Cellulite causes dimpling of the skin and a lumpy appearance to the flesh. Cellulite can cause an “orange peel” appearance to the skin. It is most commonly located in the hips, buttocks, and abdomen. Sometimes it occurs in the breasts, upper arms, or belly. With mild cellulite, the dimpling is not apparent unless pinching the skin. Cellulite is much more common in women than in men because of differences in the way fat cells, muscle, and connective tissue are distributed in men’s and women’s skin. Fat deposits that push and distort the connective tissues beneath skin cause the appearance of lumpiness, leading to the characteristic “cottage cheese” changes in the appearance of the skin. Cellulite occurs due to shrinkage or shortening of the fibrous tissue cords that anchor the skin.