Cellulite refers to fat pockets within the skin that are attached to and/or surrounded by fibrotic (hardened) collagen strands. The fat pocket tries to bulge out of the surface of the skin, while the collagen strand pulls the adjacent skin down. The combination creates the cellulite peaks (fat pocket makes skin “pop out”) and troughs (collagen strands keep skin down).
Cellulite can appear at three depths inside the skin:
At the dermal level (superficial cellulite)
At the hypodermal level (medium cellulite; most common cellulite)
And at the subcutaneous fat level (deep cellulite; not true cellulite)
We will look at each of them in detail…