Health Library Logo

Health Library

Cellulite

Overview

When fat cells accumulate under the skin, they can push against the skin's surface. This pressure, combined with strong, fibrous tissues (connective cords) pulling downward, creates an uneven texture. This unevenness is often called cellulite.

Cellulite is a very common and harmless skin condition. It usually shows up as a dimpled or bumpy appearance on the thighs, hips, buttocks, and stomach. It's more frequent in women.

Many people try various things to improve the look of cellulite. These include weight loss, exercise, massage, and creams specifically marketed for cellulite. While these methods might help, the results can vary. There are also medical treatments that have been proven effective, but these don't always produce immediate or permanent results.

Symptoms

Skin that has a dimpled or bumpy texture is often called cellulite. It can look like cottage cheese or an orange peel. You might only notice mild cellulite when you pinch your skin, especially on your thighs. More severe cellulite makes the skin look noticeably uneven, with little bumps and dips. This uneven texture is most often seen on the thighs and buttocks, but it can also show up on the breasts, lower belly, and upper arms.

There's no need for treatment in most cases. However, if you're unhappy with how your skin looks, it's a good idea to talk to your doctor, a dermatologist (skin specialist), or a plastic surgeon. They can discuss different treatment options available to you.

When to see a doctor

Skin issues don't always need treatment. If you're unhappy with how your skin looks, it's a good idea to talk to your doctor. A primary care doctor can help, or you could see a dermatologist (a doctor specializing in skin problems) or a plastic surgeon. They can discuss different ways to improve your skin's appearance if you want to explore options.

Causes

Cellulite is a common skin condition, but the exact cause isn't fully understood. Essentially, it happens when the skin's connective tissue, which acts like cords, is attached to the underlying muscle. Fat cells are located between these cords. As more fat builds up, these fat cells push against the skin, while the cords pull the skin down. This creates the bumpy or dimpled appearance we often see.

Hormonal changes can also significantly impact the development of cellulite. Your genes play a role too, influencing things like your skin's structure, texture, and body type. Factors like your weight and muscle tone can also affect how noticeable cellulite is. However, even very active and fit people can have cellulite. It's not a measure of health or fitness.

Risk factors

Cellulite is a common skin condition, and it's much more frequently seen in women than men. Many women develop it after they reach puberty. This is mainly because women's bodies often store fat in the thighs, hips, and buttocks, areas where cellulite is more visible.

As people age, their skin loses some of its elasticity, which can make cellulite more noticeable. While gaining weight can definitely make cellulite more apparent, it's important to remember that many people with healthy weights still have cellulite.

Genetics often play a significant role in whether someone develops cellulite. If your family members have it, you're more likely to too. A lack of physical activity can also increase the chances of developing cellulite, as can pregnancy. In short, a combination of factors, including genetics, body fat distribution, age, and lifestyle choices, can influence the presence and appearance of cellulite.

Diagnosis

Cellulite is diagnosed by looking at the skin for dimples and figuring out why they're there. This helps doctors decide what treatments might make the skin look better. Some treatments focus on reducing fat, but they might not get rid of the dimpling. Other treatments that do target the dimpling aren't designed to reduce overall fat.

Treatment

Many different methods can temporarily improve the look of cellulite. Each method has potential benefits and risks. Sometimes, combining treatments can give better results.

Laser and Radiofrequency Treatments:

Some laser treatments use a thin fiber to deliver heat under the skin. This heat targets and breaks down the fibers that contribute to a bumpy appearance. This type of treatment can improve the look of cellulite for about six months to a year, but more research is needed.

Another option uses radiofrequency (heat) to improve the way the skin looks. You'll likely need multiple sessions to see results. These "non-ablative" treatments usually require more sessions than the heat-based fiber treatments.

Acoustic Wave Therapy:

A technician uses a small handheld device to send sound waves into the skin. These waves break up the fat deposits that contribute to cellulite. Like radiofrequency treatments, you'll need multiple sessions to see improvement.

Massage:

Some treatments focus on increasing lymphatic drainage (the body's natural way of removing waste). Techniques like Endermologie, a type of massage using a handheld machine, are designed to knead and roll the skin. This can sometimes improve the appearance of cellulite. However, results are usually temporary. Endermologie is approved by the FDA as a safe medical device for this purpose.

Surgery:

Some surgical procedures, like subcision, use needles or other tools to separate the skin and underlying tissues. These procedures can potentially smooth the skin, but they can cause pain and bleeding. Fat grafting, a technique that uses fat from another part of the body, can also be used to improve the appearance of cellulite. Results from surgical treatments might last for two to three years.

Important Considerations:

  • Insurance: Cellulite treatments aren't typically covered by insurance.
  • Risks and Side Effects: All treatments have potential side effects. Discuss these with your doctor before choosing a treatment.
  • Professional Expertise: It's crucial that your doctor or dermatologist has extensive experience with the specific cellulite treatment you're considering. This ensures they're trained to perform the procedure safely and effectively.

New Research:

Researchers are exploring new treatments, some of which combine liposuction with ultrasound or laser. Liposuction alone doesn't remove cellulite and may make the skin look worse. However, when combined with other techniques like ultrasound or laser, it might help tighten the skin, but more research is needed.

Preparing for your appointment

Getting ready with questions beforehand can help you get the most out of your doctor's visit. If you're concerned about cellulite, here are some straightforward questions to ask:

  • What's the best approach for me? This is a general question to find out what your doctor thinks is the most suitable strategy for your specific situation.
  • What treatment options are available, and what are the good and bad points of each? Knowing the different options and their potential benefits and drawbacks is important. For example, some treatments might have side effects or require more time than others.
  • How much will these treatments cost? Understanding the financial implications is crucial. Find out about any upfront costs, ongoing fees, or potential insurance coverage.
  • What results can I realistically expect? It's good to have a clear idea of what improvements you might see and how long it might take. Be aware that results can vary from person to person.
  • What kind of follow-up care will I need? Knowing if and how often you'll need to return for check-ups or further treatments helps you plan accordingly. This also helps you understand the overall commitment involved.

These questions are a good starting point. You can adapt and add more questions based on your individual concerns and the specific advice your doctor provides. Remember, open communication with your doctor is key to getting the best possible care.

footer.address

footer.talkToAugust

footer.disclaimer

footer.madeInIndia