The use of a thermographic camera in aiding the diagnosis of cellulite appearance
10.15343/0104-7809.202246279288
Keywords:
Cellulite. Evaluation. Aesthetics.Abstract
Aesthetic cellulite is a disorder characterized by the skin with an “orange peel” appearance and has negatively affected the self-esteem and social life of more than 80% of post-pubertal women. The content in question covers the scarcity of evaluative studies in the area of aesthetics and favors the standardization of a technique for evaluating this dysfunction. The present study aimed to verify the use of thermography as an auxiliary method in the diagnosis of possible circulatory alterations in the gluteal region, as in cases of cellulite appearance, and to investigate the possibility of preventing its worsening. This is an observational study, carried out with eighteen female volunteers aged between 18 and 35 years old, with striae alba in the gluteal region, without drug treatment with photosensitive substances, or using isotretinoin, or still applying any specific topical treatment on the buttocks. The participants were divided into 2 groups, which were group 1 (non-uniform thermographic images) and group 2 (uniform thermographic images). Assessments of the cellulite’s appearance were performed through conventional photographs, thermography, and by 3 specialists in the field of dermatofunctional physiotherapy. The results showed that the severity of cellulite cannot be classified only through a visual assessment or questionnaires, since the participants who do not have the physical characteristic of cellulite, demonstrated through the thermography, a circulatory compromise, which suggests a possible risk in developing cellulite. Therefore, this study concluded that a previous diagnosis through a thermographic camera can help in the prevention of this dysfunction.
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References
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19. Longhitano S, Galadari H, Cascini S, Shaniko K, Chester J, Farnetani F, et al. A validated photonumeric cellulite severity scale for the area above the knees: the knee cellulite severity score. Journal of the European Academy of Dermatology and Venereology. 2020;34(9):2152-2155, doi: 10.1111/jdv.16269.
20. Davis DS, Boen M, Fabi SG. Cellulite: Patient Selection and Combination Treatments for Optimal Results-A Review and Our Experience. Dermat Surg. 2019;45(9):1171–1184, doi:0.1097/DSS.0000000000001776.
21. Stefania G, Bruno B, Luigi CP, Roberto D, Michela G, Ginevra, M, et al. Multicenter study of vacuum-assisted precise tissue release for the treatment of cellulite in a cohort of 112 Italian women assessed with cellulite dimples scale at rest. J Cosmet Laser Ther. 2019;21(7-8):404–407, doi:10.1080/14764172.2019.1683209.
22. Rudolph C, Hladik C, Hamade H, Frank K, Kaminer MS, Hexsel D, et al. Structural Gender Dimorphism and the Biomechanics of the Gluteal Subcutaneous Tissue: Implications for the Pathophysiology of Cellulite. Plast Reconstr Surg. 2019;143(4):1077-1086, doi:10.1097/PRS.0000000000005407.
23. Mirrashed F, Sharp JC, Krause V, Morgan J, Tomanek B. Pilot study of dermal and subcutaneous fat structures by MRI in individuals who differ in gender, BMI, and cellulite grading. Skin Res Technol. 2004;10(3):161-168, doi:10.1111/j.1600-0846.2004.00072.x.
24. Amore R, Amuso D, Leonardi V, Sbarbati A, Conti G, Albini M, et al. Treatment of dimpling from cellulite. Plast Reconstr Surg Glob Open. 2018;6(5):e1771, doi:10.1097/GOX.0000000000001771.
25. Ibrahim O, Haimovic A, Lee N, Kaminer MS. Efficacy Using a Modified Technique for Tissue Stabilized-Guided Subcision for the Treatment of Mild-to-Moderate Cellulite of the Buttocks and Thighs. Dermatol Surg. 2018;44(10):1272-1277, doi:10.1097/ DSS.0000000000001542.
26. Tokarska K, Tokarski S, Wozniacka A, Sysa-Jerdrzejowska A, Bogaczewicz. Cellulite: a cosmetic or systemic issue? Contemporary views on the etiopathogenesis of cellulite. Postepy Dermatol Alergol. 2018;35(5):442-446, doi:10.5114/ada.2018.77235.
27. Hexsel D, Camozzato FO, Silva AF, Siega C. Acoustic wave therapy for cellulite, body shaping and fat reduction. J Cosmet Laser Ther. 2017;19(3):165-173, doi:10.1080/14764172.2016.1269928.
