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Llamada por algunos como Lipoesclerósis, es una afección que afecta casi exclusivamente a las mujeres (90%), en donde hace su aparición en la pubertad. La celulitis tiene mucho que ver con la herencia y no es una forma de obesidad.

En la obesidad se forman mas cantidad de células adiposas y mas grandes; mientras que en la celulitis lo que existe es una lipodistrofia.

La grasa de la región abdominal es mas fácil de movilizar con la dieta, el ejercicio; mientras que la de los  muslos y caderas son mas influidas por las hormonas femeninas.

En la piel se establece la red capilar, que no es mas que la terminación arterial y el comienzo de la venosa; a este nivel hay una salida de liquido transparente (líquido intersticial), que lleva alimentos y recoge de las células los desechos, entrando al sistema venoso (Equilibrio de Starling). Lo que queda de remanente será drenado por los vasos linfáticos. Esto último queda entorpecido. 

La piel de la celulitis es gruesa y tensa, y al pellizcarla se forma la llamada “piel de naranja”, además de sentirse dolor. En la obesidad la piel es fina , no produce al pellizcarla la “piel de naranjas” y no es dolorosa.

Podemos decir que la celulitis en rasgos generales se debe a un “Edema” y a organización de fibrosis inflamatoria por deficit circulatorio linfático a ese nivel. También que a mas celulitis, mas tendencia a mas celulitis.

Generalmente la celulitis se acompaña de otras características en el cuerpo humano, como son: Biotipo brevilineo, pie plano, pierna de bota, genuvalgum, seudoartrosis de rodilla, edemas supramaleolares, atonía glútea, varices, cifoescoliosis, “salvavidas” abdominales.

Para el estudio complementario de la celulitis, se debe indicar: Exámenes de hemoglobina y orina, estudio endocrinológico, metabólico (lipidograma), estudio ortopédico, circulatorio periférico (venoso-linfático-arterial).

La celulitis se clasifica según su distribución: Generalizadas; afecta sobre todo a mujeres obesas y es mas intensa en miembros inferiores. Localizada;
Facial, tronco, región lumbosacra, abdomen, miembro superior, miembro inferior. Según su consistencia: Forma dura; Se observa en jóvenes que practican ejercicios como la gimnasia. Forma fláccidas; mujeres que son sedentarias o que perdieron mucho peso, de forma brusca al tratar de adelgazar. Forma edematosa; aparece de forma precoz en la pubertad, generalmente los edemas en miembros inferiores, tienen el signo de “piel de naranja” y se sienten pesados, dolor y dificultad para movilizarlos. Forma mixta; En esta coexisten varias de las formas vistas anteriormente.

El desarrollo de la celulitis debe estar expresado por una herencia, que en la pubertad, marcará una conformación morfológica especial. De acuerdo a distintos factores este potencial celulítico normal podrá desarrollarse o reducirse, pero nunca desaparecer. Los tratamientos deben comenzar en edades tempranas para lograr un mejor resultado a mediano plazo. Después de los 40 años serán menos eficaces estos tratamientos.

El tratamiento va dirigido a eliminar o corregir causas y hacer desaparecer efectos.

MEDIDAS DE ORDEN GENERAL: Alimentación- Dieta adecuada; Mantener una adecuada depuración de los enmuntorios naturales- Depuración pulmonar, cutánea, renal, intestinal; Tratamiento físico- Aeroterápia, Hidroaeroterápia, Presoterápia, Vacumterapia, Radiaciones electromagnéticas (Radiaciones, Corriente Galvánica, Corriente Farádica, Alta frecuencia, Ultrasonido, Rayos Láser).

Otros medios terapéuticos:
a.- Enzimas.
b.- Aplicación de principios activos de diversos orígenes localmente (Enzimas, Extractos vegetales, Derivados del Yodo, Centella asiática)
c.- Gimnasia.
d.- Drenaje linfático manual.
e.- Cirugía Plástica ; Dermolipectomía y Lipoaspiración.

Pensar siempre que al igual que en el siglo XIX, las mujeres bonitas eran las de contornos abultados, después las pálidas y delgadas, y después las delgadas pero con contornos acentuados, lo fundamental es quererse así mismo y siempre habrá un admirador para cada contorno femenino.Dr Ricardo Martinez

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