Causes
Understanding the causes of cellulite has been a topic of controversy, with limited trustworthy and peer-reviewed studies available in recent decades. Consequently, the exact cause of cellulite remains unknown. However, current research suggests that cellulite may be attributed to a combination of various factors, including changes in metabolism, diet, exercise habits, physiology, sex-specific skin architecture, connective tissue structure, hormonal factors, genetic factors, the extracellular matrix, and inflammation.
Risk Factors
Cellulite development is influenced by various risk factors. One significant factor is sex, with a prevalence of over 90% in post-adolescent females compared to a minimal occurrence in males. Hormonal imbalances, particularly involving estrogen, insulin, thyroid hormones, and prolactin, can also contribute to cellulite formation. Additionally, conditions related to circulatory and lymphatic problems have been found to have associations with cellulite. Research suggests that individuals leading highly stressful lives may experience an increased level of catecholamines, potentially impacting the development of cellulite.