Cellulite is enlarged “pockets” of fat cells that are pushed to the surface of the skin by inflexible connective tissues. It mainly affects women. Cellulite is seen as uneven skin consisting of dimpling, together with accompanying raised areas. It is most common on the buttocks and buttock area, but can also be seen on the arms and abdomen area. It is often referred to as orange skin syndrome. In cases where the patient has cellulite, he has an increased number of fibrous septae (connective tissues) that tighten and harden, making the skin less flexible. This creates the “pockets” of fat cells, and subsequently the illusion of dimpling. Most women have this problem, but it is often more visible in overweight patients. Cellulite is rarely seen in men. It is caused by 3 main biological factors – a thicker layer of hypodermal fat, a decrease in collagen, and hardening of fibrous septae.


What is cellulite?

Cellulite is a specific skin condition. This type of imperfection is most commonly seen on the thighs and buttocks, but sometimes also on the arms and abdomen. It is a visible irregularity in the upper dermal layer (hypodermis), which has earned it the name 'orange skin'.When cellulite forms, the relief in the area is distorted due to unevenly accumulated subcutaneous fatty tissue. These form so-called 'pockets', which are pushed into the hypodermis over time by inflexible connective tissues. As a result, bumps are formed in the form of 'dimples' and often entire areas are significantly raised above the rest. As soon as it undergoes a really serious enlargement, the skin becomes uneven and dangerously squeezed by lymphatic and blood vessels. Thus, microcirculation is impeded and slowed down and cellulite becomes not only a cosmetic problem but also a health problem.

What causes cellulite?

Cellulite mainly affects ladies. According to statistics, 90% of patients with this dermatological problem are female and only 10% – male. The three main biological factors causing cellulite are thickening of hypodermal fat, decreased secretion of collagen in the body and hardening of fibrous septae. Contemporary medical experts emphasize that these risks are increased when present:

Hormonal disturbances (mainly related to estrogen, adrenaline, prolactin, insulin and most thyroid hormone levels);
Genetic predisposition (ethnicity, inherited diseases related to blood circulation and some forms of metabolic disorders);
Unhealthy habits (improper diet with too much fat, fast carbohydrates and salt, lack of any physical activity, smoking, abuse of alcohol and certain medications, dehydration and stress);
Rapid weight gain, including in the presence of pregnancy.

Степени на целулита

How visible and difficult to remove is cellulite (stages / degrees of cellulite)

Regardless of the choice of a specific cellulite removal therapy, its effect and the first visible results depend mainly on the stage of the skin problem. Unfortunately, in most cases, ladies start seeking professional help and aesthetic services at a relatively advanced one. Also known as grade, the severity of cellulite is divided into the following levels according to the Nuremberg-Mueller scale:

0 (no visible signs) – with the naked eye, no traces of cellulite are observed, but very small insignificant dimples are noted when the skin is pressed;
1 (mild) – most of the time there are no visible signs of cellulitis, but when squeezed the dimples are significantly larger in size and peculiar in shape;
2 (moderate) – the ‘orange skin’ is visible in both standing and sitting (or other) positions. Usually at this stage cellulite is not yet noticeable in the supine position;
3 (severe) – the bumps are noticeable in any body posture.

What types of cellulite are there?

In addition to the degree of manifestation, there are several distinct types of cellulite. The division of these categories is important not only for making a diagnosis – hence a correct assessment of whether it is purely cosmetic or medical (with health risks), but also for determining the most appropriate therapy. In theory and practice, the following types of cellulite are usually distinguished:

Mild or the most common type of cellulite is visible both at rest and under pressure, and can affect literally all parts of the body, but is most often concentrated on the buttocks and thighs. Almost always, water retention is seen throughout the body and bumps are felt when touched on the affected area. The skin is usually very loose, but the musculature is also undertoned. Although it sounds like the scariest type, this cellulite is treated most successfully and quickly;
Firm – also known as compact, it is the most difficult to remove. The reason has to do with its formation, suggested by its name, namely: tissue hardening. This cellulite is usually visible on the thighs and buttocks, and pain can even be felt in the affected area when touched. It is often caused not only by a sedentary lifestyle, but also by long untreated obesity;
Oedema cellulite is usually seen on the lower legs. It is often called medical because it is caused due to impaired microcirculation. There may also be lymphatic stasis, i.e. significant retention of excess fluid, which is not always accompanied by excess weight;
Athletic – as strange as it may sound, there is such cellulite and yes, it is typical for athletes. It is caused by excessive physical activity. It occurs as a result of overexertion of certain parts of the body at the expense of others. It is rarely seen on the classic cellulite sites such as the buttocks and thighs;
Fibrosis – it is similar to hard cellulite, the difference being that in fibrosis there is usually an inflammatory process in the tissues and it is also always caused by lack of physical activity.

