Introduction: No More Orange Peel Thighs?
Could this be the answer to our cellulite prayers?  This new procedure just may be what many of us are looking for.  No more sarongs!  No more wearing long shorts to the beach!  No more cottage cheese thighs!  As this procedure becomes more widely available, the RejuveSkin Treatment™ may prove to be the only treatment to permanently rid us of pesky cellulite.

I personally can't wait to have this procedure as it is definitely in my future.  I'm just not looking forward to the fact that I have to place my dimpled butt in the limelight for before and afters for the website   But I guess being able to wear a bikini without a sarong would be a nice tradeoff.

What Is Cellulite?
cel*lu*lite
(noun)
: lumpy fat found in the thighs, hips, and buttocks of some women 

cel*lu*li*tis
(noun)
: diffuse and esp. subcutaneous inflammation of connective tissue 

Cellulite is a non-medical term to describe when superficial fatty deposits collect and are pressed up against or are constricted by the bands of connective tissue which run from the muscle to the undermost area of the skin.  Cellulite can be made worse by the superficial layer of fat being pushed tightly up against the skin by the deeper fat layer when you gain weight or a formation of more tightly crossed connective tissue bands or scar tissue formation after liposuction.  However, excess deep layer fat need not be an issue for cellulite to appear.  Many skinny people have it as well.

Most women and some men have cellulite and it is estimated that 90% of the female population have or will have cellulite.  It is not something which only plagues the obese or overweight - it can affects any of us and has no prejudice.  So throw everything out the window that you've heard about cellulite and listen up.  Your skinny little cousin may have it, your average-weighted friend who just had lipo may have it, that overweight lady at the deli may have it, that muscular cardio-freak woman at the gym probably doesn't have it but who needs her?  Do you have it?  I do. 

Pinch your thigh slightly and if you begin to see dents and bumps -- that is cellulite.  However, many of us don't even have to pinch our thighs to see it *raising hand over here*.  For many of us we can just stand there, innocently, and tear up at the sight of our dimpled backsides in the mirror. 

Don't Confuse "Normal" Fat With Cellulite??  Myth.
We all have fat and we need fat -- fat insulates our bodies and provides our body with necessary energy stores.  Fat is essential for healthy body function.  Cellulite, however, is "the devil". Cellulite is a slang term for a condition of how your skin appears due to fat, not a TYPE of fat.  It is a condition where reportedly fat either collects too much in the superficial layer or is constricted by bands of the vertical fibrous connective tissue, called fibrous septae, or pushed up from below from the bulging, deeper fatty layers due to weight gain.  You may have heard that cellulite reportedly provides no cushioning, no insulation, no function whatsoever but to make trying on bathing suits in poorly lit dressing rooms a living hell.  And that cellulite is not smooth fat or that it is an anomaly of sorts which rears it's ugly head more and more as our skin thins with age and our hormones become unbalanced.  Cellulite fat is simply not any different physiologically than regular, ole fat.  It is just a happenstance of the amount of fat you have, how it is distributed and the placement of your own fibrous septae. 

However!  The fibrous tissue bands (remember "fibrous septae") which surrounds our superficial fat and snakes through it as it reaches up vertically from your muscle fascia to the underside of your dermis can cause problems.  Lack of circulation, movement, and heredity play a big roll in how the connective tissue "acts".  Ever notice that your cellulite and dense fatty areas are painful upon pressure -- I do.  You can't squeeze it like looser fatty areas under your navel.  It's not as pliable; it is more stiff.  Well that is because of the compact nature of your fat cells in that area and also the small, but firm compartments made by the connective tissue which runs from the dermis, through the superficial fat layer to the underlying muscle fascia.  These fat cells in areas which you seem to gain first and lose last are going to be more packed together (non-areolar tissue) and larger in a smaller areas since that is where the majority of your fat is "held".  My problems areas are my saddle bags so when I squeeze this area gently it hurts,  my partner's is in his flanks and spare tire.  This area is more stiff, tightly packed in there and he has more discomfort in this area if I were to squeeze it than on his arm or thigh.  However he doesn't have cellulite, you don't have to have "cellulite" to have dense fatty areas which cause discomfort to squeeze.  Same thing with the back of my arms, I can pinch more than an inch but when I do it stings like the dickens!  The more enlarged and crowded your fat cells and the more they are constricted by your fibrous septae, the more stiff it is going to be.

What Is The RejuveSkin Treatment™?
The RejuveSkin Treatment™ for Cellulite Removal is the surgical means to remove the causes of cellulite -- the actual problematic fibrous septae.  The fibrous septae which are short, constrictive and cause your skin to dimple are removed to surgically release the tissue to a normal contour.

