.:: CELLULITIS ::.   The meaning of the word cellulite implies an infection which can be found either in dermis or under-dermis tissue. In terms of medicine, however, it is referred as “Adiposis Edematosa” or “Dermo Panniclois”. Also, in the cosmetic sense, there is no type of infection in the case of cellulite. In this respect, cellulite is the imprisoning of under dermis fat cells (later will be observed in small groups) by a more strict cord tissue called fibrin (as a result of this, the dermis has the shape of an “orange peel”). Therefore, dermis is seen as distorted in a rough sense. In other words, the reason of this type of cellulite is neither a microbe nor a bacterium. First, these small groups are in a micro-state. If not treated, they reach to a macro-state (which would hard to cure) gradually. Shortly, this condition can be explained as “forming of another country/ies within the borders of one country”. This is a case which cannot be treated through diets. In another sense -in the sense of aesthetics in medicine-, it is named as “Hydro-lipo-dystrophy” (Water-Fat-Distortion). That is to say, liquid accumulation between the cells and the size together with the amount of the fat cells increase therefore, the skin goes bad. In celluloid mainly: 1- Distortions (increasing in diameter and amount) in fat cells start, 2- Interval tissue (supporting tissue) of the skin, namely, fibroblast, also supplies the flexibility of the skin. Distortions start in this, surround and imprisoning the fat cells, 3- The circulation of lymph and venous under the skin slows down, 4- Distortion in the water metabolism and related to this, water is accumulated in high amounts in cells   Cellulite cannot be observed until adolescence. With the first menstruation of her, a feminine also meets with celluloid because in women, the secreted progesterone and especially estrogenic hormone prepare the basis for celluloid. There are chiefly two types of celluloid: 1- HARD CELLULITE: In this case, under-dermis is hard. But the case must be distinguished from the case of the ones who are involved in sports and (as a result) having hard leg muscles. Sometimes leg muscles of a person who has done sports may be hard whereas the leg skin and cord tissue may be soft. The position of this type of cellulite is the same under every condition (i.e. lying, standing). While the skin is very hard, veins are blue and superficial. Higher dermis is knobby, warm and dry. 2- SOFT CELLULITE: Skin dermis is softer, moist, in the shape of sponge. Cellulite varies according to the body position. No pain is felt in the skin. Observed in people who gain and loose weight frequently and its treatment is harder.   The factors which prepare ground for the formation of cellulite are: A- Beginning of adolescence, B- Period following pregnancy, C- Premenopouse and Menopouse period.   Cellulite is observed more or less in %90 of women.   IN WHICH PARTS OF BODY DOES IT ACCUMULATE ? Most likely, on the knees, inner parts of the ankles, back and inner parts of the calf, back and side parts of the leg, under haunch along with side parts. In men, side part of the belly which exists under the armpit.   MESOTHERAPHY Mesotherapy: It is a treatment method applied on the middle dermal of the skin. Undertaken with the needles which have the diameter of 0.3-0.4 mm and length of 3-5 mm, and more or less thin as bristle. According to the type of the disease and cellulite, a medicine cocktail is prepared by putting various types of medicines in the injector. Realized by the superficial injection on the skin of the patient with spaces of 1-3 cm. Diseases applied: 1- Arthrosis, 2- Acute rheumatisms, 3- Fibromyalgia and tendinitis (Muscle and tendon diseases), 4- Twists related to sports and accidents, 5- Bursitis, 6- Varicose, Phlebitis, 7- Migraine, 8- Spastic colon, 9- Trigeminal and facial neuralgia, 10- Neuralgias of neck and shoulder aches, 11- Pelat (loss of hair due to stress like coin shape), 12- Allergic asthma, 13- Skin wrinkles, 14- CELLULITE.   In 1952, Mesotherapy has been applied for the first time in France. It is being applied in most countries of Europe, Turkey, USA and South America. It has two types of effects: a- Hitting (striking) effect: Even though a tiny needle is being pierced to the body, there is a rush of hydrolysis histamine and defender erythrocytes known as macrophage towards that region. This cause the veins first shrink and then widen towards the opposite direction, b- Pharmacological effect: Medicines which have been injected through the widened veins become effective gradually. Namely, breaking into pieces of the fat (which is called lypolysis) throwing out of the edema (water), the cracking of fibrin tissues which imprison fat cells and the increasing of the permeability of lymph along with capillary vessels are observed. SIDE-EFFECT It does not have an evident side-effect; however, an allergy may take progress against the medicine used. Therefore, the patient should be asked if s/he has used the medicines that are going to be used in mesotherapy previously and if so, any extreme reaction has observed or not. If necessary, mesotherapy has to be applied 72 hours after the medicine allergic test. It is not applied in pregnant, in cancerous cases and extreme feverish diseases. Additionally, it cannot be implemented in eczema and under skatris tissue. Little bleedings and as a result of them, temporary bruises can develop related to the application. This is quite normal. Bruises will vanish after 10-15 days. Therefore, the exact treatment of aesthetic cellulite is MESOTHERAPHY.   APPLICATION Varies from person to person and type of the cellulite together with the age of the patient and the amount of period of the cellulite. Generally, 8-14 sessions are sufficient. In some cases, however, it may be continued until 30 sessions (by implementing it with intervals). At the beginning, the sessions are implemented 2 times a week and after the patient’s respond to the treatment, may be altered to either once in a week or once in 15 days. After (1, 2, 3, 6, 12 months) the accomplishment of the treatment, therapy should be undertaken once in terms of continuation (in order to avoid the forming of the cellulite). During the course of the treatment, one should pay whole attention to the diet recommended by the doctor, and if possible, should not take salt at all, or use it minimally and ought to expend maximum amount of water (2 liters ).       PROTECTION As mentioned above, one ought to continue treatments and it must not be forsaken that cellulite and fatness are the diseases which we have to struggle for a lifetime. Moreover, attention must be drawn to the lost weights in order not to gain them.   CORPUS LINE In the last 10 years, this treatment has become widely popular among doctors and aestheticians and as a matter of fact, has turn into their primary treatment method. Special electrical currents and conducting pads are applied. Therefore, this method is undertaken in terms of pressing the body skin and cellulite treatments successfully. The treatment has three phases: 1st PHASE: Thanks to the frequency applied for 10-15 minutes, fats and cellulite dissolve and start to function, 2nd PHASE: The current which was applied for 10-15 minutes causes to form a more rigid cord tissue by contracting the body skin, 3rd PHASE: By applying pads for 15-20 minutes, lymph and vein which exist under dermis will be stimulated and therefore, natural drainage will start to take place. Thus, while loosing weight by running special diets, it is also possible to get away of the fats of desired part of the body in terms of breaking them. Basic feature is the shape (it will be more rigid and recovered) which the body skin will have finally. Skin laxity reduces fairly. During the course of this treatment, salt usage must be decreased while water expending should be increased. The patients who have both fatness and cellulite problems prefer to go through Corpus Line and Mesotherapy treatments at the same time. The results are charming, indeed. Whereas treatments can be undertaken twice a week, they can be carried out for once as well. Generally last for, 10-20 sessions. In terms of being over-weighted, the treatment may be expounded through particular periods and the results can be observed evidently earlier than a month.