Cellulite
Overview
Cellulite refers to the dimpled, “orange-peel” appearance of skin—typically on the thighs, buttocks, and hips—that results from structural changes in the subcutaneous fat and connective tissue beneath the skin surface [1]. It affects up to 80–90 per cent of post-pubertal women but is far less common in men. Although primarily a cosmetic concern rather than a medical disease, cellulite can impact self-esteem, body image, and quality of life [2,3].
Because the underlying mechanisms are complex and multifactorial, and the evidence base for treatments remains limited, many people turn to holistic or integrative approaches for support alongside conventional care [4].
Common Causes and Contributing Factors
While cellulite’s exact cause remains under study, several interacting factors are widely implicated:
- Hormonal and gender-based factors – Women are more likely to develop cellulite due to differences in fat distribution, collagen/fibrous-septa structure, and higher estrogen levels.
- Genetics and skin architecture – Hereditary factors and connective-tissue structure influence how cellulite forms and appears.
- Fat accumulation and lobule enlargement – Increased subcutaneous fat volume may push upward against tethering fibrous septa, producing the dimpled effect.
- Connective-tissue and circulatory changes – Dermal thinning, septa stiffening, lymphatic stagnation, or low-grade inflammation may contribute [3].
- Lifestyle and biomechanical factors – Sedentary behaviour, poor muscle tone, weight gain, or smoking can worsen the appearance [4,5].
- Age and skin laxity – Age-related collagen loss and reduced elasticity increase visible cellulite over time [3].
Signs and Symptoms
- Uneven or “mattress-like” skin texture on the thighs, hips, or buttocks
- Dimples or depressions are more noticeable when standing or after compression
- Often bilateral and symmetrical in women
- Occasionally, mild firmness or nodularity beneath the skin
- Emotional or cosmetic distress rather than physical pain
Because the condition is so widespread, severity varies—mild forms may respond to lifestyle changes, while moderate or severe cases may require professional support [4].
Holistic & TCIH Approaches
Many people with cellulite explore integrative (TCIH) or holistic modalities alongside aesthetic or dermatological care. These aim to support circulation, connective-tissue integrity, and overall well-being. You may wish to explore:
- Nutrition Consultation – diets rich in antioxidants, omega-3 fats, and hydration support dermal health and micro-circulation [9].
- Yoga Therapy– regular movement and yoga postures improve muscle tone and lymphatic flow [10].
- Massage Therapy / Myofascial Release – manual work assists fluid drainage and soft-tissue pliability [7].
- Acupuncture / Traditional Chinese Medicine (TCM) – may enhance micro-circulation and lymphatic flow [8].
- Herbal & Naturopathic Support – botanicals such as gotu kola, green tea, and rosemary may improve connective-tissue tone [9].
- Dry Brushing / Lymphatic Drainage – stimulates skin surface and supports circulation [10].
- Mind-Body/ Stress Management – stress reduction and adequate sleep regulate hormonal balance, influencing fat metabolism [3].
Self-Care & Lifestyle Practices
- Engage in regular lower-body resistance and aerobic exercise.
- Maintain a healthy weight and avoid rapid fluctuations.
- Stay well-hydrated and follow a diet rich in fruits, vegetables, and good fats.
- Quit smoking to preserve circulation and skin elasticity.
- Practise gentle body-brushing or massage several times per week.
- Use moisturising skincare with caffeine, retinol, or peptides as adjuncts.
- Prioritise restorative sleep and emotional balance.
When to Seek Professional Support
Consult a qualified practitioner if you notice:
- New or atypical lumps, nodules, or fluid-filled areas
- Changes in skin colour, warmth, or texture
- Psychological distress or low self-esteem linked to appearance
- Desire for combined conventional and holistic treatment planning
A verified SoulAdvisor practitioner specialising in massage therapy, yoga therapy, or naturopathy can support your journey toward improved circulation, tissue balance, and body confidence.
Therapies that may assist cellulite:
References
1. Cellulite. Wikipedia; 2025.
2. Gabriel, A, Chan, V, Caldarella, M, Wayne, T, & O’Rorke, E. Cellulite: Current understanding and treatment. Aesthetic Surgery Journal Open Forum; 2023.
3. Menon, A, et al. A clinical guide to the treatment of cellulite and comprehensive review of the etiology, pathophysiology, and utility of intervention. Aesthetic Plastic Surgery; 2023.
4. Tomczyk, J, & Malara, B. Modern methods of cellulite diagnosis and treatment. Aesthetic Cosmetology and Medicine; 2023.
5. Fagien, S, et al. Collagenase Clostridium histolyticum-aaes for the treatment of cellulite in women: Results from two phase-3 randomized, placebo-controlled trials (RELEASE-1 and RELEASE-2). Dermatologic Surgery; 2020.
6. Swearingen, A, Medrano, K, Ferzli, G, Sadick, N, & Arruda, S. Randomized, Double-Blind, Placebo-Controlled Study of Poly-L-Lactic acid for Treatment of Cellulite in the Lower Extremities. Journal of drugs in dermatology; 2021.
7. Weiss, R, Weiss, M, & Munavalli, G. Use of minimally invasive radiofrequency-assisted tightening to improve cellulite appearance. Dermatologic Surgery; 2022.
8. Tanzi, E. L, et al. Improvement in the appearance of cellulite and skin laxity resulting from a single treatment with acoustic subcision: Findings from a multicenter pivotal clinical trial. Lasers in Surgery and Medicine; 2021.
9. Ngamdokmai, N, et al. Efficacy of an anti-cellulite herbal emgel: A randomized clinical trial. Pharmaceuticals; 2021.
10. Liu, Q, et al. A French maritime pine bark extract alleviates cellulite: A double-blinded, randomized, placebo-controlled clinical study. Phytomedicine Plus; 2025.
11. Lim, S. K, et al. Comparative analysis of cellulite treatment modalities: A systematic review. Aesthetic Plastic Surgery; 2024.