About Dr. Stephen X. Giunta, M.D., F.A.C.S. - Developer of The RejuveSkin Treatment™
Dr. Stephen X. Giunta graduated from The Georgetown University School of Medicine. 

  • The American Board of Otolaryngology

  • The American Board of Facial Plastic and Reconstructive Surgery

  • The American Board of Cosmetic Surgery

  • To read more about Dr. Giunta, please visit:  www.rejuveskinclinics.com

Am I A Candidate For The RejuveSkin Treatment™?
You must be in general good health, have no connective tissue disorders or other diseases and have realistic expectations.  You must be in emotional good health and consult with a surgeon authorized to perform The RejuveSkin Treatment™ to determine your candidacy.  Only a surgeon trained in The RejuveSkin Treatment™  can establish if you are a good candidate.

Are The Results Permanent?
According to Dr. Giunta, the results are very permanent and rarely, if ever, need a touch up.  Dr. Giunta advised that the fibrous septae do not regenerate after a RejuveSkin Treatment™.

How Much Does The RejuveSkin Treatment™ Cost?
The RejuveSkin Treatment™ costs approximately $4,000. 

How This Procedure Is Performed
Patients are marked while in the standing position.  The patients are asked to contract the underlying muscles so that the contour irregularities are more pronounced (do this in the mirror, see how your cellulite is much worse?) -- the patient may be marked again if need be.  After the patient is on the table injections are given and usually 2 small 1/4" to 3/4" incisions per side are made and the V-shaped RejuveSkin Dermasector™ is inserted to sever the problematic septae.

Does The RejuveSkin Treatment™ Hurt?
There may be slight discomfort but this can be remedied with the prescribed pain medications.

What Are The Risks Of The RejuveSkin Treatment™
Although every surgery has inherent risks, no problems were reported thus far with The RejuveSkin Treatment™. Please consult with a surgeon authorized to perform The RejuveSkin Treatment™ for more information.

Interview Questions & Answers
We sent the RejuveSkin Treatment™ developers, Dr. Stephen X. Giunta and Geoffrey Cook, Chairman & CEO - RejuveSkin Clinics Corporation, some questions regarding The RejuveSkin Treatment™, we hope that you find them informative.  If you need any information, please feel free to contact Dr. Giunta's staff or visit the The RejuveSkin Clinics Website for more information.

1. What type of instrument(s) is used to sever the fibrous septae?  
Specially designed stainless steel instruments called dermasecters    

2. Is it sharp or blunt?
They are semi-sharp with a built-in design element(s) to protect the skin from damage.  

3. Is it or is it not a cannula typical of liposuction procedures used to bluntly dissect the septae.
No, it is not a liposuction cannula. Liposuction cannulas do not work for cellulite since they are too blunt to separate the septae from the skin.  

4. What type of solution is infiltrated? Is this similar to tumescent technique with liposuction or is it specifically designed for the RejuveSkin procedure?
Ay this time we don't detail the exact composition of our solutions. Sorry but it is specifically composed for the RST [RejuveSkin Treatment™]. 

5. Does it contain epinephrine and Lidocaine?
See above answer. 

6. How long do the results last?
Results are permanent, as far as we know. We have had patients from May of 2001, almost 1-1/2 years ago, who've had the treatment and still are free of cellulite in those areas.  

7. Can the fibrous septae adhere back or regenerate?
No, preventing this is an integral part of the RST procedure.  

8. If too many septae are severed is there skin sag?
This could occur, but it is part of our process that prohibits this from happening.  

9. How long do the bruises last?
They can last as little as one one week and as long as four.  

10. How long does the swelling last?
Swelling lasts 4-6 weeks. 

11. How long does the discomfort last?
Discomfort lasts about 1-3 weeks.

12. Are the septae actually removed or just "popped" within the body?
Answer coming soon!

13. Must a compression garment be worn?
Yes. 

14. Is an endoscope used?
No.  

15. If not, how do you know where the septae are to cut them?
The patient is marked in the standing position before surgery, which shows the cellulite dimples when muscles contracted.  

16. How much does this procedure cost?
$4000. 

17. If a touch up is needed, how much will that be?
This rarely happens. But in once instance there was a need and there was only a small charge for the anesthesia. 

18. Does the procedure work for other areas other than the lower torso and legs?
In theory yes, but this is very unusual and problems in these areas are usually not cellulite but other things. 

19. Do men's bodies differ from women in this regard?
No really, but the number of men affected with cellulite is much less.  

20. What are the risks of this procedure?
his is surgery, and there is no surgery that is risk free; but we've not experienced any complications to date. 

21. Is thromboembolism a risk in this procedure?
TE is a risk in any procedure especially if a person has any predisposing factors. Our patients are carefully screened to evaluate any risk factors. To date we have not experienced any TE phenomena.  

