What is cellulite?

(and why is it so difficult to get rid of?)

 

 

cellulite: definition, anatomy & physiology

 

cellulite description

Cellulite is inflammation and fibrosis (scarring) of the superficial fat tissue, usually accompanied by skin laxity and oedema (water retention). In cellulite, shortened and hardened collagen fibres anchor the skin surface down to the deeper tissues, while at the same time pouches of enlarged fat tissue push the, typically loose, skin upwards, making it protrude. This causes the familiar mattress appearance of cellulite.

 

 

The scientific definition

The best scientific definition of cellulite which describes it (almost) accurately is: "Oedematous FibroSclerotic Superficial Panniculitis (OFSB)". This in plain English translates as: inflammation of the superficial deposits of fat, accompanied by scar tissue and water retention.

The above includes all the hallmarks of cellulite in one elegant, four-word definition: oedema (water retention); inflammation of superficial fat (panniculitis); fibrosis (scar tissue / hardening of connective tissue).

Although skin laxity is found in 90% of cellulite cases, it is not found in all women, so this definition still stands accurate.

We could potentially ad the word toxic to the above definition, as the creation of cellulite is significantly accelerated  by the accumulation of fat soluble toxins in adipose tissue. So a revised, all-inclusive definition of cellulite could be: "Toxic Oedematous FibroSclerotic Superficial Panniculitis"

Another, more concise scientific definition of cellulite is: “Dermopanniculosis Deformans”. This basically means “inflammation of the fat tissue in the skin" (dermopanniculosis), accompanied by deformity (deformans) - the second word denoting the fibrosclerosis mentioned above.

 

 

Peaks and troughs

To start explaining how cellulite develops, it is worth noting that fat in the deeper layers of the skin is always enclosed in little compartments wrapped up by a thin sheath of connective tissue, forming "fat parcels".

(Note: connective tissue is tissue made of a network of collagen, elastin and other proteins. Connective tissue keeps everything together and gives shape to our body.)

These fat pouches are literally suspended by collagen strands that attach them: to each other; to the surface of the skin above; and to deeper tissues underneath. This forms a three-dimensional suspension structure that makes female skin soft, but firm and elastic at the same time. In addition, the surface of the skin is literally tethered directly to the superficial fascia below by longer and thicker collagen strands, and these are the collagen strands most responsible for the mattress cellulite appearance (see picture below).

Note 1: Male skin has exactly the same structure, but usually without too much fat in the fat pouches, and appears as firm and elastic, but not very soft. Note 2: As we will see below, cellulite skin appears more "squidgy" (as in spongy soft) than soft and firm. This is due to water retention and/or skin laxity, which usually accompany cellulite.

 

 

The (fat pouch) peaks and the (collagen strand) troughs

Now, it is also worth noting that fat cells can swell several times their normal size. As these fat pockets enlarge with excess fat and water, they expand and push the skin surface upwards.

On the other hand, in reaction to the pushing of fat outwards, the collagen strands that connect the surface of the skin above to the deeper tissues below, become overstretched and injured. This eventually leads to scarring, contraction and hardening of the collagen strands, eventually culminating in the skin being pulled downwards at those points.

 

 

Cellulite anatomy: The cellulite mattress appearance

The peaks (caused by fat pushing the skin out) and troughs (caused by collagen stands pulling the skin down) cause the mattress appearance that we call cellulite. This also resembles the appearance of "orange peel" (peau d 'orange) and cottage cheese, hence the "cute" names used to describe cellulite...

 The cellulite mattress appearance

In the photo below you can clearly see the fat pouches (hypodermal fat) and collagen strands that connect them together and attach them to skin on top and the "superficial fascia" below. Below the "superficial fascia", at the bottom 30% of the picture, you can see the deep, "subcutaneous fat", which is NOT part of cellulite.

 Cellulite

 

 

90% of women will develop cellulite at some point in their lives

There are hundreds of anti-cellulite creams around but 90% of those creams don't really work. 90% of beauty salons offer some sort of cellulite treatment and 90% of those treatments fail to offer you anything more than a slight, temporary reduction of cellulite. And the obvious question is, why?

The answer to the "why" question is the multi-faceted nature of cellulite. In one small area of skin you can have connective tissue hardening yet at almost the same spot you also have skin looseness; and water retention; and inflammation; and fat accumulation. And each of those things reinforce the other, in a perpetual vicious circle that gradually destroys the very fabric of the skin in the legs and buttocks (and quite often stomach and arms). An analysis of this vicious circle follows.

