Cellulite: Current Understanding and Treatment.

Cellulite is an aesthetically distressing skin condition that manifests as dimples and depressions, producing an uneven surface to the skin. Occurring in 80% to 90% of females, mostly on the thighs, buttocks, and hips, it is associated with profound negative psychosocial and quality of life issues. Its ethiopathogenesis and pathophysiology are likely to be multifactorial and complex and not fully understood. There is no effective treatment for cellulite, although a number of different treatment modalities are available, from noninvasive to minimally invasive. The efficacy of most treatments is unpredictable and improvements in cellulite appearance are short lived, although significant progress has been made with newer treatments. This review provides an update on the current state of knowledge about cellulite, with an emphasis on patient assessment and an individualized treatment approach for optimal results.

Partitioning natural face image variability emphasises within-identity over between-identity representation for understanding accurate recognition.

Accurately recognising faces enables social interactions. In recent years it has become clear that people's accuracy differs markedly depending on viewer's familiarity with a face and their individual skill, but the cognitive and neural bases of these accuracy differences are not understood. We examined cognitive representations underlying these accuracy differences by measuring similarity ratings to natural facial image variation. Natural variation was sampled from uncontrolled images on the internet to reflect the appearance of faces as they are encountered in daily life. Using image averaging, and inspired by the computation of Analysis of Variance, we partitioned this variation into differences between faces (between-identity variation) and differences between photos of the same face (within-identity variation). This allowed us to compare modulation of these two sources of variation attributable to: (i) a person's familiarity with a face and, (ii) their face recognition ability. Contrary to prevailing accounts of human face recognition and perceptual learning, we found that modulation of within-identity variation - rather than between-identity variation - was associated with high accuracy. First, familiarity modulated similarity ratings to within-identity variation more than to between-face variation. Second, viewers that are extremely accurate in face recognition - 'super-recognisers' - differed from typical perceivers mostly in their ratings of within-identity variation, compared to between-identity variation. In a final computational analysis, we found evidence that transformations of between- and within-identity variation make separable contributions to perceptual expertise in face recognition. We conclude that inter- and intra-individual accuracy differences primarily arise from differences in the representation of within-identity image variation.

Do professional facial image comparison training courses work?

Facial image comparison practitioners compare images of unfamiliar faces and decide whether or not they show the same person. Given the importance of these decisions for national security and criminal investigations, practitioners attend training courses to improve their face identification ability. However, these courses have not been empirically validated so it is unknown if they improve accuracy. Here, we review the content of eleven professional training courses offered to staff at national security, police, intelligence, passport issuance, immigration and border control agencies around the world. All reviewed courses include basic training in facial anatomy and prescribe facial feature (or 'morphological') comparison. Next, we evaluate the effectiveness of four representative courses by comparing face identification accuracy before and after training in novices (n = 152) and practitioners (n = 236). We find very strong evidence that short (1-hour and half-day) professional training courses do not improve identification accuracy, despite 93% of trainees believing their performance had improved. We find some evidence of improvement in a 3-day training course designed to introduce trainees to the unique feature-by-feature comparison strategy used by facial examiners in forensic settings. However, observed improvements are small, inconsistent across tests, and training did not produce the qualitative changes associated with examiners' expertise. Future research should test the benefits of longer examination-focussed training courses and incorporate longitudinal approaches to track improvements caused by mentoring and deliberate practice. In the absence of evidence that training is effective, we advise agencies to explore alternative evidence-based strategies for improving the accuracy of face identification decisions.