9 Things Dermatologists Wish Women Knew About Cellulite

Cellulite is dreaded by most women. But before you panic or waste cash on unfounded cellulite treatments, check out these facts.

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Understand what cellulite really is

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Cellulite is the term for lumpy, dimpled flesh on the thighs, hips, buttocks and abdomen. It can also appear on the arms and breasts. “Cellulite is enlarged packets of body fat deep beneath the skin pushed against the vertical connective tissue that surrounds fat cells,” says Dendy Engelman, MD, of Manhattan Dermatology & Cosmetic Surgery in New York City. “When the fat cells expand, it limits the space under the skin and puts pressure on the connective tissue. The pressure forces the fat against the top layers and creates the dimpled look.” This is the worst advice dermatologists hear about skin care.

Almost every woman has cellulite

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“Cellulite is very common—93 percent of women have it!” says Dr. Engelman. “The first thing women with cellulite need to know is that they aren't alone,” echoes Bruce Katz, MD, medical director of JUVA Skin & Laser Center in New York City. “The vast majority of women have at least some of these dreaded pockets of fat.”

Cellulite is harmless and not a disease

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Although we hate it, cellulite is a completely normal and benign condition. “Cellulite is not the disease the media would have us think!” says Tanya Kormeili, MD, a board-certified dermatologist in private practice in Santa Monica, California. The Mayo Clinic says cellulite isn’t a serious medical condition but it can be unsightly and make you feel self-conscious about wearing shorts or a bathing suit.

Exercise can help treat cellulite

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“Since cellulite is fat, excess fat can contribute to the appearance of cellulite. Increasing muscle tone and exercising can minimize cellulite,” says Dr. Engelman. Dr. Katz agrees: "Generally, the key to alleviating cellulite is weight loss combined with building muscle. Muscle lies below the pockets of fat that strain against the skin and create cellulite. Smoothing the muscle should lead to smoother skin. Most women carry cellulite in their thighs and buttocks, so workouts emphasizing leg lifts, squats, and lunges tend to be most effective." Dr. Katz says that in his experience, lifestyle changes alone aren't enough to reduce cellulite to most women's satisfaction. Some of the best cellulite treatments are nonsurgical and require very little downtime. Here are secrets of women who manage to exercise every day.

Diet can also affect cellulite treatment

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Having a healthy diet is a positive for your body in general but also for cellulite. “Antioxidants and omega-3s can be a woman's best friend in fighting cellulite because they help break fat cells down and strengthen the skin and connective tissue, respectively,” says Dr. Katz. “I recommend foods like flaxseed, dark berries, and salmon. Many women patients are also overjoyed to learn that they don't have to cut out chocolate! Natural cocoa is loaded with antioxidants, so dark chocolate is a welcome part of any anti-cellulite diet." Here’s how to tell if you need more healthy fats in your diet.

Cellulite has a genetic component (even thin women get cellulite)

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Women who have cellulite tend to have moms, sisters, and aunts with cellulite no matter how thin or in shape they are. Dr. Katz says, “One of the biggest misconceptions about cellulite is that losing body fat alone will reduce its appearance. I have treated cellulite in women who are marathon runners and triathletes who still have cellulite. I treated one woman who did the Ironman triathlon in Hawaii four times and still came in to have her cellulite treated!" Dr. Engelman echoes this by saying, “Cellulite is genetic, so while weight can influence the presence of cellulite, even the thinnest women can have it.”

Men rarely get cellulite because of their skin structure

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Remember that cellulite is when the fat under the skin goes through the second layer of the skin causing a dimpling effect. This happens mostly to women because their support tissue is softer and they are more prone to it, likely because women’s bodies have to stretch so much to accommodate a growing baby. Visualize fishnet pantyhose—this is what women’s covering of skin looks like versus men’s covering, which is more like a thick, uniform pantyhose holding all the fat in place and not allowing as much herniation. “This is an anatomical issue with our bodies as women. Not our fault! Biology! As we get older or under the effects of hormones, the fishnet ‘holes’ can get even more permeable with more herniation, and hence cellulite forms,” says Dr. Kormeili. Therefore, creams and fads can't really correct cellulite unless they could go deep in the skin and repair the fishnet into a thick pair of pantyhose,” she says.

Be wary about expensive “miracle” cellulite treatments

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We’ve all seen the super expensive creams and potions that claim to erase cellulite but are they worth it? “While many treatments claim to be able to improve the appearance of cellulite, the long-term effectiveness of these treatments or their true efficacy is still being investigated. So, please, don't waste your hard-earned money on claims that won't really yield the results you want,” says Dr. Kormeili. If cellulite is a true concern, it’s best to contact a board-certified dermatologist to discuss your options as there are several treatments that can help but they require a physician’s intervention. These are other pricey products dermatologists wish you’d stop using.

Caffeine may improve skin’s texture

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“Most cellulite-fighting creams contain caffeine as their active ingredient, which can be more helpful than you’d imagine when applied religiously,” says Dr. Engelman. “This is because of the temporary effects caffeine has on the body, which are actually prolonged to daily effects. It shrinks fat cells by dehydrating them.” Dr. Engelman suggests applying these creams with an aggressive massage or a rolling motion to help aid in the penetration and see better results.

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