 

 

cellulite: a negative feedback spiral

 

Cellulite: a web of complications - literally and metaphorically 

Remember how we described cellulite earlier as a three-dimensional web structure? Well, that was referring to a literal, physical web. However, the problem with cellulite is also another, metaphorical web: the web of complications.

Cellulite is characterised by a web of complicated feedback mechanisms:

  • inflammation, as any biology student knows, leads to water retention and vice versa, in a perpetuating negative loop
  • inflammation quite often leads to fibrosis / sclerosis (i.e. scar tissue / tissue hardening, in plain English)
  • water retention inhibits fat removal, but does not prevent fat accumulation ("fat trap" effect)
  • an excess of adenosine and alpha2 adrenoreceptors in the fat tissue, due to chronic exposure to oestrogen, also inhibits fat removal, but does not prevent fat accumulation ("fat trap" effect)
  • ever expanding fat tissue (due to excess calorie / sugar consumption) further injures the connective tissue strands attached to it, causing more fibrosis / sclerosis
  • on the other hand, ever expanding fat tissue breaks down the connective tissue around it, causing skin looseness (ever wondered why fat makes your skin flabby? that's why)
  • furthermore, ever expanding fat tissue mechanically inhibits circulation, causing more water retention
  • water retention / poor circulation leads to adipose tissue hypoxia, which is well known to cause inflammation, oxidative damage, fibrosis and glycation (connective tissue protein damage due to sugar consumption), and vice versa, all reinforcing each other
  • anti-nutrients and toxins from food and cigarettes accumulate in the fat tissue and cause further fat tissue inflammation, hypoxia and glycation

As you see, it just goes on and on and on. One complication causes another, which causes another, which causes another, and the whole thing becomes a never ending vicious circle that must be broken at various points, if we want to make some real progress with cellulite reduction.

 

 

The vicious circle of cellulite must be broken at multiple points

Attempting to break this web at just one point, as in with a caffeine-only cream or with a "fascia massage" is naive, to say the least.

In addition reducing food intake is, by itself, not enough either, as evidence shows and the same applies to "cellulite exercises", as every woman knows. A bit of lymphatic drainage to - very temporarily - reduce water retention is clearly nowhere near enough. And let's not even talk about the joke of "dry skin brushing"...

Some caffeine cream to marginally boost fat removal and circulation will not do it either. Otherwise, with the amounts of coffee women drink today, there would be no such a thing as cellulite. Caffeine does help, but on its own is not even close enough to effectively remove cellulite. And let's not even mention the sheer time-wasting ritual of rubbing ground coffee on thighs...

 

 

How to get rid of cellulite

 

A comprehensive approach is needed

A good cellulite treatment should work on both skin laxity and fat reduction and poor circulation (there is no known technology that directly works on inflammation, fibrosis, oxidative damage or inflammation)

And the same applies to creams: a good cellulite cream must contain actives which are well established to work against many, if not all aspects of cellulite: fat AND poor circulation AND oxidative damage AND glycation AND fibrosis AND inflammation AND skin laxity.

And all these have to be combined with healthy eating, vigorous exercise (relaxing Yoga and Pilates don't count) and sugar/smoke/alcohol/contraceptive pill avoidance, if some good results are to be expected.

That is how cellulite is reduced: by attacking it on all seven fronts.

 

 

Check our "How to get rid of cellulite?" guide

We have put several months of hard work, lots of love and all our knowledge and 18-year experience in our detailed "How to get rid of cellulite" guide, comprising 60+ tips. It really contains (almost) everything you need to know to combat cellulite - so make sure you check it out!

 

 

Pre-cellulite and the ethics of cellulite

Now that we have covered the basics of "what is cellulite" we can move into "pre-cellulite" and also discuss the questions regarding how "normal" cellulite is and if anyone should be bothered to reduce it or not. If you are interested, just scroll down or click on the link above.

 

 

 

© 2017-2018 Georgios Tzenichristos & LipoTherapeia Ltd

Pre-cellulite: cellulite waiting to happen

 

 

On this article I am presenting cellulite anatomy in detail and also the subject of pre-cellulite. For a more general discussion on "What is cellulite", please scroll up or click on the link.

 

 

How fat cell accumulation within the skin leads to internal stretch marks and the appearance of cellulite

Given that opinion about the exact nature of cellulite is so varied between researchers, it is no surprise that everyday people are so confused about the subject and believe anything that is thrown upon them by advertisers and the popular media.

