Cellulite and oxidative stress: what is the connection?

Free radical damage is one of the most important causes of cellulite and antioxidant protection is valuable as a cellulite prevention measure. On this page I analyse what free radical is and how you can reduce it with lifestyle measures, as well oral and topically applied antioxidants. I am also presenting the case of the use of the enzyme superoxide dismutase orally and topically for this purpose.
— Georgios Tzenichristos, LipoTherapeia | London

How oxidative damage can cause cellulite

Free radical damage and cellulite

Oxidative damage is an important aspect of cellulite, with the other six being fibrosis, skin laxity, glycation, poor microcirculation/water retention, inflammation and superficial fat accumulation.

Oxidative damage or free radical damage refers to cell damage by ‘reactive oxygen species’ (ROS) / free radicals, such as OO- (superoxide radical), -OH (hydroxyl radical) and H2O2 (hydrogen peroxide).

Free radical damage has also been implicated in attention deficit hyperactivity disorder, cancer, Parkinson's disease, Alzheimer's disease, heart disease, chronic fatigue syndrome, depression and many other conditions, as well as ageing in general.

How can oxidative stress lead to cellulite

Excessive reactive oxygen species (ROS) and reduced antioxidant defences in the body can lead to the damage of DNA, mitochondrial membranes and cell membranes, ultimately causing poor cell health, inflammation, tissue damage and overall ageing and dysfunction.

In blood and lymph vessels, oxidative damage manifests as poor circulation and water retention. In connective tissues, oxidative stress results in skin laxity or fibrosis. In fat tissue, free radical damage means inflammation. Furthermore, oxidative damage can also lead to glycation.

As mentioned above, fibrosis, skin laxity, glycation, water retention and inflammation are all important aspects of what we call cellulite, together with THE most important factor, fat accumulation.

As oxidative damage is such an important cause of cellulite, it is no wonder that many anti-cellulite skincare products contain antioxidants (unfortunately in insignificant amounts, in most cases).

What causes free radical damage / oxidative stress?

Some oxidative stress is absolutely fine and even necessary but too much of it does cause cell damage.

Smoking, alcohol consumption, air pollution, unhealthy eating, lack of exercise (or too much exercise) all contribute to oxidative stress.

Food wise these types of foods are all known to cause oxidative stress:

  • Fried food

  • Hydrogenated fats

  • Seed oils

  • Sugar

  • Ultra-processed foods

  • Excessive calories, even of healthy foods

How to minimise oxidative stress on the skin with antioxidants

In addition to not doing/consuming the above things that cause free radical damage you can fight oxidative stress/damage with antioxidants, such as vitamins C (water soluble antioxidant) and E (fat soluble antioxidant) and micronutrients, such as polyphenols and carotenoids.

Foods rich in these vitamins and phytonutrients are fruits (especially berries and citrus), vegetables, herbs and spices.

The same antioxidants can also be found in nutritional supplements and in some skincare / anti-cellulite creams.

The most important antioxidants against cellulite and skin ageing

The most well-known antioxidants are:

  • Quercetin, hesperidin, rutin from citrus fruits

  • Superoxide dismutase from green vegetables and herbs

  • Resveratrol and pterostilbene from berries and pomegranates

  • EGCG from green tea

  • Cocoa flavanols from cacao

  • Chlorogenic acid from green coffee

  • Oleuropein from olive leaf

  • Ellagic acid from pomegranates

  • Sulphoraphane from broccoli sprouts

  • Oligomeric proanthocyanidins from grape seeds

  • Curcumin from turmeric

  • Lycopene from tomatoes and watermelons

  • Astaxanthin from salmon and crustaceans

  • Anthocyanins and anthocyanidins from berries

Antioxidant molecule purity, concentration and quantity are important factors in supplementation but especially so in skincare. Small amounts will do nothing (especially so in skincare) while too high amounts may be excessive (especially so in supplements).

Is the enzyme superoxide dismutase good for cellulite? Which foods contain the SOD enzyme?

Superoxide dismutase (SOD) is an antioxidant enzyme that neutralises superoxide radicals, a type of reactive oxygen species (ROS) contributing to oxidative stress, which is a key factor in cellulite development.

Oxidative stress damages blood vessels, connective tissues, and fat cells, leading to poor circulation, water retention, skin laxity, fibrosis, inflammation, and glycation—all hallmarks of cellulite. As mentioned above, by reducing ROS, SOD may help mitigate these effects, potentially improving skin health and reducing cellulite severity.

Superoxide dismutase (SOD) is an antioxidant enzyme found in many foods, particularly plant-based ones, but it’s not absorbed directly from food due to digestion breaking down the enzyme.

Instead, foods rich in SOD or its cofactors—copper, zinc, manganese, and iron—support the body’s own SOD production:

  • Cruciferous vegetables like broccoli, cabbage, and Brussels sprouts are high in SOD and provide copper, zinc, and manganese.

  • Other sources include peas, spinach, and young sprouted wheat, which is particularly rich in SOD enzymes.

  • Cantaloupe contains SOD, though its low stomach pH inactivates the enzyme unless encapsulated.

