What is the primary disorder associated with cellulite?

Cellulite is primarily associated with connective tissue, which plays a significant role in determining the appearance and texture of the skin. Connective tissue is responsible for providing structure and support to the skin as well as surrounding the fat cells present in the subcutaneous layer. When the connective tissue becomes weaker or less structured, commonly due to hormonal changes, genetics, or lifestyle factors, it can lead to the appearance of cellulite.

In individuals with cellulite, the connective tissue can create pockets that push against the fat cells, causing the characteristic dimpled effect on the skin's surface. Factors that contribute to the weakening of this connective tissue can include reduced collagen production and an imbalance of elastin fibers, which affects skin elasticity and firmness.

Other tissues mentioned, such as muscle and nervous tissue, do not contribute directly to the formation of cellulite, and while adipose tissue is involved because it forms the fat layer beneath the skin, it is the connective tissue's structural integrity that directly influences the development of cellulite's visible appearance.