Cellulite Treatment Using Subcision and Polymethyl Methacrylate Filling (Goldincision®): Case Report

Abstract

Introduction: Cellulite is a multifactorial subcutaneous connective tissue disorder that compromises the structure of adipose tissue and can manifest in varying degrees. It causes both unsightly and health changes; thus, requiring specialist treatment. Objective: This works aims at showing the effectiveness of treatments using subcision and polymethyl methacrylate (PMMA) filling to treat and correct cellulite irregularities in grades three and four in the gluteal region. Methodology: This is a retrospective study of patients who underwent two different techniques for the treatment of cellulite grades three and four. Four patients were subjected to treatment in the gluteal region to correct irregularities from cellulite in the most advanced grades, being used both the subcision and the PMMA filling techniques. Report: Case report of four patients with follow-up treatment for cellulite grades three and four with subcision and polymethyl methacrylate filling. Conclusion: Results were considered efficient due to satisfactorily correcting all cases of cellulite grades three and four.

Goldincision– A Multi factor Approach to Cellulite Treatment

“…The Goldincision® technique was developed to meet the needs of patients with advanced lipodystrophy. The noteworthy effects of the technique are related to its methodology, which associates stimulation of neocollagenesis with subcision, providing the undermining of fibrotic retraction but also improving the quality of the skin as a whole, improving not only the point-to-point treatment in a more effective way with the patient standing and a whole evaluation and follow-up protocol, but acting on the genesis of cellulite, resulting in an improvement of cellulite in all degrees with restructuring of collagen, a component of local metabolism, and neovascularization 12 .…”

“…Goldincision® is a technique developed for the treatment of more advanced grades of cellulite, according to the classification of Nürenberger and Müller. 6 It combines subcision with biostimulation of neocollagenesis using particulate products: polylactic acid, calcium hydroxyapatite, polycaprolactone and, mainly, polymethylmethacrylate to obtain a more satisfactory result 11,12 .…”

“…This technique, despite apparent clinical improvement in some cases, leaves something to be desired. There may be cases of new adhesion of the same treated septum, ineffectiveness, and frequent complications such as seromas and hematomas, in addition to limited results in isolated areas without relevant neocollagenesis 12,15 .…”

“…Goldincision® is used not only for sectioning fibrous septa (Figure 1) but also for general collagen biostimulation (Figure 2), improving sagging, circulation, local metabolism and lymphatic drainage (involved in cellulite genesis). Post-procedure care prevents adverse effects and scars, making Goldincision® a successful treatment which results in a high degree of satisfaction among patients and professionals 12 .…”

Analysis of 4725 Cases of Gluteal Augmentation with Intramuscular Fillers: A Clinical Cohort Study

“…In addition to providing a natural look, significant long-lasting results are achieved, as the polymer is not absorbed by the body. 1,3,4 PMMA is a synthetic microsphere polymer suspended in a vehicle solution which, after being implanted, acts as a matrix (controlled inflammatory reaction) and stimulates collagen production and muscle tissue growth. It is widely adopted by the medical community, being used for bone reconstitution and corrections in neurosurgery, ophthalmology, and traumatology mainly due to its biocompatibility, stability at the application site, and low risk of complications and migration.…”