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Cellulitis: Symptoms, Causes & Treatment

What is Cellulitis?

Cellulitis is defined as an acute infection of the dermis and subcutaneous tissues of the skin. While there are a large number of skin infections, cellulitis will typically follow a distinct set of presentation characteristics, distinguishing it from other common diseases.
When thinking about cellulitis vs. erysipelas, it is important to understand that cellulitis affects deeper levels of the skin than does erysipelas. While they are both infections of the skin and may be challenging to distinguish initially, they will both have different clinical presentations that a doctor will normally be able to distinguish between using just the naked eye.

General Cellulitis Symptoms

Skin Redness
Like with most types of infection, there will be the presence of redness across the infected area. At first this redness may look more generalized, as if it is just a red appearance under the surface of the skin, similar to being flush after a workout. However, as the infection progresses this will intensify in appearance and affect a larger area of the skin. The infection will not have distinct borders as are present with erysipelas.
Swelling
In response to the infection, the area affected by the disease will frequently swell as part of the immune response. Drainage from the area will be limited, which will also contribute to the swelling of tissues. This will be especially evident in appendages and digits.
Fever
As with all conditions that illicit a systemic inflammatory response, cellulitis will cause a fever as the body heats up in efforts to kill the foreign cells. While this fever may not be present in the very acute stages of infection, it will become much more prominent as the disease progresses.
Blisters
In some more extreme cases, fluid-filled blisters, large or small, may appear within the area of the infection. They may be somewhat blotchy in appearance and likely will have palpable sacs of fluid present.

Other Forms of Cellulitis and Symptoms

Cellulitis on most areas of the skin will have a presentation with most of the symptoms listed above. However, there are some forms of cellulitis that take on a more distinct set of clinical symptoms, distinguishing it from the norm.
Orbital Cellulitis
This is an infection of the orbital tissue behind the orbital septum. The symptoms of orbital cellulitis are commonly swelling of the eyelid, redness of the eyelid and surrounding tissue, as well as discharge and discoloration. There is both pain and difficulty with eye movement. Additionally, it is likely that vision will suffer. The eyelid normally becomes noticeably swollen, projecting outwards.
Preseptal Cellulitis
This is an infection of the eyelid and the surrounding tissue anterior to the orbital septum. The symptoms of preseptal cellulitis are commonly tenderness of the eyelid, swelling, warmth, redness or discoloration. Additionally, eye movement may prove painful with a degree of vision difficulty. While swelling will be present, it is usually not as prominent as in orbital cellulitis.
Peritonsillar Cellulitis
This is an infection of the tissue between the palatine tonsil and the pharyngeal muscles. The symptoms are commonly the gradual onset of a sore throatdysphagia, fever, otalgia and an increase in swelling of the affected tonsil.

Causes of Cellulitis

Bacterial Entry Into the Body
Bacterial entry is widely considered to be the most common cause of cellulitis. The infection will commonly manifest in the area of an open wound, current or recent. This is especially common for athletes who are working out with an open wound as the moist environment and increase in body temperature will create a near perfect environment for bacteria to grow.
Most commonly, the infection is caused by the S. aureus bacteria or by a member of the streptococcal family. While both are bacterial in nature, distinguishing the exact cause through use of a careful evaluation and culture may help with outlining the best course of treatment.
Animal Bites
As animal bites may cause an open wound, they carry the risk for causing cellulitis. Animals are subject to a wide array of infections that can be transferred to humans and bites can additionally allow for open wounds that can be penetrated by bacterial organisms.
Other Causes
In addition to these traditional causes of cellulitis, many associations between cellulitis and diabetes exist. While the exact etiology of this is not completely understood, the lack of an adequate blood supply, as well as neuropathy, has commonly been associated with cellulitis of the foot. Those with diabetes are at a higher risk for skin infections than the general population.

Cellulitis Treatment

Antibiotics
When considering cellulitis treatment guidelines, there is often a standard for using oral antibiotics as with the majority of bacterial infections. There are many antibiotics available for use, but those used specifically for treatment should be carefully considered and decided by a healthcare provider, especially for those who have antibiotic resistance of some degree.
Home Remedies for Cellulitis
In addition to the textbook oral antibiotics option, several home remedies for cellulitis have been shown to be effective in treating the condition, delivering satisfactory results for infection cessation. In eastern medicine, there has been a growing focus on using alternatives to antibiotics when possible. This keeps the body from developing a high degree of resistance to antibiotic medication, allowing for it to be more effective when treating bacterial diseases that do not have alternative treatment plans available.
Garlic
Garlic is regarded as one of the most powerful natural agents to combat bacterial and viral infections. Because of the strong properties it contains, garlic has been shown to overcome antibacterial resistant strains.