Proven methods for treating cellulite

The modern cosmetic industry, along with classic medical practices and the latest innovations in aesthetic services, provides a plethora of options for cellulite treatment.But how effective are they? Are they equally successful for different forms of cellulite? Do they all achieve a visible result within a certain period of time?

Different cellulite treatments also produce different results, including in terms of time and longevity of effect. It is for this reason that high-end aesthetic medicine focuses on a personalized approach in choosing the appropriate therapy. Besides the age of the patient and the stage of cellulite, the type of the latter is also of particular importance.

Some of the treatments proven to be the most reliable have been successfully applied to all types and almost all degrees of cellulite. At Skin Line, we have seen the guaranteed results of the following advanced treatments for orange skin:


Also known as Endermologie and Lipomassage, it is an innovative non-invasive procedure that stimulates microcirculation, lymphatic drainage, natural drainage of the body along with accumulated toxins and tissue repair. As an additional advantage of LPG is its ability to stimulate the production of collagen, whose gradual reduction over time (after the age of 30) has a direct impact on the condition of the skin.

This procedure is extremely gentle, all-natural and safe, as well as painless and even pleasant. Mechanical stimulation tones and sculpts, tightens and softens tissues, which is why it is also suitable for hard cellulite that is difficult to respond to. To be effective, the LPG technique must be applied both with authentic equipment certified for this type of activity and by specialists who have undergone the necessary training.

At Skin Line, we work with the latest generation LPG Alliance liposuction device. It has been developed by a French company specialized in medical consumables and aesthetic procedures. Our team has not only undergone the necessary training, but today has the only LPG Alliance Medical Center training certificate in Bulgaria. A huge advantage in endermologie is the revolutionary tip available with us, which simultaneously treats both fat cells and those forming collagen and elastin. There is also the undeniable benefit of the EndermoScan specialised personalised diagnosis system.

Also known as body mesotherapy for cellulite, this procedure is minimally invasive and its high lipolytic effect is due to the revolutionary formula used. A combination of phosphatidyl choline and deoxycholic acid is injected into the affected area to both drain and destroy fatty tissue. The procedure is tolerable and painless. It is often referred to in practice as “gentle liposuction” as it lasts a minimal amount of time, causes no serious or long-lasting side effects, but tightens and structures the skin similar to classic liposuction.

It is a modern device for radiofrequency therapy for cellulite. The device allows a non-invasive method of reducing orange skin, combining the radiofrequency effect on the accumulated fatty tissue with electro-cutting and vacuum massage.

The three influences on the treated area act in absolute synergy and deliver the most satisfactory effect against cellulite, as well as for the necessary stimulation in terms of collagen production. The radiofrequency energy heats up the damaged area in order to effect apoptosis, namely cell death.

The Inmode BODYfx features extreme precision and the ability to work flexibly, therefore only targeted damaged cell structures are destroyed. In addition, the vacuum massage activates elastin synthesis. The electroporation as part of the Inmode BODYfx procedure creates tiny holes in the fat cell via high frequency current, but without any unpleasant sensations for the patient. The idea is that the cell membrane increases its permeability and the connections between the fat cells are destroyed.

Home prophylaxis after a procedure against cellulite

Choosing a specific therapy for cellulite is a two-pronged process. It necessarily involves the patient and the aesthetic medicine expert. Self-appointment of a procedure, as well as making a diagnosis without prior examination and assessment of the case, lead to unsatisfactory and short-lived results.

However, the maximum good and lasting effect in the fight against cellulite also depends on subsequent prophylaxis. Once the predetermined number and type of treatments have been completed, it is imperative that the patient follows a few key tips to maintain the new look achieved. At Skin Line, we pay special attention and take all the time necessary to explain in detail the best practices suitable for home use. Most often we advise:

Adherence to a healthy nutritional diet, combined with sufficient exercise during the day and intake of an optimal amount of fluids;
Timely visits to Skin Line clinics for maintenance treatments when the chosen therapy requires them;
Regular application of massage techniques to the treated areas;
Use of topical agents to maintain the tight appearance of the upper dermal layer.

Book a consultation at Skin Line Plovdiv

Plovdiv, 91 Maritsa Blvd.

Book consultation in:

Book a consultation at Skin Line Sofia Mladost

Sofia, Mladost 4, Blvd. Aleksandar Malinov 91

Book a consultation at Skin Line Sofia Center

Sofia, 12-16 Dragan Tsankov Blvd.

Book a consultation at Skin Line Varna

Varna, 53 Knyaz Boris I Blvd.

Consent Management Platform by Real Cookie Banner запиши консултация