Gynoid Hydro Lipodystrophy: Pathophysiology, Effects of Lifestyle, and Treatment

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Table of Contents

Introduction
Pathophysiology of Gynoid Hydrolipodystropgy
Cellulite Grading
Effects of Lifestyle on Cellulite
Aesthetics Scope of Practice
Conclusion
References

Introduction

Gynoid lipodystrophy (GLD) is a subsurface anatomical, inflammatory, and metabolic condition that introduces changes in skin topology. Skin protuberances and depressions, primarily in the hips, lower limbs, groin area, and abdomen, cause such alterations. GLD, often known as “cellulite,” is a condition that affects up to 90 percent of total adult women. Cellulite may appear after puberty; however, it is more common in women above 30 years. Overweight and slender patients, mostly males, are seldom affected. Although it is not a life-threatening medical illness, GLD has a significant impact on women’s psychological lives. This is because it is inextricably linked to physical attributes, self-esteem, and, as a result, well-being image and social acceptability. Thus, the primary reason for seeking therapy for Gynoid lipodystrophy is its cosmetic aspect. Some of the widely used treatment plans include subcision and fat cavitation.

Pathophysiology of Gynoid Hydrolipodystropgy

The specific cause of cellulite is uncertain, although it seems to be caused by contact between the fibrous tissue in the dermal layer and the layer of fat immediately beneath the skin (Cranendonk, 2019). Topographic changes in cellulite epidermis are induced by fat ejection into a weaker dermis, according to research by Cranendonk. Several investigations utilizing magnetic resonance imaging (MRI) reveal that cellulite grade corresponds with the proportion of hypodermic infoldings into the dermis. However, similar studies do not detect an association between fat protuberances and the clinical approach to cellulite (Bravo et al., 2018). Instead, they argued that fat accumulation causes constant and gradual strain on vertically stacked underlying fibrous septae attached to the bottom of the dermis, altering the dermal–subcutaneous contact and causing indentations and depressions.

Cellulite Grading

Cellulite grading is inclusive of three significant stages, which signify different skin conditions. During stage one (mild), the skin indicates an orange-peel look, with one to four surface depressions eliciting a swathed or drooping aspect (Rao, 2019). Grade two (moderate) includes 5 to 10 medium-depth grooves where the skin indicates a cottage cream look, and it is considerably draped. Finally, during grade three, the skin consists of a mattress look with ten or more significant depressions and is severely draped.

Effects of Lifestyle on Cellulite

Personal nutrition may influence cellulite; thus, it is essential to have a well-balanced, nutritious diet. A nutritious diet may also help the person maintain healthy body weight (Bravo et al., 2018). People should also limit their consumption of processed and elevated sugar meals, which may contribute to the buildup of toxins or fat in their bodies, and raise their consumption of fruits and vegetables (Piotrowska Ph.D. & Czerwińska-Ledwig MSc, 2021). Cellulite might become more visible when you are dehydrated. Water cleanses the body and flushes out impurities that contribute to cellulite. Women should drink more water as they age where. Doctors suggest that they consume at least nine glasses of water every day. Through detoxing the body, women decrease the probability of cellulite by lowering toxins that lead to cellulite. Susceptible women should aim to remove or considerably lower the number of pollutants in their systems via food and lifestyle. This includes refraining from smoking cigarettes and alcohol and substance abuse.

Aesthetics Scope of Practice

Fat Cavitation

Ultrasonic cavitation, commonly known as ultrasonic lipolysis, entails a physique sculpting therapy that removes excess fat under the skin. It is also known as Liponix as well as Ultrashape. This treatment is a less invasive alternative to surgical procedures such as liposuction. The procedure employs ultrasonic, electromagnetic waves to disintegrate fat tissue, which is subsequently absorbed by the patient’s lymphatic system (Assim et al., 2020). Ultrasonic cavitation differs from other related procedures, such as ultrasonic liposuction, in that no incisions are required. This implies that recovery will be more uncomplicated. It also implies that the outcomes may be less visible. Ultrasonic cavitation targets tiny regions of fat and aids in body contouring. Because it is an essential therapy, it is not recommended for women aiming to shed a massive amount of weight. Instead, fat cavitation is a current trend treatment plan preferred for simplicity and efficiency.

Subcision

Subcision is a primary surgical procedure used to treat cellulite, eliciting positive recognition for over 20 years. A study carried out by Soares et al. involving 252 women recorded the patients’ 99% acceptance rate. Many people believe this therapy is the most outstanding technique to scrap cellulite since it addresses the underlying structural source of dimpling, namely the septa (Soares et al.,2022). During this treatment, a tiny blade is used to separate the septa and disperse the fatty tissue more uniformly under the skin’s surface. When the treated skin is released, it returns to its original shape and smooths itself out in short periods, such as three days. Subcision is a current trend plan that has the potential for future integration with other techniques, such as using lasers to increase its effectiveness.

Conclusion

Gynoid lipodystrophy (GLD) is a subsurface anatomical, inflammatory, and metabolic condition that produces changes in skin topology. Skin protuberances and depressions, primarily in the hips, lower limbs, groin area, and abdomen, cause such alterations. Two widely used treatment plans for cellulite include fat cavitation and subcision. Fat cavitation removes excess body fat, while the latter treats scars, wrinkles, and cellulite. Subcision uses a hypodermic needle to break fibrous strands and rapid collagen deposition, aiding the skin to rise and improve the appearance of fine lines and wrinkles.

References

Assim, Y. M., Abd EL-Aziz, K. S., Refaye, G. E., & Youssef, A. T. (2020, January 1). Effect of ultrasound cavitation versus radiofrequency on abdominal fat thickness in postnatal women.

Bravo, B. S. F., Torrado, C. M., & Issa, M. C. A. (2018). Non-ablative Radiofrequency for Cellulite (Gynoid Lipodystrophy) and Laxity. Lasers, Lights and Other Technologies, 375.

Cranendonk, D. (2019). On the pathophysiology and management of cellulitis.

Piotrowska PhD, A., & Czerwińska-Ledwig MSc, O. (2021). Effect of local vibrotherapy in sitting or lying position in two time protocols on the cellulite grade and change of body circumferences in women with cellulite. Web.

Rao, P. (2019). Clinical study on cellulitis. Web.

Sadick, N. (2018). Cellulite: A review with a focus on subcision. Web.

Soares, J. L., Rocha, V. A., Sanudo, A., Miot, H. A., & Bagatin, E. (2022). Prevalence and factors associated with gynoid lipodystrophy in Brazilian adolescent girls: a cross‐sectional study.

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