Although the term cellulite is inadequate, since it does not refer to cellular subcutaneous tissue inflammations or infections, it is conventionally used to describe a female condition that is characterized by a wavy appearance of the skin''''''''s surface in some areas of the body. It constitutes a frequent complaint and an important concern for the majority of women and, due to its complex, multifactorial, and not completely known etiopathogenesis, there is still no effective and definitive treatment. Consequently, many therapeutic proposals, either based on poor quality publications or lacking sufficient scientific evidence, have been introduced.Topical treatments are not effective, though some can be indicated as adjuvant therapies.There is currently no technology able to correct the structural alterations of the female adipose tissue and deep dermis. That status clearly depends on the development of technolo gies based on the selective photothermolysis principle aimed at treating superficial hypodermal fat and the deep dermis.This article presents a review of the epidemiology, etiopathogeny, histology, clinical classification, and methods for the diagnosis, evaluation, and treatment of cellulite.

Keywords: CELLUTITIS, CELLULITE/HISTOPATHOLOGY, CELLULITIS/TREATMENT

Introduction: The present article offers a brief review of the demographics and etiology of cellulite. It shows that cellulite is a true clinical entity, with multi-factorial causes, and that it may affect more than 90% of all post-pubertal women. Objective: A clinical trial aimed at assessing the effects of a special topical formulation (containing retinol, caffeine, vitamin C, and vitamin E, in an optimized delivery system) on the visible signs of cellulite. Methods: A topical formulation was used by 25 female patients every evening for 17 weeks. In order to assess its efficacy, the clinical trial employed before and after photographs, self-assessment, and a specific rating system to measure cellulite severity. Results: The photographs, the self-assessment, and the objective assessment carried out by the expert evaluator, all showed a reduction in the visible signs of cellulite severity. It was possible to observe improvement at the 4th week of treatment, with continued improvement for 17 weeks and beyond. Conclusion: The results showed that the product tested in the present study in fact led to the reduction of the visible signs of cellulite severity.

Keywords: CELLULITE, RETINOL, CAFFEINE, DELIVERY SYSTEM

O queratoacantoma (QA), apesar de frequente na prática diária, é um tumor que gera questionamentos. O aspecto mais intrigante associa-se à sua posição no limite entre malignidade e benignidade. A abordagem do tumor, bem como sua classificação, é controversa. Na definição da conduta, é importante levar em conta o potencial de transformação para carcinoma espinocelular. Desse modo, a excisão cirúrgica é a terapia de escolha, sempre que possível. Algumas situações merecem atenção adicional, como a imunossupressão associada. Neste artigo, relatamos um caso de QA gigante em um paciente com síndrome da imunodeficiência adquirida tratado com cirurgia micrográfica de Mohs.

Keywords: Ceratoacantoma; Retalhos Cirúrgicos; Neoplasias Nasais; Neoplasias Cutâneas; Cirurgia de Mohs; Síndrome de Imunodeficiência Adquirida; HIV; Imunossupressão

Sarcomas são neoplasias mesenquimais malignas, raras, que acometem, principalmente, crianças e adolescentes. O rabdomiossarcoma, subtipo oriundo da musculatura esquelética, é condição incomum em adultos, acometendo sítios de localização não habitual, crescimento rápido e de difícil tratamento. Apresenta-se caso de adulto jovem com nodulação em lóbulo auricular esquerdo, cuja análise histopatológica e imuno-histoquímica confirmou tratar-se de rabdomiossarcoma alveolar, o qual foi conduzido em conjunto com a Oncologia.

Keywords: Rabdomiossarcoma Alveolar; Miogenina; Desmina; Excisão de Linfonodo

INTRODUCTION: High-intensity focused electromagnetic field treatment (HIFEM) uses low-frequency electromagnetic waves to induce supramaximal muscle contractions, causing muscle hypertrophy and reducing fat.
OBJECTIVE: To evaluate the effects of a HIFEM treatment for the improvement of cellulite on the buttocks.
METHODS: Thirty patients were divided into two groups that received eight or 12 HIFEM sessions on the buttocks for six weeks. We assessed the improvement in cellulite and the buttocks' global appearance through the Cellulite Severity Scale (CSS), the Global Aesthetic Improvement Scale (GAIS), and a satisfaction questionnaire. Changes in body composition were evaluated through bioimpedance and hip circumference measurements.
RESULTS: Patients from both groups improved the global appearance of their buttocks. Cellulite lesions of some patients improved, but for most patients, the improvement wasn’t great enough to change the grade on the Cellulite Severity Scale. Patient satisfaction was high and adverse events were few, minor, and transitory.
CONCLUSION: The effects of HIFEM on cellulite are subtle, as this treatment modality cannot address the fibrous septa that cause the depressed lesions of cellulite. Nevertheless, HIFEM procedures can improve the buttocks’ global appearance, enhancing the patients’ subjective perception of their cellulite.

Keywords: Cellulite; Aesthetic equipment; Electromagnetic fields