22. Can it cause cellulite to appear worse in any way?
No, not if the procedure is done properly and the person heals well.  

23. Does one bleed a lot in this procedure?
No, However, the bleeding that does occur is superficial, which is what causes the bruising. 

24. How long are the incisions usually and how many for an average case?
The incisions are single punctures of 1/8" to 1/4" and usually there are 2 (2 on each side of the body). 

25. Do you have a video of the procedure or pics of it being performed?
Yes, but not available at this time. We do however have a 10 second, three-D animation which shows what happens.  

26. Can I speak with patients who have had this procedure?
Yes.  

27. How long has this procedure been around?
The current procedure has evolved over the last 3 years and we currently have 15 months experience with the procedure we use today. Dr. Giunta, the inventor of the process and instrumentation as almost 20 years of surgical experience with liposuction, which is how he visualized the multi-step RST procedure to solve the problem. 

28. Must it receive FDA approval or are only the instruments subject to approval?
It is not necessary to have FDA approval. 

29. What is a worse case scenario?
Complications are similar to those with liposuction but if done properly, complications are extremely rare.  

30. Is blood work necessary before this procedure?
Yes, standard screening procedures are done on all patients.  

31. How is this procedure performed from beginning to end?
At this juncture we don't typically give a 'step-by-step' description of how the RST is performed. Largely because it's multi-faceted and involves many steps. But it's also a confidential medical process, and only licensed to approved surgeons with the proper qualifications. Perhaps at a later juncture we can discuss this more. 

32. How many postoperative check ups are necessary?
One to three the first month and one or two after that. 

33. Are pain meds and antibiotics prescribed?
Yes, standard preop antibiotics and pain medications are prescribed.  

34. Must the patient massage the treatment area for best results?
No. 

35. How many surgeons are trained to perform this procedure right now?
Three. Soon to be five by the end of the year. We have a new facility opening in southern California. 

36. How long will it be before surgeons are up and running in major cities?
We hope to have additional clinics up and running by early next year.  

37. Will only board certified surgeons be trained or will cosmetic and general surgeons be trained as well? 
Only qualified experiences surgeons, no matter what their specialty will be trained. 

38. What about Dermatologists?
A well-qualified dermatologist who is experienced in liposuction, liposculpture and grafting would be a good candidate.  

39. What prohibits anyone from being able to perform this surgery once it hits mainstream?
Our process is one that is always evolving. At present Dr. Giunta is working on the next level of enhancements to the process. We'll soon make those public as well once they are out of R & D [research and development].  

But RejuveSkin Clinics is more than just a procedure.

RSC is the first and only group of nationwide clinics that have specified a consistent method of treatment and applications of the RejuveSkin Treatment™ (RST), certified by our training group in Washington, DC. As the originator of this procedure, RSC is the consumer's best choice for being assured that they receive the original, proven process and instrumentation, which assures consistently good results. It's the same reason that people look to brand name products and services for quality and reliability.

Sure , There will always be 'knock-off' companies that try to follow in RSC's wake, but our founder, Dr. Giunta and his surgical team, are leading edge pioneers in this area and have developed surgical tools and procedures that are world-recognized for being unique and reliable. An example of his unique MISL procedure for phalloplasty. What RejuveSkin Clinics represent are consistency in treatment application, quality in treatment, affordability, and access... which means peace of mind to the consumer.  

40. Any more photos for us to see?
New photos will be posted soon. As any surgeon will tell you, it's easy to get the preops. Getting the postops is the difficult part. Most people simply do not want to be photographed for the 'after' part. It's a sensitivity issue. As well as many of our patients are from out of town and getting them to send in reliable photos is difficult. Still, more and more photos are being added to our archives ad will begin to appear shortly.

41. I've heard from other surgeons that severing septae can often result in scarring under the skin's surface, possibly causing problems later.  How does the Rejuveskin Treatment address this issue?
Answer coming soon!

If you have an idea for a question, please email me at marianne@yestheyrefake.net 

Credit: Dr. Stephen X. Giunta & Geoffrey Cook, Chairman & CEO - RejuveSkin Clinics Corporation

Related Links
The Official RejuveSkin Website
Dr. Stephen X. Giunta

Contact:
Geoffrey A. Cook
949-365-5675 - office
949-510-6286 - 'after hours line'
RejuveSkin Clinics Corporation
28202 Cabot Road - Suite 300
Laguna Niguel, CA 92677 www.rejuveskinclinics.com
gcook@rejuveskinclinics.com

References
Email Interview, Stephen X. Giunta
Geoffrey Cook, Chairman & CEO - RejuveSkin Clinics Corporation
RejuveSkin website

 


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