The dimpled skin known as cellulite – usually apparent around the thighs and buttocks – appears when fat cells accumulate and push against the skin’s surface. Simultaneously, the long connective fibers of the muscles – known as fascia – pull down the skin, creating the bumpy appearance. Cellulite is caused by a buildup of fat cells that lie directly underneath the skin’s surface. The amount of body fat is not directly proportional to the severity of cellulite, as many physically fit (yet cellulite-prone) people can attest. Other factors that can contribute to cellulite include a genetic predisposition, thinning skin due to age, hormonal changes, medication, and pregnancy or menopause.