Abstract
Depressed lesions of cellulite are due to the presence of fibrous septa that pull the skin surface down. Subcision® is a surgical technique used for the treatment of cutaneous depressions, including cellulite depressed lesions and liposuction depressed sequelae. The first mechanism is the section of the fibrous dermal and subcutaneous septa, in order to release their traction applied to the skin. The second is due to the subsequent hematoma formation, followed by secondary connective tissue deposition, which fills the depressions of cellulite. A third action mechanism improves the skin irregularities of the affected areas is due to the redistribution of the traction forces exerted by the fibrous septa and the tension forces exerted by the fat to the skin surface. Therefore, Subcision® is a simple, low cost and very efficacious technique for the treatment of cellulite and other depressions of the skin surface
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Barie PS (2002) Surgical site infections: epidemiology and prevention. Surg Infect (Larchmt) 3(Suppl 1):S9–S21
Draelos ZD (1997) Cellulite. Etiology and purposed treatment. Dermatol Surg 23:1177–1181
Hexsel DM (2001) Body repair. In: Parish LC, Brenner S, Ramos e Silva M (eds) Women’s dermatology: from infancy to maturity. Parthenon Publishing, New York, pp 586–595
Hexsel D (2009) Cellulite. In: Baumann L (ed) Cosmetic dermatology: principles and practice. McGraw-Hill Companies, New York
Hexsel DM, Mazzuco R (1997) Subcision: Uma alternativa cirúrgica para a lipodistrofia ginoide (“celulite”) e outras alterações do relevo corporal. An Bras Dermatol 72:27–32
Hexsel DM, Mazzuco R (2000) Subcision: a treatment for cellulite. Int J Dermatol 39(7):539–544
Hexsel DM, Abreu M, Rodrigues TC, Soirefmann M et al (2009) Side-by-side comparison of areas with and without cellulite depressions using magnetic resonance imaging. Dermatol Surg 35(10):1471–1477
Hexsel D, Dal’Forno T, Soirefmann M, Hexsel C (2010) Reduction of cellulite with subcision. In: Murad A, Pongprutthipan M (eds) Body rejuvenation. Taylor and Francis, New York, pp 167–172
Hexsel D, Hexsel CL, Dal’Forno TO (2009) A validated photonumeric cellulite severity scale. J Eur Acad Dermatol Venereol 23:523–528
Hexsel D, Mazzuco R, Dal’Forno T, Hexsel CL (2004) Simple technique provides option for treating scars and other skin depressions. J Cosmet Dermatol 17(1):35–41
Hexsel D, Mazzuco R, Soirefmann M (2010) Subcision. In: Goldman M, Hexsel D (eds) Cellulite: pathophysiology and treatment, 2nd edn. Informa Health Care, London, pp 174–179
McCalmont TH, Leshin B (1996) Preoperative evaluation of the cutaneous surgery patient. In: Lask GP, Moy RL (eds) Principles and techniques of cutaneous surgery. McGraw-Hill, New York, pp 101–112
Namias A, Kaplan B (1998) Tumescent anesthesia for dermatologic surgery, cosmetic and noncosmetic procedures. Dermatol Surg 24(7):755–758
Niemi G (2005) Advantages and disadvantages of adrenaline in regional anaesthesia. Best Pract Res Clin Anaesthesiol 19(2):229–245
Nordström H, Stånge K (2005) Plasma lidocaine levels and risks after liposuction with tumescent anaesthesia. Acta Anaesthesiol Scand 49(10):1487–1490
Nürnberger F, Müller G (1978) So-called cellulite: an invented disease. J Dermatol Surg Oncol 4(3):221–229
Orentreich DS, Orentreich N (1995) Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 21(6):543–549
Ostad A, Kageyama N, Moy RL (1996) Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction. Dermatol Surg 22(11):921–927
Rossi ABR, Vergnanini AL (2000) Cellulite: a review. J Eur Acad Dermatol Venerol 14:251–262
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Soirefmann, M., Mazzuco, R. (2013). Subcision® . In: Tosti, A., Hexsel, D. (eds) Update in Cosmetic Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34029-1_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-34029-1_4
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-34028-4
Online ISBN: 978-3-642-34029-1
eBook Packages: MedicineMedicine (R0)