour the trophic and muscular effect simultaneously, for which the results are double (IMPGA 3000). Another excitomotor current very indicated in this type of pathologies is the isometric current. This current, besides improving the muscle tone and the liquid exchanges, favours the metabolization of the lipids (IMPSEC 3000).

The appliances of bands of thermolysis (infrared of 2.000 nm wavelength, with greater capacity of penetration) for their lipolitic action (BIOBAND 3000) are also indicated. The ultrasounds are especially indicated in hard and nodulous cellulitis due to their fibrinolitic action to help to mobilize the established fibrosis. They also allow you to modify the coloidal structures that have been formed: it favours the passage of gel to solid that has been inverted in the cellulitis (it solubilizes the intercellular substance). It also favours the metabolic reactions of the tissue and improves the blood and lymphatic circulation.

The hidrothermals exercise a toning effect, of superficial massage and improvement of the general state. Bubble baths and hydromassage will be indicated (that improve the microcirculation), pressure showers (for their massage effect), sauna (sudorific and disintoxicating effect), Hot and cold straps (reducers), mud therapy and the thermoactive cosmetics. The muds and algae will be able to be applied in the form of cataplasm, combined technical oclusives or infrared radiations, in order to favour the penetration of active substances. The muds or algae possess vasotonic and regenerating action.

So that the anticellulitic treatment with AUTOMATIC VITALTERM is as effective as possible, it is convenient to previously perform to the application of any appliance a corporal peeling, that allows you to eliminate the corneal layer and improve the electrical conductability and next, a relaxing massage with which the active lipolitic principles will be penetrated internally afterwards by the AUTOMATIC VITALTERM. The massage will have to be performed with gentle movements like strokes, slidings, pressures or vibrations. All these movements stimulate the blood and lymphatic circulation.

Lymphatic drainage constitutes one of the better anticellulitic techniques, since it helps to eliminate waste substances and exceding liquids, improves flexibility and circulation especially in zones affected by edemas. You can perform draining massages with essential oils: ivy, equiseto, wrack, ulmaria, salvia, rhosemary, cypress, juniper, etc. These oils can also be penetrated during their application of the treatment of Lymphatic drainage by means of AUTOMATIC VITALTERM applying them under the active plate (blue) situated in the sole of the feet. The deep massage is contraindicated, since the cellulitis is usually painful. For this reason, it is better to substitute it for a lymphatic drainage.

To combine the AUTOMATIC VITALTERM with the techniques of electrotherapy is simple. It must be taken into account that any treatment performed after the application of the AUTOMATIC VITALTERM is improved enormously due to the powerful vasodilator effect. For this reason, the application of currents is advised to later perform the application of the AUTOMATIC VITALTERM. If more than one technique is used, we will dedicate 15 or 20 minutes to each one. For example, excitomotor currents 20 minutes, presotherapy 15 minutes, massage 20-30 minutes.

The incorporation of the patches of sustained liberation to the cosmetic supposes a new advance in the treatment together with the AUTOMATIC VITALTERM. These patches have been developped reducing and anticellulitic action, that can even be applied in the form of spray. On applying it, the solution is solidified until forming a fine film, in a way that it acts as a patch slowly liberating the active substances (extracts of tea, ivy, chamomile, etc.). If you want the better metabolization of the active substances that contain these patches, it is recommendable to previously apply the AUTOMATIC VITALTERM.

ANTICELLULITIC Treatment

	The anticellulitic treatment is produced through a massage.
	Manipulations of digitopuncture that contribute to the drainage and dissolving of fats.
	Conducting gel is applied with the help of a tweezer. The passive plate is placed in the abductor muscle. (interior part of the leg).
	The application with the AUTOMATIC VITALTERM System is begun
	The fixing straps are put on the contour of the leg
	The professional must make sure that the contact between the plate and the skin is total. The straps must hold correctly and uniformly, but without altering the circulation at any time.
	While the treatment with active plate is developped in the right leg, the process is begun in the left leg. The client is begged to turn to the other side and is proceded to the penetration of the lipolitic product in the culotte de cheval of the right leg.
	Conducting gel is applied and the treatment with Capacitive Diathermia is performed
	After the 10 minutes of treatment of round plate, the active plate is applied.