Ectasia circulatory

Phase 1 :  venous, lymphatic and dilation of dermal vessels. Periadipocitario interstitial edema.

Clinically: Heaviness of legs, the area is palpated cellulitic thick, infiltrated, less elastic and colder, starting to look to pressure the “orange peel”. Some telangiectasia may occur. This stage is reversible.

Exudative

Phase 2 :  vascular dilation increases serum comes from the capillaries into the subcutaneous tissue. The swelling pushes connective fibers and nervous filaments. There hyperplasia and hypertrophy of pericapilares and periadipocitarias reticular fibers.

Report: symptoms of phase 1, adds tenderness cellulitic area. A pressure is the “orange peel”. Streaks appear and varices, tendency to obesity and lipodystrophy located. This phase can also be reversible. Genital activity period.

Fibrous Proliferation

Phase 3 : The fibers of dermis and hypodermis suffer a degeneration of collagen, amorphous blocks are formed that cause entrapment of adipocytes filled with triglycerides. Altered cell metabolism and are formed “micronodules.

Clinically: “Orange peel spontaneously. The skin is cold, dry and with “little wells”. Deep and superficial varicose veins. And localized painful arthropathy associated Lipodystrophy pearly streaks and flaccidity. Premenopausal, reversibility is difficult, except to carry out a comprehensive and sustained treatment.

Scar Fibrosis

Stage 4 : The Progressive compression of vessels and nerves, produces nutritional disorder of connective tissue, no real alteration in adipose tissue than normal in their chemical constitution. The union of micronodules formed the “macronodular.

Clinic: “Skin padded or quilted” seen with the naked eye without pressure (hard painless nodules). Postmenopausal period. This phase can not be reversed, but can be improved with local treatment and Ultrasonic Liposuction.