Medically there are different stages of cellulite growth. In the first or initial stages of cellulite there are no clinical symptoms but histopathology can identify the underlying anatomical changes.

The cellulite growth reaches the second stage when the skin has a lower temperature and decreased elasticity after muscular contraction or compression. Even at this stage there is no visible “orange peel” roughness to the skin but added anatomical changes can be identified with the help of histopathology.

The orange peel and roughness to the cellulite effected area is visible only when it reaches the third stage which is also known as the “canonical” grade of cellulite. The small granulations in the deep levels of the skin can be shown by palpitation.

In the fourth stage of cellulite grown you can easily find all the three above mentioned signs and in addition it becomes more visible, palpable, and painful lumps present which remain to deep structures in the skin.

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