The Estrogen Deficiency-Cellulite Connection

July 16, 2019

The Estrogen Deficiency-Cellulite Connection

Most women are familiar with cellulite. Even if you are thin, you might notice a dimpled “orange peel” look start to appear on your thighs or stomach. Cellulite can affect both men and women, but it develops much more often in women, especially as we age. In fact, cellulite affects the majority of women to some extent. According to research, about 85 percent of women over the age of 20 have some cellulite. (1)

If you’re similar to a lot of women, you may have tried different lotions and creams to get rid of cellulite. The quest to eliminate cellulite can be very frustrating, especially when nothing seems to work. While it might not be possible to banish cellulite entirely, replacing declining hormone levels may help.

What is cellulite?

Cellulite is just fat that pushes up through the connective tissue under the skin. As the fat puckers up through the skin, it creates an uneven or lumpy surface.

Although cellulite is fat, you don’t have to be overweight to develop it. Cellulite may first appear during young adulthood. But it is more common in middle-age. Usually, it develops in areas of the body that tend to store more fat, such as the upper arms, buttocks, and thighs.

What are the causes of cellulite?

The exact cause of cellulite is not entirely clear. But it appears cellulite develops due to the interaction between fat and the connective tissue, which is just below the skin.

Women tend to develop more cellulite than men, which might be due to the arrangement of the connective tissue. In females, the bands of connective tissue and fat cells are thinner than in men and arranged vertically. In males, the bands of tissue are thicker and arranged in a criss-cross pattern, which keeps the fat from puckering through and creating cellulite. Also, women often have a higher percentage of body fat than men. It’s also thought that hormone decline and imbalance plays a role in the development of cellulite.

The estrogen deficiency-cellulite connection

Cellulite may appear anytime in a woman’s life. But when estrogen levels decline, cellulite may increase. Lower levels of estrogen may contribute to the development of cellulite in a few ways. For example, reduced estrogen may cause vascular changes, such as decreased blood flow to the connective tissue, increased permeability and fluid retention under the skin, which may all play a part in the development of cellulite. (2)

Decreased estrogen also may mean reduced production of elastin fibers and collagen, which keep the skin firm and toned. When levels drop, the connective tissue becomes weaker. The skin also becomes thinner. The combination of both factors is ideal for the development of cellulite. (3)

When does estrogen decline in a woman’s life?

Estrogen levels drop during menopause. But levels can also fluctuate for years prior to menopause during perimenopause. Perimenopause is the time leading up to menopause, and it can occur several years before a woman is considered post-menopausal.

During perimenopause, estrogen levels may be too low or too high. But these conditions can affect cellulite development. For example, estrogen dominance can develop during perimenopause, which can contribute to an increase in fat. More fat stored under the skin may increase the risk of cellulite.

During menopause, as estrogen declines, aging skin is also becoming thinner and less elastic. Between decreased estrogen and sagging skin, it’s no surprise that many women notice cellulite increasing.

A natural solution to for cellulite

While there are all types of anti-cellulite lotions and treatments on the market, studies are limited regarding their effectiveness. Research that involved a meta-analysis of 67 journal articles containing information on in vivo human studies on the efficiency of cellulite treatments indicated no proven treatment. Some of the studies did not have a placebo control, which made them inconclusive. The results indicated that there is no definitive evidence that cellulite treatments, such as lotions and laser modalities, are effective at treating cellulite. (4)

So, what works to treat cellulite? Bioidentical estrogen may help to reduce cellulite by replacing the hormone that is missing. Remember, estrogen affects the vascular activity of the skin, as well as fat levels and collagen production. By replacing estrogen and returning levels back to normal, it prevents changes in the tissue and skin that contribute to the formation of cellulite. Bioidentical estrogen is a way to replace your natural hormones to the proper level.

Are there lifestyle changes that can help prevent or reverse cellulite?

There is not really any way to completely prevent the development of cellulite. However, there are a few things you can do to decrease the amount of cellulite you have now or that may develop in the future. Consider the following suggestions:

  • Maintain a healthy weight: Maintaining a healthy weight is beneficial for your overall well-being. Thin people still develop cellulite. But the more fat you have under the skin, the higher the chance it will push through the connective tissue and cause skin dimpling.
  • Do strength training exercises: Strength training firms your muscles and may help improve skin tone, which in turn could decrease the appearance of cellulite.
  • Don’t smoke: Smoking damages your skin by disrupting the body’s ability to make collagen. It also decreases healthy circulation. The combination of both of those factors can make you more likely to develop cellulite.
  • Drink bone broth: Bone broth contains collagen, which helps keep your skin supple. Collagen supports healthy skin.
  • Try dry brushing your skin: Dry brushing is done to improve blood and lymphatic fluid flow to the skin. It involves using a dry loofah or bath brush and brushing the skin in one direction. Avoid bruising too vigorously, which can lead to bruising. Although it most likely will not be a cure-all for cellulite, it might help.
Do you have symptoms of hormone decline and imbalance?