Several studies have been contacted over the years to elucidate the problem of cellulite and the study analysed on this page is one of the best. This study, published in February 2000 in the American Journal of Dermatopathology, describes the exact anatomy, physiology and pathology of cellulite and is aptly named...

 

 

"Cellulite: From Standing Fat Herniation to Hypodermal Stretch Marks"

The researchers examined 24 cellulite tissue samples of women with cellulite (aged 28-39yo) and compared them with those of 4 women and 11 men who did not suffer from cellulite. The researchers surprisingly found that the lumpy aspect of cellulite is found in all women - but not men - regardless of cellulite.

This means that the “cellulite” architecture already exists in women, merely becoming more pronounced and manifesting as cellulite when the right conditions are met. This breakthrough discovery means that all women after puberty possess what we can call "pre-cellulite", which is cellulite waiting to happen if excess food is consumed; if an artificial/sedentary lifestyle is followed; and if contraceptive hormones are taken.

 

 

Pre-cellulite exists in all women and is not pathological

This architecture, the researchers suggest, exists in order to prevent skin laxity and the excessive out-pouching of fat lobules when/if they enlarge. The collagen strands that create this “cellulite architecture” become more pronounced as a reaction to fat lobule enlargement, not unlike the growth of any other scar tissue in the body which is created as a result of excessive tissue stretching or damage. As fat accumulation increases, collagen strands also thicken in order to bring the fat lobule herniation under control, eventually leading to full-blown cellulite.

 

 

Incipient cellulite and cellulite-proper

So basically, all women, but not men, have a pre-cellulite structure in their hips and thighs after puberty. It only takes excess fat accumulation to turn this structure into "cellulite proper".

The researchers call this structure incipient cellulite (= cellulite waiting to happen) and explain that it is normal female thigh skin structure, a mild mattress-like appearance that is not pronounced and can only be revealed in a very mild form by skin pinching. With cellulite-proper, however, the mattress-like appearance is not mild, it is quite pronounced and in many cases severe.

Incipient cellulite, scientifically called “Status Protrusus Cutis”, was first identified in 1978 by German scientists, and is the result of tissue exposure to oestrogen. This structure is not found in children neither in men, but it is found in men who undergo sex change (male-to-female transexuals) and it is even particularly pronounced in women who take hormonal contraception.

 

 

Nature wanted women's skin on thr thighs and buttocks to be soft but firm and elastic

Under-the-skin fat accumulation is an evolutionary sexual characteristic that makes women "softer" and more gentle to touch and therefore more attractive to men, and it is the equivalent of the lean, rugged appearance in men, characterized by muscle definition. This appearance required a bit of extra fat on the surface of the thighs and buttocks and is one of the many sexual differentiation features that natural selection encouraged. This worked well over hundreds of thousands of years, contributing to an image of beauty and harmony immortalized by artists throughout the centuries.

Obviously, with softer (i.e. more fatty skin) comes the need of controlling the levels of softness and maintaining the shape and firmness of the skin and keeping it all together nicely. This job is ascribed by nature to connective tissue, hence the collagen strands that exist in those areas. In simple terms, nature initially only intended to keep women soft yet firm and wisely devised the fat-and-collagen-strand structure.

 

 

Nature could never anticipate that women would one day spend their life sitting down or eating fat and sugar

Obviously, this structure was a huge success for hundreds of thousands of years when women tended to be more active; eat less and more naturally; and did not drink, smoke or take hormonal contraception. In fact, this structure is still a huge success for a small minority of generally younger women, who benefit from the “soft yet firm appearance” - until they hit 30...

Unfortunately, nature never anticipated the invention of cars, computers, cigarettes, the pill and Krispy Kreme, and the consequent enlargement of that modest fat tissue that made the skin soft and beautiful, to an extent where the skin actually becomes inflamed and puffy. Neither could nature have imagined that the little connective tissue it put in place to maintain the firmness of this superficial fat, would be the cause of the mattress phenomenon, with protruding lumps of fat struggling to be kept in place by hardened, shortened connective tissue.

For this is exactly what cellulite is: excessive fat incorporated in the structure of female skin, accumulating after years of caloric excesses and inactivity, and combined with shortened, thickened connective tissue which desperately tries to keep the excessive, bulging fat into place. Yes, water retention, inflammation and toxins all have their place in the definition of cellulite, but they all come because fat becomes excessive and because connective tissue is injured by the enlargement of this fat.

 

 

Silly surgery

To some women these fibre strands might sound like a curse, as they appear to be the root cause of cellulite.

