Cellulite is a fat deposit beneath the skin. Also known as Gynoid Lipodystrophy (FEG), it is a condition affecting the dermal and subcutaneous tissues, causing lipodystrophic alterations with a sclerotic response. This results in an unesthetic skin appearance and is a frequent concern among patients. The process involves fluid retention (edema) and subsequent fibrotic nodules, which contribute to skin surface irregularities and may cause pain—particularly in areas such as the buttocks, thighs, and abdomen. It affects around 90% of women after puberty.

Several predisposing factors influence its development, including postural changes. Treatments combining electrotherapy—such as carboxytherapy, endermotherapy, radiofrequency, ultrasound, and cavitation, along with cosmetology—can produce satisfactory results. Weight loss and physical exercise may also help improve the appearance of cellulite.

FEG Classification:

FEG is classified into four stages, based on histopathological findings and clinical changes:

• Grade 1: The patient is asymptomatic with no visible clinical changes. The “orange peel” texture appears only during skin pinching or muscle contraction.

• Grade 2: The “orange peel” appearance occurs during compression or contraction. There is paleness, reduced skin temperature, and decreased elasticity, with no improvement at rest.

• Grade 3: The “orange peel” look is visible even at rest. There is a palpable granular texture in deeper layers (nodules), pain upon palpation, paleness, and reduced elasticity and temperature.

• Grade 4: Same characteristics as Grade 3, but nodules are more prominent, visible, and painful. There is deep tissue adhesion and a wavy, uneven skin surface.