When using garlic extract powder to combat cellulitis, it is best to either consume several cloves daily while the infection is present or crush the cloves and heat in a solution, such as coconut oil, and apply it directly to the skin. The latter option is not ideal for those who have skin sensitivity as it may cause added irritation.
Turmeric
Turmeric is a powerful antibiotic and antiseptic agent that also has anti-inflammatory properties. Because of its versatility, turmeric has the potential to treat cellulitis as an infection while simultaneously combating its associated symptoms, such as swelling and inflammation.
Turmeric can be consumed through a variety of means for medicinal purposes. It can be combined with boiled milk and drank daily, consumed daily in curcumin powder or made into a paste with honey and oil that is applied to the affected area directly on a daily basis.
Coconut
Coconut contains fatty acids that are proven to be strong antibacterial agents against a number of strains, especially the S. aureus bacterial strain that so commonly causes cellulitis. When used for medicinal purposes, coconut is often applied as oil directly to the area of infection. It should be left on for several hours then washed off, done multiple times daily until the condition resolves.
Apple Cider Vinegar
Apple cider vinegar is another powerful antibacterial agent that may assist with relief from a cellulitis infection. In addition to its ability to fight the infection, apple cider vinegar powder properties will normally offer relief from itching and inflammation secondary to the infection. It is most effective when a few drops are mixed with water and consumed daily until resolution of the infection.
Other Home Remedies
Additional home remedy options for treating cellulitis include tea tree oil, calendula, oil of oregano, manuka honey, fenugreek powderEchinacea extract powder, and activated charcoal. As many of these home remedies have been established throughout the years, supplements that extract their most powerful antibacterial agents have become available for use. This allows for ease with direct application, ensuring all potential benefits are concentrated on fighting the infection.
While home remedies may not have an exact dosage outline, it is important to note recommendations for antibiotic use. If dosage guidelines are not followed carefully, there is a number of side effects possible, ranging from heartburn to antibiotic resistance.