In fact, some unscrupulous doctors remove those strands in order to - very temporarily - remove the cellulite appearance, with a "minimally invasive" surgical procedure called subcission and a similar one, assisted by laser, called Celfina. However, as we stated before, those strands are there for a reason, to keep the fat under control and prevent the skin from looking excessively puffy, jelly-like and flabby. By removing those strands you do get rid of cellulite appearance only to replace it with the jelly thigh appearance.

To be honest, I don’t know which look worst: orange peel thighs or jelly thighs. But I do know that if you leave the fibrous strands alone and concentrate on the root causes of cellulite, you will be more satisfied with your appearance - and save a few thousand pounds too.

 

 

Cellulite proper: inflamed, deformed tissue - a pathologigal state

As you have probably already guessed, full-blown cellulite, is simply taking pre-cellulite to the next level by filling those fat cells with fat and, in some cases, the tissues that surround them with water.

Full-blown cellulite is scientifically called “Dermopanniculosis Deformans”, which basically means “inflammation of the fat tissue in the skin" (dermopanniculosis); accompanied by deformity (deformans). In full-blown cellulite the mattress appearance is no longer mild or normal and can be revealed with the lightest of pinching or with no pinching at all.

In fact, the researchers have shown that "cellulite proper" is structurally different to incipient cellulite, with deformity and scar tissue observed in the deeper layer of skin (hypodermis). We may say that in cellulite-proper this deformity looks like vertical stretch marks located under the surface of the skin, equivalent to the normal stretch marks which are horizontal and found on the surface of the skin.

Finally, we should also note that pre-cellulite does not become full-blown cellulite overnight - there are several intermediate phases, which are simply called mild cellulite, advanced cellulite etc. 

 

 

No septa in cellulite, just fibrous strands

The examination undertaken by the research team revealed a 3D network of fibrous strands that partition the lower part of the skin (hypodermis), keeping the fat lobules suspended and the skin firm. This, structure, as we explained above, looks not just normal but actually contributes to female attractiveness in women without cellulite.

Another important finding in this study was that, contrary to previous belief, there exist no continuous connective tissue sheaths, also known as "septa" or septae, that separate the fat lobules. There is no honeycomb structure, as such. What was in the past seen on the microscope and erroneously described as septa was just connective tissue strands: some thick, some thin, but strands, nevertheless, and no septa.

As we discussed, this connective tissue over-stretching leads to the formation of internal stretch marks. Again, the researchers eloquently describe this process in a few words: “The latter condition (normal stretch marks) results from excessive tension applied in parallel with the skin surface, whereas the former (cellulite) likely results from continuous and progressive vertically oriented stretch in the subcutis".

Again, it is important to emphasise here that normal-sized hypodermal fat lobules are only found in women, but they are not cellulite. Only when these lobules enlarge and start stretching the supporting connective tissue strands, with all the complications described above, we have the appearance of cellulite.

 

 

Cellulite can only be reduced or eliminated with an integrated approach - one-sided approaches are evidently not enough

Now we know what cellulite is and how it develops, is there anything we can do to reverse the situation?

Absolutely. A well-designed anti-cellulite program, consisting of quality cellulite creams and treatment, and of course diet and exercise, can directly and indirectly affect fat cell size and number (and therefore fat lobule size), diminish water retention, improve circulation, eliminate inflammation and - to some extent - repair the connective tissue deformity/fibrosis.

However, it is impossible to completely repair and "even out" the millions of connective tissue fibres after they get deformed, and this is the reason why it is impossible to eliminate cellulite 100%, unless it is very recent and mild and not much permanent deformity has already occurred.

Still, a 60% or 80% improvement is not bad and much better than doing nothing and allowing skin on the thighs, hips and buttocks to become more and more bumpy, loose and inflamed. As we already know prevention is better than cure and the time to prevent is now - if we leave it too long it may be too late...

 

 

Check our "How to get rid of cellulite?" guide

We have put several months of hard work, lots of love and all our knowledge and 18-year experience in our detailed "How to get rid of cellulite" guide, comprising 50+ tips. It really contains (almost) everything you need to know to combat cellulite - so make sure you check it out!

 

Jump to:

What is cellulite

Is cellulite normal?

 

 

© 2017-2018 Georgios Tzenichristos & LipoTherapeia Ltd

If most women have cellulite today, Isn't cellulite normal?

 

 

If all women have pre-cellulite, will everyone develop cellulite in the end?

