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Added social and cultural Aesthetic demands mainly due to the social media and the “selfie” phenomenon has increase the requirement on the superficial contour including the superficial skin. The Cellulite is an orphan condition not well studied and considered as part of the normality and not a disease. It Is rare on males due to the strong skin attachments to the underling fascia. It is more common to find it on the overweighed an obese, however it can also occur on thin patients. The cellulite is a common concern and a frequent consultation. Many invasive and noninvasive treatments have been described with discrete improvement. The current work shows the authors experience using and an invasive approach with ultrasound energy (VASER).
METHODS: From January 2012 to November 2017 consecutive procedures were performed for cellulite treatment. Post-bariatric and patients with major medical conditions were excluded. VASER assisted emulsification using a Saturn probe, Liposuction with autologous fat grafting was performed. Photographic assessment of the preoperative and postoperative follow up was done
RESULTS: Photographic comparison and a non-standard survey was performed in order to evaluate results. Most patients were satisfied with the procedure. Minor complications including swelling, bruising and hematoma were reported. Neither necrosis nor infections were reported. Fat embolism was not reported. Pre-operative, 1, 3, 6 and 12-month postoperative pictures were taken in order to evaluate results.
CONCLUSIONS: The VASER assisted cellulite management is an effective way to reduce the appearance of the cellulite. The lack of complete understand of the condition, of a classification and a comparative trial of the available alternatives limits the current evidence. More research and comparative trials are needed to understand the condition and to enhance the current treatments .
LEVEL OF EVIDENCE: Level IV: Case series report and descriptive study.