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An Innovative Injection Technique for Treating Edematous Fibrosclerotic Panniculopathy (Cellulite): A Prospective
Aesthetic Surgery Journal. Open Forum
|August 12, 2026
Summary
A new hyaluronic acid and amino acid mixture effectively improved cellulite appearance and patient self-esteem in a clinical trial. This treatment for edematous fibrosclerotic panniculopathy (EFP) showed lasting results for up to six months with minimal side effects.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Cosmetic Science
Background:
- Edematous fibrosclerotic panniculopathy (EFP), commonly known as cellulite, affects a vast majority of postpubertal women, significantly impacting their quality of life.
- The complex etiopathology and multifactorial origin of EFP present considerable challenges for effective clinical management.
- Current treatment options for cellulite often lack robust efficacy or carry significant risks, necessitating the exploration of novel therapeutic approaches.
Purpose of the Study:
- To evaluate the efficacy and safety of a specific hyaluronic acid and amino acid mixture in an alkaline solution for treating cellulite.
- To assess the improvement in cellulite severity using both clinician-reported and patient-reported outcome measures.
- To investigate the psychological impact of the treatment on patients' self-esteem and body consciousness.
Main Methods:
- A prospective, multicenter clinical trial involving 46 women diagnosed with EFP (Stage I to early Stage IV).
- Treatment involved injections of a hyaluronic acid and amino acid mixture.
- Cellulite severity was assessed using the modified Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient-Reported PCSS (PR-PCSS) at multiple time points.
- Psychological impact was measured using the Objectified Body Consciousness (OBC) scale.
Main Results:
- 95.3% of participants reported subjective improvement in cellulite appearance, with results sustained up to 6 months post-treatment.
- Objective improvement was observed in 76.7% of participants as early as two weeks after the first treatment, with sustained efficacy for up to 6 months.
- Significant improvements in self-esteem, as measured by the OBC scale, were reported.
- The treatment was well-tolerated, with only minor bruising reported as an expected adverse event related to injections.
Conclusions:
- The hyaluronic acid and amino acid mixture (Sunekos Cell 15) demonstrates potential efficacy and a favorable safety profile for treating cellulite.
- This minimally invasive treatment option appears particularly beneficial for cellulite cases with significant fibrosis.
- The study suggests that this novel formulation can improve both the physical appearance and psychological well-being of patients suffering from cellulite.