As we have discussed in the previous article of this guide, all women have a "pre-cellulite" fibrous structure on the superficial connective tissue found within their hypodermis (lower part of the skin). In the absence of excessive fat accumulation on that tissue and the physiological changes that follow such adipose tissue enlargement (inflammation, oedema, fibrosis), this structure is either not at all or barely visible with a pinch test. That's pre-cellulite. This is natural and normal.

Men also have this structure, especially if exposed to estrogenic factors, such as xenoestrogens from plastics, estrogen produced in their fat cells (yes, fat cells do produce estrogen), or even sex change hormones, in transgender individuals. With time, this structure can progress to become cellulite. Most men, however, have this structure minimised and also hidden underneath hair, so it is irrelevant.

So cellulite will indeed develop from pre-cellulite, in most women and in a small minority of men, but ONLY if an unhealthy diet/exercise/overall lifestyle is followed.

 

 

If all women have pre-cellulite, isn't cellulite normal?

So, although pre-cellulite is universal in women and absolutely normal, cellulite is a totally different thing.

Pre-cellulite does not necessarily need to end up in cellulite, and hundreds of millions of women, perhaps billions even - who follow a natural, healthy lifestyle are living proof of this.

On the other hand, cellulite is not healthy and it is not normal. It is the result of humans perverting nature and natural living in every way possible: sitting down for most of the day, smoking, drinking, eating bucketloads of sugar and saturated/fried/hydrogenated fat every year and exposing their body to artificial estrogens and other hormonal disruptors.

Clearly, pre-cellulite, a natural body structure, and cellulite, the unhealthy, deformed state of such structure, are not one and the same thing at all. Pre-cellulite is not cellulite and so it does not make cellulite normal.

 

 

"If Most women have cellulite, Isn't cellulite normal?"

On the other hand some "cellulite deniers" claim that cellulite does not exist, that it is normal and beautiful and we should do nothing about it, because most women suffer from it, anyway. However, it would be helpful if we rephrase the question on the title of this paragraph, to make it a bit more accurate:

"if most women in the western world have cellulite today, shouldn't we consider it normal - in western women, today"?

 

 

Cellulite: an aesthetic "disease" of today's Western world 

Now things become clearer. We, in the "western world", are not the whole world and we should not be so arrogant as to project our situation to the whole of humanity. As mentioned above, there are hundreds of millions - probably still billions - of women worldwide who do not follow our unhealthy lifestyle and who do not suffer from cellulite at all, regardless of age and genetics (at least in most parts of the developing world where they do not follow our western diet and lifestyle).

Furthermore, cellulite has been minimal or non-existent for the most part of history in the western world too, only "becoming a thing" around the mid-twentieth century, with the advent of sedentary occupations, a crazy increase in sugar consumption, smoking and/or drinking adoption by a large percentage of women, consumption of hydrogenated fats, the use of hormonal contraception and endocrine disruptor pollution from plastics everywhere around us.

 

 

Beauty may be in the eye of the beholder, but inflammation, water retention and fibrosis are just not "normal"

Sure enough, beauty may be in the eye of the beholder, and cellulite due to its ubiquity in the West may be considered today as a common aspect of the female physique in these parts of the world - and some may even find it beautiful.

However, that does not mean that cellulite is normal. In the absence of sugar consumption, drinking, smoking, sedentary lifestyle, overweight, contraceptive hormones or all the above, cellulite is non-existent or minimal. And the ubiquity of cellulite in western women does not mean that cellulite is not unhealthy. According to numerous scientific studies, cellulite is characterised by water retention, inflammation, free radical damage, hypoxia, glycation and fibrosis - definitely not the healthiest physical changes one can have.

 

 

Love your fat? Love your cellulite?

Obesity and overweight are becoming more and more aesthetically and socially acceptable in today's polluted, artificial Western world. However, obesity and overweight are not "normal" and are not healthy, despite how normal or beautiful some people find them. They are in fact leading causes of cardiovascular disease, diabetes and cancer, among multiple other health conditions. And there is nothing beautiful about those diseases caused by overweight/obesity. There is nothing to love about (excess) fat.

Fat cells are not the benign fat storage depots we used to think they were. They secrete estrogen, insulin and other growth factors and inflammatory hormones that in excess cause disease.

In the same way, cellulite is neither normal nor healthy, despite the fact that in our highly obese, highly unnatural world, some find it acceptable, normal or beautiful. There is nothing to love about cellulite.

