O uso da câmera termográfica no diagnóstico auxiliar do aspecto celulítico
10.15343/0104-7809.202246279288
Palavras-chave:
Celulite. Avaliação. Estética.Resumo
A celulite estética é uma disfunção caracterizada pela pele com aspecto de “casca de laranja” e tem afetado negativamente à autoestima e o convívio social de mais de 80% das mulheres pós-púberes. O conteúdo em questão cobre a escassez de estudos avaliativos na área da estética e favorece a padronização da técnica para avaliação dessa disfunção. O presente estudo teve o objetivo de verificar o uso da termografia como método auxiliar no diagnóstico de possíveis alterações circulatórias na região glútea, como em casos do aspecto celulítico e investigar a possibilidade de prevenção do seu agravamento. Trata-se de um estudo observacional, realizado com dezoito mulheres voluntárias de 18 e 35 anos, portadoras de estrias albas na região glútea, sem tratamento medicamentoso com substâncias fotossensíveis, ou em uso da isotretinoína, ou ainda em tratamento tópico específico na região de nádegas. As participantes foram divididas em 2 grupos, sendo o grupo 1 (imagens termográficas não uniforme) e grupo 2 (imagem termográfica uniforme). As avaliações do aspecto celulítico foram feitas através de fotografias convencionais, termografia e por 3 especialistas na área da fisioterapia dermatofuncional. Os resultados permitiram demonstrar que a gravidade da celulite não pode ser classificada apenas através de uma avaliação visual ou de questionários, pois, as participantes que não possuem a característica física da celulite, demonstraram na termografia, um comprometimento circulatório, que sugere um possível risco para adquirir a celulite. Portanto, esse estudo concluiu que um diagnóstico prévio através da câmera termográfica pode ajudar na prevenção dessa disfunção.
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Referências
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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.
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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Publicado
2022-08-15
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Ribeiro do Vale Silva, J., Rodrigues de Araújo, M. das G., & Guerino, M. R. (2022). O uso da câmera termográfica no diagnóstico auxiliar do aspecto celulítico: 10.15343/0104-7809.202246279288. O Mundo Da Saúde, 46, 279–288. Recuperado de https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/1386
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