Cosmetic medicine
Dimpled thigh/buttock skin—fibrous septae and fat lobules; complete removal is uncommon.
Cellulite is a common female-pattern skin pattern where fibrous septae tether skin, creating dimpling over fat lobules. It is not simply “extra fat.” Weight loss may soften but not erase cellulite.
Topical creams have limited evidence; devices that release septae or apply energy show variable results in studies.
Genetics, estrogen influence, tissue thickness, and skin laxity interact.
Subcision, acoustic/mechanical energy devices, vacuum-assisted therapies, and combination body contouring may be offered depending on candidacy. Maintaining stable weight and muscle tone supports appearance.
Injectable collagenase options exist in some countries—availability varies.
Improvement of one grade or smoother texture is a realistic goal for many; perfection is uncommon.
Evidence is limited—massage may temporarily change fluid distribution but rarely fixes structural cellulite.
Weight loss can reduce overall fat volume but may not remove dimples if septae remain tight.
No—lean individuals can have cellulite due to connective tissue structure.