Diabetes and obesity together responsible for nearly 800,000 cancers worldwide
The second biggest preventable cause of cancer: being overweight
How exactly does obesity cause cancer? Three leading theories
 

 

Glorify obesity and disease? Why?

The fact that many catwalk models were anorexic up until a couple of years ago or that most models on magazine covers today are still retouched, with excess fat and cellulite completely hidden, does not mean that we should go to the other extreme and glorify obesity and cellulite.

Twenty five years after the anorexic look became fashionable, things have now turned 180 degrees and the sad thing to see today is young models glorifying obesity. Have they ever thought that they will not be young forever? Have they considered the low back disc injuries, the knee arthritis, the hip replacements, the high blood pressure that go with obesity? The diabetic complications, the increased risk for cancer? What is the first thing the doctor tells you when you present to her office with hip pain, a bulging disc in your spine, a "locked knee", high blood pressure, prediabetic syndrome, asthma, angina? Exactly, "you must lose some weight".

So, yes, accept and love your body, always. But try to change it for the healthier and avoid the risk of all those diseases. If I was obese, instead of campaigning for the widespread acceptance of obesity, I would campaign for more effective measures to tackle obesity instead. I would campaign to spread the message of Cancer Research UK and other organisations against obesity.

 But campaign to love your fat, with all the inflammation in it and the potential for diabetes and heart disease? Sorry, no, it does not make sense to love your (excess) fat.

Love and accept your body and try to reduce your excess fat - for your health’s sake, if anything else. 

 

 

Sure, cellulite is real, but why should women try to reduce it?

Cellulite is an aesthetic condition which also happens to indicate the presence of oedema and inflammation on the hypodermis. So even in its most basic form, that which involves healthy eating, exercise and reducing smoking and drinking, cellulite reduction is a positive thing.

On the other hand, I will try to answer the aesthetic aspect of the question, i.e. the question "why should women care about how their legs look and try to reduce cellulite" with some more questions:

Why should women wear sun protection to avoid UV-induced skin ageing and wrinkles? )r use a moisturiser to keep skin hydrated and minimise ageing? Or remove their upper lip/armpit/leg hair with waxing or laser? Or try to stay slim and healthy? Or make an effort and dress well anyway? Or go to the hairdressers? Or use a deodorant?

Obviously, this idea that women - as well as men - should not care about, and take pride in, their appearance does not stand up to any scrutiny. There is nothing wrong with women taking care of themselves in whichever way they see fit, and no activist / armchair campaigner in the world has the right to attempt to shame billions of women around the world for choosing to do so.

 

 

In summary: How "normal" is cellulite?

Certainly cellulite is very common in westernised societies. So if something that is very common in a specific society is considered the norm, then yes, cellulite is normal - at least from that perspective. Furthermore, cellulite is not a disease from which you can suffer serious deteriorating health or die and you can live a pretty happy life without smooth legs. So from that perspective, there is no reason to obsess about reducing it.

On the other hand, cellulite is usually a sign of poor lifestyle, so although it does not cause any serious ill health, it quiet often is an indication of, and accompanies or precedes, ill health which is caused by poor diet, inactivity, smoking, drinking alcohol etc. So the appearance of cellulite should make you aware that perhaps you don't take good care of yourself.

Seen from a health/lifestyle perspective, cellulite is definitely not normal. Nature did not intend women to have cellulite - it only intended them to be just a bit softer and plumper than men around the hips and thighs, but that's all. Nature never intended wobbly, puffy, inflamed or bumpy skin, neither legs with water retention, especially in young women. Women who live naturally, do not have a trace of cellulite, even in advanced age. Only when women - and sometimes men - adopt an unhealthy lifestyle, cellulite makes its appearance.

The take home message is that there is no reason to obsess about it, but if you would like to have a heatlhier, nicer looking body and if you take pride in your appearance, then you might consider exercising more, eating more vegetables, lean protein and fruits, avoiding sugar and fried food, reducing smoking and alcohol and perhaps having a good cellulite treatment or applying a concentrated cellulite cream, for either prevention, maintenance or reduction.

 

 

Check our "How to get rid of cellulite?" guide

We have put several months of hard work, lots of love and all our knowledge and 18-year experience in our detailed "How to get rid of cellulite" guide, comprising 50+ tips. It really contains (almost) everything you need to know to combat cellulite - so make sure you check it out!

 

Jump to:

What is cellulite

Pre-cellulite: cellulite waiting to happen

 

 

© 2018 Georgios Tzenichristos & LipoTherapeia Ltd