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Nó cũng biết rằng các adiposities địa phương chỉ có thể được loại bỏ thông qua liệu pháp phẫu thuật hoặc liposculpture. Thay đổi trong hình chủ yếu là xác định bởi các rối loạn trong khu vực mỡ, hoặc steatomeric trong tự nhiên (di truyền và nhạy cảm với nội tiết, | 46 BACCI AND LEIBASCHOFF into two layers of hormone-dependent adipose tissue steatomery especially associated with procreation and containing insulin estrogen and calcium receptors. Such steato-meric adiposities in their turn provide roundness to the figure. It is also well known that such localized adiposities may only be eliminated through surgical therapy or liposculpture. Alterations in the figure are mainly determined by disorders in adipose areas either steatomeric in nature hereditary and sensitive to endocrine-metabolic signals or subcutaneous sensitive to unbalanced diets toxic substances bacteria and heavy metals . Excessive localized adiposity may involve numerous normal-sized cells hyperplasia a normal amount of big-sized cells hypertrophy or a combination of both. Localized areas of adiposity are frequently found in the lower part of a woman s body in the glutei the abdomen the flanks the upper external side of the hip and the knee. The volume of some adipose tissues is conditioned to a certain extent by hormonal activity and should therefore be considered as normal. However when such adipose characteristics do not agree with current aesthetic canons in fashion or when they elicit symptoms surgical intervention may be considered legitimate. Localized adiposity should be distinguished nevertheless from cellulite itself even if an association of these two pathologies is frequent. 3. EFP It is the traditional evolutionary degenerative disease of subcutaneous tissues that develops on a constitutional substrate closely linked with a series of predisposing and triggering factors. Localized areas of cellulite are frequently found in the lower part of a woman s body in the glutei the abdomen the flanks the upper external side of the hip and the knee. PATHOPHYSIOLOGY OF CELLULITE 47 According to the authors who described its histomorphology it involves a sequence of events characterized by interstitial edema connective fibrous reaction and the resulting .
