Evidence‐based treatment for gynoid lipodystrophy: A review of the recent literature

Summary Gynoid lipodystrophy (GLD) is a structural, inflammatory, and biochemical disorder of the subcutaneous tissue causing alterations in the topography of the skin. Commonly known as “cellulite,” GLD affects up to 90% of women, practically in all stages of the life cycle, beginning in puberty. I...

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Published in:Journal of cosmetic dermatology Vol. 17; no. 6; pp. 977 - 983
Main Authors: Pérez Atamoros, Francisco M., Alcalá Pérez, Daniel, Asz Sigall, Daniel, Ávila Romay, Alfonsina A., Barba Gastelum, José A., Peña Salcedo, José A., Escalante Salgado, Pablo E., Gallardo Palacios, Guillermo J., Guerrero‐Gonzalez, Guillermo A., Morales De la Cerda, Rodrigo, Ponce Olivera, Rosa María, Rossano Soriano, Fabiola, Solís Tinoco, Eduardo, Welsh Hernández, Esperanza C.
Format: Journal Article
Language:English
Published: England 01-12-2018
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Summary:Summary Gynoid lipodystrophy (GLD) is a structural, inflammatory, and biochemical disorder of the subcutaneous tissue causing alterations in the topography of the skin. Commonly known as “cellulite,” GLD affects up to 90% of women, practically in all stages of the life cycle, beginning in puberty. It is a clinical condition that considerably affects the patients’ quality of life. It is a frequent reason for consultation, although the patients resort to empirical, improvised, nonevidence‐based treatments which discourage and can be a source of frustration not only because of the lack of results but also due to the complications derived from those treatments. In this article, a panel of experts from different specialties involved in the management of this clinical skin disorder presents the results of a systematic literature search and of the consensus discussion of the evidence obtained from different treatments currently available. The analysis was divided into topical, systemic, noninvasive, and minimally invasive treatments. Resumen La lipodistrofia ginoide (LDG) es una alteración estructural, inflamatoria y bioquímica del tejido subcutáneo que causa modificaciones topográficas en la piel. Conocida comúnmente como “celulitis”, la LDG afecta hasta a 90% de las mujeres, prácticamente en todas las etapas de la vida, iniciando en la pubertad. Se trata de una condición que afecta considerablemente la calidad de vida de quien la padece. Es motivo frecuente de consulta aunque las pacientes recurren a tratamientos empíricos, improvisados, sin bases ni evidencia científica, los cuales desmotivan y producen frustración no sólo por su falta de resultados, sino por complicaciones derivadas de dichos tratamientos. Un grupo de expertos de diversas especialidades involucradas en el manejo de este problema presenta en este artículo el resultado de una búsqueda bibliográfica sistemática y de la discusión consensuada de la evidencia obtenida de diversos tratamientos disponibles actualmente. El análisis se dividió en tratamientos tópicos, tratamientos sistémicos, tratamientos no invasivos y tratamientos mínimamente invasivos.
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ISSN:1473-2130
1473-2165
DOI:10.1111/jocd.12555