Cellulite on legs and arms
Cellulite is a dimpled surface caused by the relationship between superficial fat, fibrous bands and skin. It is extremely common and is not an illness or cellulitis. It usually affects thighs and buttocks but may appear on upper arms.
What you may notice
- Dimpling visible when standing or pinching
- Shallow depressions or orange-peel texture
- Greater visibility with certain lighting
- Changes that persist across weight ranges
Why it can happen
Connective-tissue bands tether skin while fat pushes between them. Sex-related anatomy, genetics, hormones, skin thickness, age and fat distribution influence visibility. Lean people also have cellulite.
What may help
Exercise and stable weight may improve general contour but do not remove tethering. Creams and massage usually give limited or temporary change. Energy devices, subcision and other procedures target different components, with variable durability. Liposuction is not a cellulite treatment and may worsen irregularity.
When to consult
Assessment is usually unnecessary unless the area is painful, inflamed, suddenly swollen or atypical. Treatment consultation should cover expected degree and duration of improvement.
Evidence and sources
- DermNet. Cellulite [Internet]. Auckland: DermNet; 2010 [cited 2026 Nov 7]. Available from: https://dermnetnz.org/topics/cellulite (new tab)
- National Health Service. Liposuction [Internet]. London: National Health Service; 2023 [cited 2026 Nov 7]. Available from: https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/ (new tab)
- Lim SK, Gultekin G, Suresan S, et al. Comparative analysis of cellulite treatment modalities: a systematic review. Aesthetic Plast Surg. 2025;49(7):2051-2075. doi: 10.1007/s00266-024-04365-8. (new tab)