What Are the Grades for Cellulite, and Which Ones is Cellulaze Most Effective at Treating?

Question

How do you know which grade you are? What is the criteria? Also, does Cellulaze only work on certain grades?

Adam J. Oppenheimer, MD, FACS · Answer

The grading scale for cellulite was devised in 1972 by Nürnberger and Müller. This scale involves three separate stages. To determine what stage you are, look into a mirror over your shoulder and examine your buttock and thighs.Stage 1: Cellulite (dimpling) is visible when the skin is pinched (or alternatively when the underlying muscles are contracted).Stage 2: Cellulite (dimpling) is visible while standing.Stage 3: Cellulite (dimpling) is visible while lying down (supine).As a general rule in plastic surgery, the more severe the deformity, the better the result after surgery. Accordingly, Cellulaze works best on severe cellulite, but long-term results have been demonstrated in the medical literature across all grades.Cellulaze is FDA approved and requires only minimal downtime. For targeted areas, the procedure can be performed in office using oral pain medication along with tumescent (liposuction type) infiltration anesthesia.Seek consultation with a board certified plastic surgeon to determine if Cellulaze is right for you.

Jed H. Horowitz, MD, FACS · Answer

Cellfina is the newest, most effective FDA approved technology available for treating cellulite. This one-time, minimally invasive procedure takes only 45 minutes to perform, but the results last for a minimum of two years. #Cellfina has the longest lasting results of any current #cellulite treatment. Its approval rate is over 93% here on RealSelf.Used on #moderate to #severe cellulite of the buttock and thighs, Cellfina works by treating the rubber-band-like connective tissue that causes cellulite. When these “rubber bands” under the skin are cut, the fat trapped underneath in dimples “snaps” back into place, creating a full, smooth appearance.There is no cutting and no incisions. To perform this controlled, precise, and safe procedure, a vacuum hand piece is placed over the dimpled tissue through which the surgeon will deliver a local anesthetic. Then a small, needle-like #microblade is inserted to release the fibrous bands, the cause of cellulite. Results can be seen in as little as three days post-op. Most patients report some soreness, tenderness, and bruising, which should #resolve within a week. 90% of patients reported no bruising after one month. To ensure the best results, a compressive garment should be worn for 2 weeks post-treatment.  Seek more information to learn if you are candidate for #Cellfina by consulting with a board-certified Plastic Surgeon.

Robert M. Lowen, MD · Answer

+1 
  Here is the classification called the Nurnberger-Muller Scale: Stage 0 (No Cellulite) No dimpling when the subjet is standing and lying.The pinch test reveals "folds and furrows", but there is no mattress-like appearance. Stage I (Mild Cellulite) No dimpling when the subject is standing or lying, but the pinch test reveals the mattress-like appearance. Stage II (Moderate Cellulite) Dimpling appears spontaneously when standing, but is no longer visible when lying down. Stage III (Severe Cellulite) Dimpling is spontaneously positive when standing and lying down. Cellulaze is most effective in treating Grades I and II, if by effective you mean seeing the least amount of the original cellulite after treatment. But when a woman has Grade III cellulite, with lots of depressions and dimples, you may not make it perfect but you can get a wonderful improvement that will make almost anybody very happy. Especially considering the degree of change and the previous impossibility of doing anything for this problem.

Laurie A. Casas, MD, FACS · Answer

The best way to evaluate your cellulite is to come in for a consultation. In the standing position we will map out the areas of cellulite and determine based on the severity of the skin thinning, the bulging fat, and the dimpling skin whether you have areas of mild, moderate or severe cellulite. Cellulaze is most effective in treating mild to moderate cellulite because the deep dimples may require fat grafting even after septae release. Since Cellulaze is the first effective surgical treatment for cellulite come in for a consultation to see if you are a good candidate.

Richard H. Fryer, MD · Answer

Cellulite is graded by the "modified Muller Nurnberger scale" -- it really takes an evaluation by someone who is familiar with cellulite to determine your classification.  Patients are graded 1-3 with subcategories of mild, moderate, and severe.

	Cellulaze is most effective against the moderate ranges of cellulite.  Grade 1 patients typically are not bad enough to notice significant improvement even though some improvement is likely. Grade 2 patients are able to see more significant results and are typically more satisfied with their results.  Grade 3 mild and moderate patients can expect significant improvement in the appearance of cellulite, but all of the hallmarks of cellulite will not be completely gone.

	It is important to know that you will have a noticeable improvement, but may still have milder forms of cellulite.

Bruce E. Katz, MD · Answer

Each patient may have a different severity of
cellulite, if you have areas of skin that are lumpy and dimpling that you are a
candidate for Cellulaze. This is a minimally invasive treatment and will keep
the areas cellulite-free. Consult with your surgeon to find out if this
procedure is right for you.

Jeffrey W. Hall, MD · Answer

There are 3 grades of cellulite. These grade levels are determined by the severity of dimpling to the skin and will be determined by your doctor during your consultation. Cellulaze works on all 3 grades with the best results at mild to moderate cellulite.

Daniel Shapiro, MD · Answer

There are three grades: mild, moderate, and severe. Cellulaze is most effective on moderate cellulite. Your doctor will determine which grade you are and whether or not you are a candidate for the treatment during a consultation. Best of luck.

Barry E. DiBernardo, MD · Answer

. The only category that is not a candidate for Cellulaze is the grade III Severe. these patient have in addition to the cellulite...deep contour irregularities both as hills and valleys that need either liposuction, fat grafting or both to correct them.

	There are 3 grades of Cellulite I-II-III

C. Bob Basu, MD, MPH, FACS · Answer

According to the  Muller Nurnberger scale for cellulite, there are three grades.   To simplify, there is Grade I  (mild)  Grade II (moderate) and Grade III (severe).   The patients who are candidates for Cellulaze have Grade II cellulite.   Please see a board certified PS who performs Cellulaze to learn more about your options.

	Dr. Basu

	Houston, TX

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