脂肪团与紧肤:病理生理学与局部治疗综述

Isabella Castellanos-García, Luisa Valentina Ramírez-Zuluaga, Laura Sofia Páez-Cárdenas, Dennys Lintsay Villalba-Moreno, María Daniela Caicedo-León, Elisha Singer, Thais Pincelli, Alison J. Bruce, Miguel A. Aristizabal
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引用次数: 0

摘要

脂肪团是一种局部皮肤状况,影响许多女性,尤其是青春期后。它是几个因素复杂的相互作用的结果,这些因素导致了皮肤的特征凹陷外观。脂肪团可能造成心理压力,对生活质量产生负面影响。此外,身体皮肤松弛可能会进一步加剧这些患者的美容问题。因此,多种治疗选择,包括局部治疗,已经探索解决脂肪团和皮肤松弛。目的回顾脂肪团和皮肤松弛的病理生理学,以及局部皮肤护理的选择。方法检索PubMed、EBSCOhost、Scopus、谷歌Scholar数据库2000 - 2024年的相关文献,检索关键词为“cellulite”、“cellulite management”、“cellulite外用治疗”、“skin下垂”、“skin松弛”、“loose skin”。检索包括临床试验、观察性研究、书籍章节和英语和西班牙语的评论文章。结果脂肪团形成的病理生理机制涉及组织学、激素、遗传和生活方式等多种因素。一些局部药物,包括类维生素a和甲基黄嘌呤,已经显示出改善脂肪团外观的潜力,并可能有助于局部脂肪减少。新兴植物提取物有望作为局部治疗脂肪团和皮肤紧致。结论脂肪团和皮肤松弛是普遍存在的美容问题,具有多因素和复杂的病理生理起源。对脂肪团和皮肤紧致的局部治疗需要进一步的研究。虽然一些研究已经证明了护肤产品和外用药物的积极效果,但仍然缺乏强有力的证据和长期随访的研究。需要进一步的研究来评估局部治疗作为单独治疗脂肪团和皮肤紧致的长期疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cellulite & Skin Tightening: A Review of Pathophysiology and Topical Treatment

Background

Cellulite is a localized skin condition that affects many women, particularly after puberty. It results from a complex interplay of several factors that lead to the characteristic dimpled appearance of the skin. Cellulite may cause psychological stress and negatively impact quality of life. Additionally, body skin laxity may further exacerbate cosmetic concerns in these patients. Consequently, multiple therapeutic options, including topical treatments, have been explored to address both cellulite and skin laxity.

Objectives

To review the pathophysiology of cellulite and skin laxity, as well as topical skincare options for their management.

Methods

A literature search from 2000 to 2024 was conducted using the databases PubMed, EBSCOhost, Scopus, and Google Scholar, with the key terms “cellulite,” “cellulite management,” “cellulite topical treatment,” “skin sagging,” “skin laxity,” and “loose skin.” The search included clinical trials, observational studies, book chapters, and review articles in English and Spanish.

Results

The pathophysiologic mechanisms underlying cellulite involve a combination of histological, hormonal, genetic, and lifestyle factors. Several topical agents, including retinoids and methylxanthines, have shown potential in improving the cosmetic appearance of cellulite and may contribute to localized fat reduction. Emerging botanical extracts hold promise as topical treatments for cellulite and skin tightening.

Conclusions

Cellulite and skin laxity are prevalent cosmetic concerns with multifactorial and complex pathophysiologic origins. Topical treatments for cellulite and skin tightening require further investigation. Although some studies have demonstrated positive outcomes with skincare products and topicals, robust evidence and studies with extended follow-up are still lacking. Additional research is necessary to evaluate the long-term efficacy of topical treatments as standalone therapies for cellulite and skin tightening.

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