The Bottom Line

While cellulitis is often mistaken for erysipelas, a healthcare provider will often be able to distinguish the difference with a visual examination. A culture of the infected tissue will help determine the best course of treatment moving forward, whether this is using oral antibiotics or natural supplements proven to combat infectious bacterial properties. Before deciding what option is best for you, make sure that you do your research about the different home remedy options available through supplements and discuss these options with your physician to make sure there are no potentially harmful side effects based on existing conditions or sensitivities you may have.
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Lasers Vs Chemical Peels - What's Best For Your Skin?
Scarring from acne? Fine lines and wrinkles? Pigmentation and sun spots? Is any of this ringing a bell? They do happen, regrettably, and when they do, we panic. We've looked everywhere, from skincare products that claim to remove age spots to lengthy Google searches, expecting to find the 'magic' treatment that can eradicate the skin's textural imperfections and beyond. Fortunately, there are alternatives. Chemical peels and laser treatments, two skin resurfacing techniques that remove damaged skin to encourage skin regeneration, are used. What is the final outcome? Smoother and more rejuvenated skin. Combating skin problems has never been easier, but if you're new to the world of skin resurfacing, it might be intimidating. What Is the Difference Between Chemical Peels and Laser Treatments? Skin resurfacing techniques such as chemical peels and laser treatments remove old skin to promote the formation of new skin. Both procedures are frequently used to treat acne scars and hyperpigmentation, fine lines and wrinkles, and sun exposure issues such as pigmentation spots. Chemical peels and laser treatments are distinguished by the procedure itself. The first, as the name implies, employs chemical treatments to remove damaged skin, whilst the second employs lasers. Chemical peels use different amounts of acid solutions to treat the skin's outer layer. There are three types of peels: superficial, medium, and deep. Superficial chemical peels (for example, VI Peel and lactic acid peels) are delicate and exfoliate the skin lightly with weak acids. Medium chemical peels (for example, glycolic acid peels and TCA peels) are more invasive and penetrate the middle and outer layers of the skin. Deep chemical peels (e.g., phenol acid peels) are the most potent, employing strong acids to penetrate as well as remove damaged skin cells. Laser resurfacing treatments use light beams to penetrate the skin, eliminating one column at a time. Although laser removal is more exact, it is often more expensive than chemical peels. There are two types of lasers: ablative and non-ablative. Ablative lasers (such as CO2 and erbium) offer the best effects by vaporizing the skin. Non-ablative lasers (for example, Fraxel) are less intrusive to the skin because they heat it rather than destroying it. Because non-ablative lasers are less strong than ablative lasers, numerous sessions may be required to achieve the optimum results. While chemical peels and laser treatments are distinct in their advantages and the concerns they address, there is some overlap in the issues they address. A strong TCA (trichloroacetic acid) chemical peel, for example, can give resurfacing comparable to that of a resurfacing laser, or both peels and lasers can be utilized to treat acne and acne scars. In terms of skin tone, the two surgeries are also dissimilar. Chemical peels assist those with darker skin tones the most because they are an excellent pigmentation treatment. People with dark skin tones are more prone to hyperpigmentation concerns such as post-inflammatory hyperpigmentation due to an overabundance of melanin in their skin (PIH). Acid solutions are used in chemical peels to encourage collagen formation, and antioxidants are used to further penetrate and treat pigmentation in darker skin. What Are the Most Common Chemical Peel Types? Vi Peel The VI Peel is a painless, mild peel that is appropriate for all skin types and tones. It is made up of trichloroacetic acid, Retin-A, salicylic acid, phenol, and vitamin C and is widely used to treat hyperpigmentation and repair UV damage. Lactic peel A lactic peel is made from milk and is ideal for dry or sensitive skin. It balances the pH of the skin and exfoliates gently by dissolving dead skin cells. 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CO2 Laser Treatment The CO2 Laser Treatment uses pixelated carbon dioxide lasers to treat more severe skin issues like deep wrinkles and acne scars. In general, this laser is unsuccessful for treating skin redness. Erbium Laser The Erbium laser is a less invasive and gentler laser treatment than the CO2 laser. The laser increases collagen formation by penetrating the epidermis (the outer skin layer). It's commonly used to remove wrinkles, fine lines, and age spots. Which Of These Is the Best Skin Care Treatment? It all boils down to your skin type and concerns, in a nutshell. It can be difficult to determine the best course of action, therefore it is always advisable to visit with a dermatologist to discuss your concerns and treatment choices. Not all chemical peels and laser procedures are suited for people with darker skin tones. Are you unsure about your situation? When in doubt, always consult a dermatologist. THE MOST EFFECTIVE ACNE SCAR TREATMENT A chemical peel used to treat hyperpigmentation. Textural changes, such as atrophic or indented scars, respond better to laser skin treatments. A TCA chemical peel, on the other hand, can help with acne scars. Combination methods, which include laser, peels, subcision, and/or dermal fillers, are widely used. WHAT SHOULD I EXPECT IF THIS IS MY FIRST CHEMICAL PEEL/LASER TREATMENT? With chemical peels, expect some redness and peeling following, depending on the type of peel. Not every peel results in apparent peeling. Post-laser skin side effects may include redness, peeling, swelling, and bruising, depending on the laser used. If you use topical treatments, you should discontinue them a few days before the procedure. You may be advised to stop using retinoids, hydroxy acids, benzoyl peroxide, or other harsh, drying, and potentially irritating substances depending on the peel and laser. As a preventative step, patients with a history of cold sores may be given antiviral drugs. WILL A CHEMICAL PEEL OR A LASER TREATMENT BE APPROPRIATE FOR MY SKIN? If you have any of the following conditions, you should avoid chemical peels and laser treatments: - Active infections in the treatment regions - Will be exposed to sunlight after treatment - Have a history of keloids or hypertrophic scars. - A lack of enough post-treatment recuperation time. - Have a darker skin tone (this applies to certain types of chemical peels and laser resurfacing treatments). Whether you choose a chemical peel or a laser treatment, there is a resurfacing skin option for you!
Botox And Fillers For Men. How Different Is It Than Women's Anti-Aging?
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Men, for example, should avoid using filler on the lateral of the cheekbone like women do since it provides a more feminine impression. An arched brow, as well as a very high cheekbone or a small chin, is a typically feminine look, yet generalizations are not always the rule. You generally wouldn't want to generate those conventionally feminine characteristics unless that's the patient's starting bone structure. Also, don't disregard society opinions of wrinkles and fine lines. In women, injectables are routinely used to smooth the skin, although wrinkles are less of a concern in men. The ultimate goal is to restore men's facial angularity and reduce the look of exhaustion or tension, rather than to reduce wrinkles. The sort of product used is also influenced by this distinction in purpose. Certain dermal fillers, such as Juvéderm, which can hold a lot of water, may not be appropriate for men, whereas Radiesse holds less water and produces better definition. The former is a HA filler, whereas the latter is calcium hydroxylapatite (CaHa). So, to achieve the best effects, it's all about quantity, quality, and the type of product you're using. The Benefits of Injectables for Men Fillers and neuromodulators are effective anti-aging treatments that can also be utilized to enhance and define one's appearance. Non-surgical injectables actually serve a vital purpose for guys who desire to rejuvenate their looks when you consider male anatomy. Men's hair is insufficient to conceal actual surgical scars. As a result, skillfully administered Botox and filler can be a strong tool for non-surgical rejuvenation. Neurotoxin Botox, Dysport, Jeuveau, and Xeomin are common neurotoxins used to soften the appearance of wrinkles on the forehead and around the eyes. Because men without lines can appear excessively feminine and unnatural, it is necessary to decrease rather than eradicate these wrinkles. 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