28. Sadick N. Treatment for cellulite. Int J Womens Dermatol. 2019;5(1):68-72, doi:10.1016/j.ijwd.2018.09.002.
29. Knobloch K, Kraemer R. Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite – A current metaanalysis. International Journal of Surgery. 2015;24:210-217, doi:10.1016/j.ijsu.2015.07.644.
2. Cohen JL, Sadick NS, Kirby MT, McLane MP, Lenderking WR, Bender RH et al. Development and Validation Clinician and Patient Photonumeric Scales to Assess Buttocks Cellulite Severity. Dermatol Surg. 2020; 46(12):1628-1635, doi: 10.1097/ DSS.0000000000002756.
3. Sadick NS, Goldman MP, Liu G, Shusterman NH, McLane MP, Hurley D, Young VL. Collagenase Clostridium Histolyticum for the Treatment of Edematous Fibrosclerotic Panniculopathy (Cellulite): A Randomized Trial. Dermatol Surg. 2019;45(8):1047-1056, doi: 10.1097/DSS.0000000000001803.
4. Soares JLM, Miot HA, Sanudo A, Bagatin E. Cellulite: poor correlation between instrumental methods and photograph evaluation for severity classification. Int J Cosmet Sci. 2014;37(1):134-140, doi: 10.1111/ics.12177.
5. Callaghan III DJ, Robinson DM, Kaminer MS. Updates in celulite reduction. Adv in Cosmet Surg. 2018;1(1):45-53, doi: 10.1016/j. yacs.2018.02.006.
6. Puviani M, Tovecci F, Milani M. A two-center, assessor-blinded, prospective trial evaluating the efficacy of a novel hypertonic draining cream for celulite reduction: A Clinical and instrumental (Antera 3D CS) assessment. J Cosmet Dermatol. 2018;17(3): 448-453, doi: 10.1111/jocd.12467.
7. Pianez LR, Custódio FS, Guidi RM, Freitas JN, Sant’Ana E. Effectiveness of carboxytherapy in the treatment of cellulite in healthy women: a pilot study. Clin Cosmet Investig Dermatol. 2016; 9:183-190, doi: 10.2147/CCID.S102503.
8. Yoshida Y, Kajiya K, Kishimoto J, Detmar M. Quantitative histological analyses, and transcriptional profiling reveal structural and molecular changes of the dermal extracellular matrix in cellulite. J Dermat Sci. 2018;92(1):6-9, doi: 10.1016/j.jdermsci.2018.06.010.
9. Bass LS, Kaminer MS. Insights into the pathophysiology of cellulite: a review. Dermatol Surg. 2020;46(1):77-85, doi: 10.1097/ DSS.0000000000002388.
10. Bauer J, Hoq N, Mulcahy J, Tofail SAM, Gulshan F, Silien C, Podbielska H, Akbar M. Implementation of artificial intelligence and non-contact infrared thermography for prediction and personalized automatic identification of different stages of cellulite. EPMA J. 2020;11(1):17-29, doi: 10.1007/s13167-020-00199-x.
11. Ngamdokmai N, Waranuch N, Chootip K, Jampachaisri K, Scholfield CN, Ingkaninan K. Cellulite Reduction by Modified Thai Herbal Compresses; A Randomized Double-Blind Trial. J Evid Based Integr Med. 2018; 23(11):25-35, doi: 10.1177/2515690X18794158.
12. Wilczynski S, Koprowski R, Deda A, Janiczek M, Kuleczka N, Błońska-Fajfrowska B. Thermographic mapping of the skin surface in biometric evaluation of cellulite treatment effectiveness. Skin Res Technol. 2016; 23(1):61-69, doi: 10.1111/srt.12301.
13. Sylwia M, Krzysztof MR. Efficacy of intradermal mesotherapy in cellulite reduction – Conventional and high-frequency ultrasound monitoring results. J Cosmet Laser Ther. 2017;19(6): 320–324, doi: 10.1080/14764172.2017.1334927.
14. Klassen AF, Kaur MN, de Vries CEE, Poulsen L, Breitkopf T, Pusic A. The BODY-Q cellulite scale: A development and validation study. Aesthet Surg J. 2021;41(2):206-2017, doi:10.1093/asj/sjaa100.
15. Fiedmann DP, Vick GL, Mishra V. Cellulite: a review with a focus on subcision. Clin Cosmet Investig Dermatol. 2017;10:17-23, doi:10.2147/CCID.S95830.
