Classification
Grade 1
No clinical
symptoms, but
histopathology
detects underlying
anatomical
changes.
Grade 2
The skin
shows pallor, lower temperature, and decreased elasticity after
compression or muscular contraction. There is no visible "orange peel"
roughness to the skin.
Additional anatomical changes are detected by
histopathology.
Grade 3
Visible "orange peel" roughness to the skin is visible at
rest. This is the "canonical" grade of cellulite. Thin granulations in
the deep levels of the skin can be detected by palpitation. All Grade 2
signs are present, with further anatomical changes are detectable by
histopathology.
Grade 4
All Grade 3 symptoms are present, with more visible,
palpable, and painful lumps present which adhere to deep structures in
the skin. The skin has a noticeable dimpled, wavy appearance. Additional
histopathology changes are detected.