  • Barley grass and rye bread (made from 70% extraction flour) also have notable SOD activity.

  • Consuming foods high in zinc, manganese and copper, like broccoli, spinach, peas, oysters, chickpeas, hazelnuts etc, helps enhance the body’s ability to produce SOD, supporting antioxidant defences

Some anti-cellulite creams include SOD, but their effectiveness is limited by low concentrations and poor skin penetration. Some studies confirm efficacy of a stabilised SOD food supplement for cellulite, but more research is needed.

Combining SOD-supporting foods with a healthy diet, exercise, intensive cellulite treatments and concentrated cellulite creams will maximise results by addressing multiple factors beyond oxidative stress alone.

Lifestyle, Oxidative Stress, and Antioxidants: Back and Forth in the Pathophysiology of Chronic Diseases

  • Research paper link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7347016

  • Abstract: Oxidative stress plays an essential role in the pathogenesis of chronic diseases such as cardiovascular diseases, diabetes, neurodegenerative diseases, and cancer. Long term exposure to increased levels of pro-oxidant factors can cause structural defects at a mitochondrial DNA level, as well as functional alteration of several enzymes and cellular structures leading to aberrations in gene expression. The modern lifestyle associated with processed food, exposure to a wide range of chemicals and lack of exercise plays an important role in oxidative stress induction. However, the use of medicinal plants with antioxidant properties has been exploited for their ability to treat or prevent several human pathologies in which oxidative stress seems to be one of the causes. In this review we discuss the diseases in which oxidative stress is one of the triggers and the plant-derived antioxidant compounds with their mechanisms of antioxidant defenses that can help in the prevention of these diseases. Finally, both the beneficial and detrimental effects of antioxidant molecules that are used to reduce oxidative stress in several human conditions are discussed.

LipoTherapeia® Plus: Have a skin tightening/cellulite treatment with London’s cellulite experts

At LipoTherapeia we have specialised 100% in skin tightening and cellulite reduction for more than two decades and 20,000+ sessions.

This is all we study and practise every day and have researched and tried hands-on all the important skin tightening equipment and their manufacturers.

As strong, deep acting radiofrequency and deep-acting, high-power ultrasound cavitation are the technologies of choice for skin tightening and cellulite reduction, we have invested in the best RF/ultrasound technologies in the world.

(Of course, we keep looking for new technologies every day and if/when a better technology materialises we will be the first to provide it. However, we will never follow the latest ineffective gimmick, just because it’s good marketing to offer the latest hyped up - yet ineffective and/or unsafe treatment.)

Furthermore, over the last two decades we have developed advanced RF and cavitation treatment protocols in order to make the most of our technologies, for maximum results, naturally and safely.

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Our focus is on honest, realistic, science-based treatment, combined with caring, professional service, with a smile.

We will be pleased to see you, assess your cellulite, skin laxity or fibrosis, listen to your story, discuss your case and offer you the best possible treatment.

Check prices and book an expert cellulite / skin tightening treatment at our London clinic.

Look Inside Your Skin™ with a Cellulite Ultrasonography™ scan, exclusive to LipoTherapeia in London, and assess your cellulite, skin laxity, post-liposuction fibrosis and more

We are proud to be the first and only cellulite clinic in the world to offer Cellulite Ultrasonography™ to our clients, for accurate assessment, better treatment and enhanced results. Since 2022 we have assessed and provided valuable insights to hundreds of clients to better understand their specific case, see how their skin looks from inside and make informed decisions.

You can now book your Cellulite Ultrasonography™ session and assess your:

  • Cellulite

  • Skin laxity

  • Lipedema

  • Subcutaneous fat levels

You can also assess the presence and severity of fibrosis and adhesions after:

  • Liposuction in all its forms, including vaser, smart lipo, bodytite, abdominoplasty/tummy tuck, thigh lift, arm lift, lipedema surgery etc

  • Cellulite surgery, such as cellulaze, cellutite, cellfina, subcision etc

  • Face-lift surgery

  • Non-surgical procedures, such as RF microneedling, extreme intensity HIFU, extreme intensity RF, extreme intensity ultrasound etc

Everything will be shown and explained to you clearly and you can see and understand how the different structures inside your skin affect your appearance.

If there is scar tissue / fibrosis, those will be clearly seen and you can differentiate between fibrosis, water retention or unremoved fat after all types of cosmetic surgery or harsh non-surgical procedures such as RF microneedling, extreme intensity HIFU etc.

(DISCLAIMER: Please note that this service is for your informational purposes only and does not constitute medical diagnosis or advice.)

The 45’ appointment includes full assessment and consultation and optional treatment plan for cellulite reduction and/or skin tightening.

If you do wish to have treatment with us, the ultrasound scan, assessment and consultation will be used to optimise your course of treatments and maximise your results.

Check prices and book an expert skin / superficial connective tissue ultrasound scan at our London clinic.

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Why train with The Cellulite School™?

We all know that training in cellulite reduction and skin tightening is as basic as it gets. It is typically a 4-6 hour training, involving only basic instruction from the manufacturer on how operators can use the machine; lots of myths, erroneous information and misconceptions; and some basic health and safety on how to use the machine.

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