Cellulite: causes and treatment

What is cellulite and what can you expect from massage? We distinguish a common skin feature from unproven promises to remove it.

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What is cellulite?

Cellulite is the dimpled, mattress-like appearance of the skin, most often visible on the thighs, buttocks, hips and stomach. It is not a disease and it is not a sign of being overweight: slim, athletic people can have cellulite too. It is generally regarded as a structural characteristic of the skin and the tissue beneath it, rather than a medical condition.

The typical look is usually explained by subcutaneous fat compartments becoming visible at the surface. Where the skin is pulled down in some places and pushed forward in others, the recognisable uneven relief can appear. Cellulite is reported to be more common in women than in men, which is generally linked to differences in the structure of the connective tissue beneath the skin. This information is general in nature and is not a substitute for medical advice.

  • Visible as dimpling or a mattress-like texture in the skin
  • Most often on the thighs, buttocks, hips and stomach
  • Can occur in any body type, regardless of weight
  • Seen as a structural feature of skin and connective tissue, not a disorder

The cause: fascia and adhesions

To understand cellulite, it helps to look at the layer beneath the skin. This is where the subcutaneous fat cells sit, organised into compartments, with connective tissue between them: the fascia. In women, according to the prevailing model, these connective tissue strands are thought to run predominantly straight up towards the skin, like vertical partitions that enclose the fat compartments.

According to this model, when this connective tissue becomes stiffer, retains fluid or develops localised adhesions, the strands may pull the skin down at certain points while the fat tissue between them bulges forward. That interplay — restricted fascia pulling inward, surrounding fat tissue pushing outward — is often cited as a possible explanation for the characteristic dimpled pattern.

Cellulite has several contributing factors. We cannot reduce it to adhesions or poor lymph drainage, and a skin massage does not establish repair of the underlying structure. Read more: what fascia is, skin quality and firmness.

  • Vertical connective tissue strands connect the skin to deeper tissue
  • Stiff or adhered fascia may pull the skin inward in places
  • The enclosed fat tissue can bulge forward
  • Fluid retention and reduced lymphatic drainage may amplify the effect

Why creams address the surface and not the cause

Anti-cellulite creams and lotions are popular, but they mainly act on the skin — the outermost layer. According to the prevailing model, the cause of cellulite lies beneath that, in the fascia and the fat compartments. A product you rub on the skin will, in practice, generally not reach the deeper connective tissue strands.

Many creams can give a temporarily smoother or firmer feeling, for example because the skin briefly swells or is better hydrated. That may soften the appearance for a short time, but it usually changes little about the underlying structure. This is not a judgement of any specific product; it relates to the layer at which a topical product is able to act. This information is general in nature and is not a substitute for medical advice.

  • Creams act mainly on the skin, not on the deeper fascia
  • A smoother feeling is often temporary and superficial
  • The structure of the connective tissue usually changes little
  • The cause calls for an approach that reaches the deeper tissue

How connective tissue massage addresses cellulite

At Bodyfix you can book manual massage of the legs, buttocks or another agreed area. The Bodyreading helps discuss your wishes and comfort; it does not identify adhesions or medical causes.

We do not promise that the Bodyfix Method permanently reduces cellulite. Device-assisted lymphatic drainage is separately bookable; combining it with massage is not an established better cellulite treatment.

1

Bodyreading

You discuss your wishes, comfort and treatment area beforehand.

2

Deep connective tissue massage

Manual techniques are adjusted to your comfort. Releasing adhesions is not a promised result.

3

Lymphatic drainage

Device-assisted lymphatic drainage is separately bookable and is not included in the massage price as standard.

Want to know more about this way of working? Read how we work on cellulite on our cellulite treatment in Amsterdam page, discover the BodyFix Method or see our full range of treatments.

How many treatments do you need?

There is no established fixed number of sessions for removing or permanently reducing cellulite. Any follow-up remains your choice.

What is appropriate for you is something we determine only after the Bodyreading during the free consultation — at that point we can discuss a realistic recommendation together that suits your situation and your goal. For individual treatments we charge 70 euro (30 min), 140 euro (60 min) or 210 euro (90 min); in addition, 5-session cards are available (325, 650 or 975 euro). The free consultation has a 10-minute booking slot. Have more practical questions? See our frequently asked questions.

  • The number of treatments differs from person to person
  • There is no fixed number that applies to everyone
  • Concrete advice follows the Bodyreading at the free consultation
  • Individual treatments and 5-session cards are available

Book a free consultation

Want to know what, in our view, may be the cause of your cellulite and which approach suits you best? Start with a free consultation (10-minute booking slot). During this consultation we carry out a Bodyreading, discuss your goal and give you honest advice — with no obligation. Our practitioners discuss your wishes and comfort.

BodyFix is located at Legmeerplein 7 (1058 NJ) and Haarlemmermeerstraat 115 in Amsterdam-Zuid. You can reach us By phone: 09:00–18:00; treatment availability is shown in the booking calendar, on +31 6 5580 4938 or at info@bodyfix.nl.

Curious about the cause of your cellulite?

Book a free, no-obligation consultation and discover what may suit your situation best. We carry out a Bodyreading, discuss your goal and give you honest advice.

Sources and medical background

American Academy of Dermatology: Cellulite treatments

These sources provide general information; they do not establish the effectiveness of the Bodyfix Method. Checked on 10 September 2026.