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in this series, dr. rohan bissoondath, founder and medical director of preventous cosmetic medicine & preventous collaborative health, answers your questions about skin health.
q: i am 42 and fit, yet i have cellulite on my stomach. why? how? and what can i do about it?
let’s start by talking about what cellulite is. cellulite is a skin irregularity that primarily affects women and occurs when pockets of fat push through fibrous tissue and muscle under the skin, causing the appearance of dimpling, or what some call “orange peel skin.” the most common places we see cellulite is on the thighs and buttock, but it can also less commonly be found in the lower abdomen area as well.
most women start developing cellulite after they go through puberty, and as such, there is a suspected hormonal component to the development of cellulite. this also explains why we don’t commonly see cellulite on men. with that being said, men still can develop cellulite, but we typically only see that when men suffer from a few rare medical conditions, or if they are taking medications that affect hormone levels.
so if cellulite has to do with fat, why does this affect women with low body fat?
we as a society need to normalize cellulite as a part of the female experience – 85 to 98 per cent of all women have cellulite, regardless of shape, size, diet and exercise habits. diet and exercise certainly promote a healthier body weight, which can reduce the appearance of cellulite (fat build-up exacerbates the look of cellulite), but through weight loss, cellulite is not completely eliminated. the cellulite you are born with is the cellulite you will have throughout your life — at least until there’s further scientific breakthrough.
some women naturally have more cellulite than others, and again, it comes down to genetics. you can have some thinner women who are genetically predisposed to have lots of cellulite, and curvier women who genetically don’t have much to start. it all depends on the distribution of fat behind the fibrous tissues and muscles, and how much of it herniates through.