Now here are a couple more facts: We all have many billions of fat cells. In fact, the number of fat cells that we have, and the distribution of those cells are both pretty much fixed from very early in life (around one year in age). The reason that different people have different shapes is that their fat cells are distributed differently. The woman with disproportionately wide outer thighs has more fat cells in that area, and therefore she perceives it as a stubborn disproportion. One man may have a relative ‘hill’ of fat cells under his chin; another in his love handles, and so on.
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ASAPS formed an ad hoc committee to further investigate the pros and cons of mesotherapy, he says. "We don't know whether it works or not because it is used by a lot of people who inject all kinds of chemicals into the skin," Fodor explains. "Our committee looked at the literature and we found no uniformity to what is being used, how much is being injected, and where it is being injected, so we could not draw any conclusions," he says. That's why ASAPS is conducting a clinical trial at five centers to definitively answer questions about mesotherapy. "We will do some studies with an exact and rigid protocol so we can compare apples to apples, not apples to oranges," he says.