Affecting up to 90 percent of women (due to estrogen and genetics), cellulite occurs when fat cells swell and push through the tight, fibrous tissue bands (or septa) walling them in, creating a dimpled or lumpy appearance. Only about 10 percent of men suffer cellulite, as their septa is constructed differently, and better able to contain fat cells to prevent bulging. Cellulite is the herniation of subcutaneous fat within fibrous connective tissue that manifests as skin dimpling and nodularity, often on the pelvic region (specifically the buttocks), lower limbs, and abdomen. Cellulite occurs in most postpubescent females. A review gives a prevalence of 85–98% of women, indicating that it is physiological rather than pathological. It can result from a complex combination of factors ranging from hormones to heredity.
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