Dayspa

MAY 2017

DAYSPA is the business resource for spa & wellness professionals! Each issue covers the latest in skin care, spa treatments, wellness services and management strategies.

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[ 48 ] • DAYSPA • may 2017 The consensus is that a multilayered approach is the only way to really make a dent in—well, the dents. "An eff ective cellulite program involves educating the client about cellulite's causes and contributing factors—which include fatty foods, excess sugar, alcohol, insuffi cient water, circulation-restricting garments and stress—along with an internal detoxifi cation regimen," says Morris, emphasizing that the primary objective of cellulite treatment is to encourage elimination of trapped waste, rather than weight loss. "A comprehensive anti-cellulite plan may require partnering with local nutritionists, personal trainers, chiropractors or holistic doctors," she says, and that requires commitment by guests to make lifestyle changes. A cellulite client who follows a complete plan will benefi t most from the treatments you can off er her in the spa, which range from the traditional to the highly technical. All of them, however, are aimed at encouraging lymphatic drainage, removing excess fl uid and impurities, boosting metabolism, encouraging circulation or some combination of these. " Massages performed manually with strong and quick movements, for instance, are eff ective in helping to drain excess fl uid," says Elizabeth Murchison, director of education at Guinot. Using a steam room or sauna draws out fl uid and impurities via the pores. Detoxifying body wraps can produce immediately visible—albeit temporary—results, as can other wet body treatments. Ciminelli recommends dry-brushing clients, then preparing a soak with algae powder. "The liquid seaweed bath helps to reduce water retention, remove toxins and stimulate circulation," she says. Mechanical modalities such Endermologie and electro- lymphatic therapy work to manipulate the tissues via rolling and suction actions. Sometimes massage is paired with the use of high-tech devices meant to penetrate tissues via enhanced temperatures, light or energy waves. Examples of this include infrared , cryotherapy , lipo laser treatments and radio frequency . "Tissue massage combined with diode laser therapy or infrared light and radio frequency, performed in a series of monthly treatments, produces results that typically last six months to a year," reports Dr. Frey. It should be noted that any treatment that causes the skin to swell, such as heat-driven therapy, will temporarily reduce the appearance of cellulite. The next step up in cellulite intervention is medical spa- level procedures such as mesotherapy injections, designed to "melt" fat in confi ned trouble spots. Nesbitt reports that Skin Boutique off ers a Thermal Butt Lift that includes toning treatments followed by microneedling with the client's own platelet-rich plasma (PRP) to stimulate collagen production. A new FDA-approved medical treatment for thighs and buttocks called Cellfi na involves a physician using a "numbing wand" as local anesthesia and a needle-sized device to directly treat the underlying fi brous bands that tether the skin. Though the device is new, the process isn't, says Dr. Cheung. "This technique is called subcision , and can be performed surgically or with a laser," she explains. Subcision is done in a single treatment and results last up to three years. ripple effect Smoothing ings Over With so many identifi ed potential causes, how does a spa practitioner work with clients who need help tackling their cellulite? You can start with education. Vergnolle believes the conversation should begin as soon as the client expresses a concern—which could be early. "We're seeing teenage girls develop cellulite," she says. However, sometimes that conversation comes much later, as Jennifer Masson, a nutritionist and esthetician based in Tampa, Florida, points out. "In older women, decreased estrogen from menopause impacts blood vessel circulation, and reduced blood-delivering nutrients and oxygen means less collagen production," she explains. "So, fat cells get larger and appear as lumps and bumps." The fact is, cellulite can appear at any age. "Yo-yo dieting and changes in metabolism can trigger cellulite formation, as can liposuction," says Kroytor. © GETTY IMAGES

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