16. Brauer JA, Christman MP, Bae YSC, Bernstein LJ, Anolik R, Shelton R, et al. Three-dimensional analysis of minimally invasive vacuum-assisted subcision treatment of cellulite. J Drugs Dermatol. 2018;17(9):960-965.
17. Bauer J, Grabarek M, Migasiewicz A, Podbielska H. Non-contact thermal imaging as potential tool for personalized diagnosis and prevention of cellulite. Journal of Thermal Analysis Calorimetry. 2018;133:571-578, doi:10.1007/s10973-018-7232-9.
18. Atamoros FMP, Pérez DA, Sigall DA, Romay AAA, Gastelum JAB, Salcedo JAP, et al. Evidence-based treatment for gynoid lipodystrophy: A review of the recent literature. J Cosmet Dermatol. 2018;17(6):977-983, doi:10.1111/jocd.12555.
19. Longhitano S, Galadari H, Cascini S, Shaniko K, Chester J, Farnetani F, et al. A validated photonumeric cellulite severity scale for the area above the knees: the knee cellulite severity score. Journal of the European Academy of Dermatology and Venereology. 2020;34(9):2152-2155, doi: 10.1111/jdv.16269.
20. Davis DS, Boen M, Fabi SG. Cellulite: Patient Selection and Combination Treatments for Optimal Results-A Review and Our Experience. Dermat Surg. 2019;45(9):1171–1184, doi:0.1097/DSS.0000000000001776.
21. Stefania G, Bruno B, Luigi CP, Roberto D, Michela G, Ginevra, M, et al. Multicenter study of vacuum-assisted precise tissue release for the treatment of cellulite in a cohort of 112 Italian women assessed with cellulite dimples scale at rest. J Cosmet Laser Ther. 2019;21(7-8):404–407, doi:10.1080/14764172.2019.1683209.
22. Rudolph C, Hladik C, Hamade H, Frank K, Kaminer MS, Hexsel D, et al. Structural Gender Dimorphism and the Biomechanics of the Gluteal Subcutaneous Tissue: Implications for the Pathophysiology of Cellulite. Plast Reconstr Surg. 2019;143(4):1077-1086, doi:10.1097/PRS.0000000000005407.
23. Mirrashed F, Sharp JC, Krause V, Morgan J, Tomanek B. Pilot study of dermal and subcutaneous fat structures by MRI in individuals who differ in gender, BMI, and cellulite grading. Skin Res Technol. 2004;10(3):161-168, doi:10.1111/j.1600-0846.2004.00072.x.
24. Amore R, Amuso D, Leonardi V, Sbarbati A, Conti G, Albini M, et al. Treatment of dimpling from cellulite. Plast Reconstr Surg Glob Open. 2018;6(5):e1771, doi:10.1097/GOX.0000000000001771.
25. Ibrahim O, Haimovic A, Lee N, Kaminer MS. Efficacy Using a Modified Technique for Tissue Stabilized-Guided Subcision for the Treatment of Mild-to-Moderate Cellulite of the Buttocks and Thighs. Dermatol Surg. 2018;44(10):1272-1277, doi:10.1097/ DSS.0000000000001542.
26. Tokarska K, Tokarski S, Wozniacka A, Sysa-Jerdrzejowska A, Bogaczewicz. Cellulite: a cosmetic or systemic issue? Contemporary views on the etiopathogenesis of cellulite. Postepy Dermatol Alergol. 2018;35(5):442-446, doi:10.5114/ada.2018.77235.
27. Hexsel D, Camozzato FO, Silva AF, Siega C. Acoustic wave therapy for cellulite, body shaping and fat reduction. J Cosmet Laser Ther. 2017;19(3):165-173, doi:10.1080/14764172.2016.1269928.
28. Sadick N. Treatment for cellulite. Int J Womens Dermatol. 2019;5(1):68-72, doi:10.1016/j.ijwd.2018.09.002.
29. Knobloch K, Kraemer R. Extracorporeal shock wave therapy (ESWT) for the treatment of cellulite – A current metaanalysis. International Journal of Surgery. 2015;24:210-217, doi:10.1016/j.ijsu.2015.07.644.
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2022-08-15
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Ribeiro do Vale Silva, J., Rodrigues de Araújo, M. das G., & Guerino, M. R. (2022). The use of a thermographic camera in aiding the diagnosis of cellulite appearance: 10.15343/0104-7809.202246279288. O Mundo Da Saúde, 46, 279–288. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/1386
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