The four main visual aspects of cellulite are hypodermal fat accumulation, water retention/puffiness, skin looseness and fibrosis. Hypodermal fat accumulation combined with fibrosis is what makes fat globules protrude from the skin surface. Fat pushes up and fibrotic collagen fibres push down, resulting in the mattress effect. Water retention makes cellulite more visible by increasing volume in the hypodermis and dermis. Likewise, loose skin makes it easier for the fat globules to push up…