“Cellulite only affects overweight people.” “It’s caused by toxins.” “You can get rid of it by drinking lots of water.” How many times have we heard these statements? But are they really true? Let’s clear things up.
Scientifically known as PEFS (Edematous-Fibrosclerotic Panniculopathy) or lipedema, cellulite is a common condition affecting the subcutaneous fat layer and connective tissue. The skin takes on a dimpled, “orange peel” appearance, often with small but visible indentations. Although anyone can be affected, cellulite is more frequent in women and may involve edema, fibrosis, or sclerosis.
What Really Causes Cellulite?
Cellulite is a multifactorial condition and can be influenced by:
- Hormonal Factors
Sex hormones—especially estrogen, insulin, and thyroid hormones—impact fat metabolism, accumulation, and connective tissue health, all of which contribute to cellulite formation.
- Circulatory and Lymphatic Factors
While not direct causes, circulatory and lymphatic issues often accompany subcutaneous fat dysfunction, leading to edema and telangiectasias (visible small blood vessels).
- Genetic Predisposition
Genetics significantly influence hormone levels, as well as vascular and lymphatic health, making some individuals more prone to developing cellulite.
- Lifestyle
A balanced diet and regular physical activity help reduce both the risk and severity of cellulite. Proper nutrition, with appropriate levels of macro- and micronutrients and limited salt intake, is essential.
- Postural Factors
Poor posture and a sedentary lifestyle impair circulation and lymphatic flow, contributing to the development of cellulite.
How Can Physiotherapy Help Treat PEFS?
Dermatofunctional physiotherapy focuses on improving the health and appearance of tissues affected by cellulite. Through manual and instrumental techniques, physiotherapy can:
- Reduce edema
- Enhance circulation
- Directly stimulate connective tissue
Instrumental Therapies
Treatments using radiofrequency, shockwaves, and ultrasound are highly effective in reducing cellulite.
Manual Therapies
Specialized massages improve circulation, promote lymphatic drainage, and reduce edema and fluid retention.
Targeted Exercises
Customized programs improve muscle tone and include hemodynamic exercises to support circulation and lymphatic flow.
A Personalized Approach for Every Patient
There is no one-size-fits-all solution for cellulite. As a common but complex condition, it must be approached individually, targeting the root causes and choosing the most appropriate combination of treatments for each person.
At the Kinetic Center in Lugano, our expert professionals use the latest equipment to determine the most effective strategy for each patient.
Call now to book your free consultation, and let us help you improve the health and appearance of your skin with a personalized treatment plan.