Do you suffer from fatigue, weight gain, hot flashes, migraines, brain fog, depressed moods, insomnia, anxiety, low libido, irregular menstrual cycles or menstrual cramps? Take our symptom checker to help discover what could be the underlying cause.

We are here to help. Contact our Wellness Consultants for a complimentary wellness consultation at 281-698-8698. It’s time to get your life back!

Related Content
4 Ways Estrogen Deficiency Affects Your Skin in Menopause
20 Ways Hypothyroidism Affects Your Hair, Skin and Nails
Discover 6 Reasons You Can’t Lose Weight


  1. Cellulite and its treatment
  2. Cellulite: a review of its physiology and treatment
  3. Cellulite in menopause
  4. Cellulite: an evidence-based review


Mayo Clinic

Written By: Steven F. Hotze, M.D.

Steven F. Hotze, M.D., is the founder and CEO of the Hotze Health & Wellness Center, Hotze Vitamins and Physicians Preference Pharmacy International, LLC.


Leave a Reply

Your email address will not be published. Required fields are marked *

Contact Us

"*" indicates required fields

By filling out the above, you agree to receive educational, informative emails on alternative medicine and hormone balancing. You will have the option to unsubscribe at any time.


AboutHotze Health & Wellness Center

Since 1989, Hotze Health & Wellness Center has helped over 33,000 patients get their lives back using bioidentical hormones that restore hormones to optimal levels, strengthen immune systems, and increase energy levels. Our treatment regimen addresses the root cause of hypothyroidism, adrenal fatigue, menopause, perimenopause, low testosterone, allergies, and candida.

Led by best-selling author, radio host and leading natural health expert, Steven F. Hotze, M.D., our medical team has over 100 years’ combined medical experience backed by a staff of nearly 100 caring professionals who provide an environment of hope and extraordinary hospitality for each of our patients, who we call our guests. It is our deepest desire to help you obtain and maintain health and wellness naturally so that you may enjoy a better quality of life, pure and simple.



Do you want to live a healthy, happy, purpose-driven life? Do you want to restore your health so that your loss of energy, weight gain, joint pain, depression and lack of drive or motivation won’t hold you back from achieving your personal and professional goals?

Dr. Steven Hotze wants that for you, too. In fact, in his powerful and passionate video entitled, “What I Believe”, Dr. Hotze shares how his Christian worldview and pivotal experiences have ignited a deep desire to offer the message of hope and optimal health to all who need to hear it.

Follow Us

As seen on:

  • ABC
  • Fow News Channel
  • NBC
  • CNN
  • The Biography Channel
  • Bloomberg Businessweek
  • The Early Show
  • Good Morning Texas
  • Great Day Houston

Our Doctors

At Hotze Health & Wellness Center, our doctors are changing the way women and men are treated through the use of bioidentical hormones. Our natural treatments have helped over 33,000 individuals with hypothyroidism, adrenal fatigue, menopause, perimenopause, low testosterone, allergies, candida, detoxification and nutritional deficiencies.

Meet our doctors

Guest Testimonials

Elizabeth C.

"At 36, I felt like I was 90 – exhausted, depressed, and cold all the time, and now I have a life of energy, focus, restored libido, and a renewed desire to be present with my family!”

Read More guest testimonials
Pam White
Pam White
At Hotze Health and Wellness YOU can truly find restoration of your health and vibrant life! You will find the most caring and effective healthcare available! Don't hesitate call them today!!!
Ron Guidry
Ron Guidry
Doctors are not the final authority in our journey of achieving/maintaining health and wellness but having a good team of doctors in your support and guidance community is not only helpful it is wise and also essential. The team and staff at Hotze Health and Wellness are health professionals that you can trust to help you navigate all the misinformation that may be keeping you separated from your optimal level of health.
Caral Reeves
Caral Reeves
Hotze Beauty is a first class facility! Extreme level of professionalism , knowledge & genuine care❤️‍🩹
Julie Hryszko
Julie Hryszko
I’ve been a guest at this facility for 15 years. They are the most efficient, thorough and caring group of individuals I’ve ever experienced. Dr Hotze looks to change the way a typical doctor treats patients and looks for root causes to eliminate medical issues instead of treating “symptoms”. My life has improved 100% since my initial visit. The cost of the treatments are worth it.
Shavon Sisson
Shavon Sisson
Always a great experience dealing with everyone at Hotze Heath and Wellness! Everyone is kind and helpful.
Kori Misson
Kori Misson
I cannot accurately describe in words how I feel about this practice and the entire staff. I have had quite a few health issues throughout the years, rheumatoid arthritis, sjogrens, weight gain, hair loss, irritability, and that is just the beginning. I had pretty much given up on feeling good, just decided to "live with it" and hope for the best. Two very close friends love the Hotze Wellness Clinic and they have experienced life changing health. Made my appointment and from the beginning I felt heard. Not a in and out fast food style practice. They are looked and are looking at my entire body for overall health and wellness. Connections from mind and body to clinical blood work, even dental questions....they care and I feel as if I can trust them. I am on a path to complete wellness and my goal is to have my RA back in remission as it once was....make yourself a priority. Having hope is an incredible feeling!