How do you explain that? Why do some women have more cellulite than others? I've spent a lot of time traveling in developing countries and photographing local women. When I photograph these women [who don't have much, or any, cellulite], you see the kind of work they're doing and the kind of food they're eating.
They're eating all organic foods, they're constantly moving from the time they get up. These women are washing clothes in the river. Getting water [in an industrialized country] means getting up and going to the fridge or faucet. For women in developing countries, they're walking to the river and coming back carrying a heavy container. So the physical activity levels in industrialized nations have also decreased.
Many women wear regular underwear with elastic across the buttocks. When you see panty lines, it's cutting off circulation —just think what it's doing to your body. Look, take a tourniquet, put it around your leg and see what happens. And a lot of women wear underwear under panty hose. The panty hose force the lymphatic drainage back into the body. It's like turning the hose on and clamping it so every thing gets backed up. Cellulite didn't become a problem until the s and s when the diet and activity and underwear started changing.
Back in the '20s, women wore longer skirts and the underwear was loose, almost like pajamas. Cellulite is always underneath where the elastics go, and if you draw an invisible line where the cellulite is, you will see where the panty lines are.
I tell people the most important preventive thing you can do, if you can't afford treatment, is change your [style of] underwear: Wear a thong. Does diet play a big role in the amount of cellulite people get? Diet does play a role, because look, women in Asia, what do they have for breakfast? Noodles—it's a high-calorie meal, but when they go to work they burn those calories. In contrast, we eat these calories, then go to work and sit at a desk.
Think of those [fat-producing] alpha receptors just waiting to rock and roll. So, it all goes together. That's why women struggle to lose weight below the waist. From the waist up, for every four receptors that break down fat, there are five that make it, so it's almost a one-to-one ratio.
From the trunk up, there's just one layer of fat, except for the triceps arm area. Cellulite is caused by fat pockets that have been squeezed in between tissue bands that link muscle to skin.
However, estrogen does play a role in the cellulite game. Men tend to have thicker bands, and a lot more of them. These bands create a crisscross pattern in men, whereas they are more vertical in women.
For example, fancy salon treatments use deep massaging to puff up the skin. That can make cellulite look a little better for a while. Other approaches — including lasers, radiofrequency devices, acoustic wave therapy, and some topical creams like retinol — may improve the appearance of cellulite. But these take several treatments over weeks or months and the results are temporary.
Liposuction surgery to remove deep fat can actually make cellulite look worse. Injection of drugs and other substances into cellulite can have serious side effects, including infections and allergic reactions. Medically proven treatment options are available as well, though results aren't immediate or long lasting. Cellulite looks like dimpled or bumpy skin.
It's sometimes described as having a cottage cheese or orange peel texture. You can see mild cellulite only if you pinch your skin in an area where you have cellulite, such as your thighs. Cellulite that is more severe makes the skin appear rumpled and bumpy with areas of peaks and valleys. Cellulite is most common around the thighs and buttocks, but it can also be found on the breasts, lower abdomen and upper arms.
Treatment isn't necessary. But if you're concerned about the appearance of your skin, talk with your primary care doctor or a specialist in skin diseases dermatologist or plastic surgery about treatment options. Little is known about what causes cellulite. It involves fibrous connective cords that tether the skin to the underlying muscle, with the fat lying between.
As fat cells accumulate, they push up against the skin, while the long, tough cords pull down. This creates an uneven surface or dimpling. In addition, hormonal factors play a large role in the development of cellulite, and genetics determine skin structure, skin texture and body type. Other factors, such as weight and muscle tone affect whether you have cellulite, though even very fit people can have it.
Cellulite is much more common in women than in men. In fact, most women develop some cellulite after puberty.
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