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Cellulite forms when septae (fibrous bands) that connects the skin to the underlying muscle fascia tightens irregularly, pulling the skin downwards and allowing the normal layer of fat beneath the skin to push upwards, causing a "cottage cheese" appearance.
Cellulite is more than just skin deep. When the fat layer beneath the skin pushes against the connective tissue and bulges – cellulite appears. This can be easily identified by an orange-peel or cottage cheese appearance. On the skin's surface, it appears dimpled or lumpy and this is frustrating for those who work hard to achieve a smooth and slim contour.
Cellulite is a multifactorial disorder that is believed to be caused by: hormonal changes, anatomical changes, microcirculation dysfunction, dermal connective tissue changes, and inflammatory processes. Ageing, bad lifestyle habits such as prolonged sitting coupled with a sedentary lifestyle and smoking could also exacerbate this disorder.
Cellulite affects 80 to 90 percent of women and typically appears on the buttocks, thighs, and abdomen.
The appearance of cellulite worsens with ageing, as skin loses elasticity and reduces the ability to resist irregular tensions created by the fibrous bands. Cellulite is also common in lean women, although overweight individuals tend to be more affected. Interestingly, weight loss rarely gets rid of cellulite.
According to the clinical presentation, the scale used to classify cellulite is proposed by Nürnberger and Müller, based on FOUR grades.
No changes when pressure is applied
Visible changes in muscle contraction
Visible changes when there is no manipulation
Visible changes associated with nodulations
While it is impossible to completely eradicate cellulite, we offer combined and customised treatments that can help you significantly reduce and improve the appearance of cellulite.
For many, liposuction as a method to address the appearance of cellulite would not have been an option they would have thought about. This is not surprising because liposuction, in general, is assumed to worsen the appearance of cellulite.
In qualified and experienced hands, it is the opposite.
Modern Liposuction with MDC-Sculpt® Lipo, developed by Dr Ivan Puah combined with autologous fat grafting can improve the appearance of cellulite.
How it works:
We have put in place a comprehensive post-surgery care programme, including skin firming and MLD Therapy, to take care of your post-surgery healing.
MLD Therapy works on the lymphatic vessels to reduce swelling, oedema, and cellulite. It can relieve heavy legs and water retention and improve the orange peel skin appearance. It improves venous circulation, skin tone and appearance, and relaxes muscle fibres.
With a Graduate Diploma in Family Dermatology from NUS and over 17 years of clinical experience, Dr Puah treats various dermatological concerns including cellulite, skin laxity, wrinkles, fine lines, hyperpigmentation, acne scarring and more. Dr Ivan Puah is also an MOH-accredited lipo doctor and is proficient in Vaser Liposuction, Hi-Def Lipo, etc.
Dr Ivan Puah is an accredited liposuction doctor and Chairman of Lipo Peer Review Committee in Singapore in Singapore with nearly two decades of surgical body contouring experience.
He has completed fundamental and advanced Vaser Liposuction body sculpting surgical training under Dr John Milard and Dr Alfredo Hoyos in Argentina and Colorado. Dr Puah is also trained in laserlipolysis (laser liposuction) in Italy and has received dedicated gynecomastia surgery training in San Francisco.
Who is suitable for cellulite treatment?
Many women find that the dimpled and irregular appearance bothers them. Cellulite treatment is suitable for those who:
Do cellulite cream work?
Wouldn't it be amazing if there was a magic cream that wipes the cellulite away? Unfortunately, there is none. Some products that contain caffeine and retinol may improve skin appearance and thicken the skin’s top layer but these are rarely or never effective when treating cellulite.
Does working out get rid of cellulite?
Exercises, particularly ones that firm and tone muscles, may help improve cellulite's appearance to a certain extent.
Will it help if I wear tight, compression clothing?
Compression clothing seems to be the rage these past few years, and while it does help reduce "jiggling" thighs while exercising, they don't do much for cellulite. Tight clothing can severely restrict blood flow, further worsening cellulite's appearance. So don't be easily taken in by gimmicks.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
