Tell me where you get fat and I’ll tell you what to do

Because not all people have the same constitution, sometimes the accumulation of fat in our body is sectorial. That is, fat seems to have a preference for accumulating only in certain areas.

These are areas such as the abdomen (the tummy), the legs (cellulite) and even the arms. It must be explained that, depending on the area of the body, fat has different characteristics and, therefore, it is necessary to follow a specific diet, different living conditions and personalized exercises. Because not all diets are adequate and not all exercises are ideal. Let’s clear it up a bit:

I have localized fat in … the abdomen

The fat that accumulates in the abdomen usually gives the constitution called android, whose main characteristics are:

• They are generally hyperactive subjects
• Eaters and drinkers, especially beer
• With a considerably high caloric intake

This obesity is essentially polyphagic, it is characterized by its metabolic complications from the age of 40:

• Diabetes
• Arteriosclerosis
• Hyperlipemias (increased cholesterol)
• Hyperuricemia (increased uric acid) … which increases coronary and cerebral risk.

Therefore, the care in people with an android constitution are:

• Hypocaloric diet (low in calories and balanced): Reduce fermented or fermenting foods in your digestion (large leafy vegetables such as lettuce, beer, bread, etc.) In addition, they should eliminate alcohol and, if they have signs of diabetes, reduce the sugars (sweet fruits, pasta, rice, starches, etc.) of the intake. It is considered a serious risk factor for cardiovascular diseases: abdominal circumference in men greater than or equal to 102cm and BMI (body mass index) greater than or equal to 30kg / m2. And, in women, greater or equal to 88cm in abdominal girth.
• Sport: Swimming and sit-ups are the best sport.
• Medical treatments: Hydrolipoclasia or ultracavitation is recommended in patients at high health risk, in patients who do not want to undergo surgery and small or medium abdominal volumes.

What is Hidrolipoclasia-ultracavitation?It is a non-surgical medical therapy that uses ultrasound (US) to reduce the volume of localized fat. Excellent treatment on a voluminous abdomen of a man or woman. The external application of US for 15 minutes on the area to be treated produces thermal, mechanical and chemical effects that facilitate the degradation and breakdown of fat, called cavitation, to facilitate its elimination from the body. Increases temperature and blood flow, activating fat oxidation, and high frequency oscillation releases adhesions of orange peel. The two previous mechanisms produce “burst” of adipocytes. Once the fat is liquefied, it becomes like an oil that can be eliminated more easily by the body itself, or it is extracted locally with aspiration through a small cannula.

In cases of very large abdomens, liposculpture (surgical technique of suction of fat from the abdomen, stomach, flanks, etc.) that must be combined with a tummy tuck (surgical technique to stretch and remove excess skin from the abdomen when it remains flaccid due to the loss of fat and, therefore, of volume the skin falls).

I have localized fat in … my legs: Cellulite

It occurs mainly in women with ovarian activity (young people, adolescents, of childbearing age and of pregnancy) and usually appears at puberty and with the years it evolves, gaining volume and accompanied by orange skin on the hips, legs and buttocks (being able to reach even knees, calves and ankles) giving the genoid constitution.

They are generally women with a normal or slightly high weight but with a disproportion between the upper part of their body (from the navel upwards) with respect to the lower part of the body, being one to several sizes larger in this area with respect to the body.

It is what is known as cellulite.

When it appears in men (very rare) they are men with an adenogenital problem and they are usually hypogenital. It is seen in young obese men with delayed puberty and is accompanied by false fatty breasts.

The characteristics of the genoid constitution and accumulation of fat in the legs are:

• They are due to the effect of estrogens, which is why it is more common in women
• The adiposity is located below the horizontal line that passes through the navel, affecting especially in the area of the hips and buttocks
• It can go down to the knees or down to the ankles.
• Fat mass is very important.
• The muscles in the legs are underdeveloped
• Fat predominates over muscle in the buttocks and legs
• Generally, there are no notable dietary excesses, but there are large imbalances in the diet with decreases in protein and lipids.
• They have few metabolic complications (diabetes, hyperuricemia, etc.)

Its most frequent complications are of mechanical origin:

• Varicose veins varicose ulcers
• Osteoarthritis of the spine, knees, hips and lower limbs.

Therefore, the cares in a genoid constitution are:

• Diet: In patients with normal weight, they should not lower calories, but they should increase protein intake, reduce coffee, drink 2l of water a day …
• Sport: walking, swimming, cycling, spinning and strengthening the muscles of the legs

There are 3 types of cellulite or localized fat on the legs and buttocks:

• Edematous cellulitis: with increased volume in the legs due to fluid retention. Recommendations: drink fluids, do not wear tight clothing, walk, drainage treatments …
• Fibrous cellulite: without a large volume, it presents an ugly appearance of embossing of the skin, called orange peel. Generalized therapies for legs and buttocks: adipocytes accumulate very locally as in only holsters (peritrochanteric region) or in the knees or only in the ankles. Liposculpture is a good treatment to remove those very localized accumulations of fat.
• Mixed cellulite : It has the characteristics of the previous cellulite together in the same person. You need the combination of several treatments consecutively. The most appropriate treatments are comprehensive leg treatments such as Vela (combining radiofrequency, massage, vaccinotherapy and infrared), ultrasounds, radiofrequency, lymphatic drainage (if there is fluid retention), mesoperfusion (injection of allopathic medication into the legs to reduce fat volume), etc.

Sometimes, liposculpture surgery can only reduce the volume of very localized fat (as in the case of hypertrophic cellulite), but it never restores smoothness to the skin, it does not eliminate the appearance of orange peel skin.

I have localized fat in … my arms

The accumulation of fat in the arms is usually correlated with a generalized increase in fat with the same frequency in men as in women and is not hormone-dependent. The increase in the volume of the arms is usually due to a general weight gain. It is usually a fat that is reduced with weight loss in general, although the sagging and accordion appearance of the skin on the arms is very resistant and difficult to treat.

The cares for the accumulation of fat in the arms are:

• Diet: Always low in calories to reduce weight in general (and within being low in calories try to reduce lipids or saturated fat). High protein and dissociated diets (always with medical supervision) are the fastest to lose weight and volume.
• Sport: Swimming and strengthening of the muscles of the arms with aerobic and anaerobic exercises.
• Medical treatments: Ultracavitation in conjunction with radiofrequency or laser liposuction can help. Hidrolipoclasia-ultracavitationis a non-surgical medical therapy that uses ultrasound (US) for the reduction of the volume of localized fat, excellent in a voluminous abdomen of a man or woman. The external application of US for 15 minutes on the area to be treated produces thermal, mechanical and chemical effects that facilitate the degradation and breakdown of fat, called cavitation, to facilitate its elimination from the body. Increases temperature and blood flow, activating fat oxidation and high frequency oscillation releases orange peel adhesions. The two previous mechanisms produce “burst” of adipocytes. Once the fat is liquefied, it becomes like an oil that can be removed more easily by the body itself or is extracted locally with aspiration through a small cannula.