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The way it all works is your skin (dermis) sends down anchoring fibers to the muscle. Between the skin and the muscle is a space filled with fat cells. When the fat cells start pushing against the skin between these fibers, it creates a lump appearance.
It’s sort of like pushing fat through cheesecloth – where the skin isn’t being tethered down, the fat forms a dome and where the skin is tethered down, there’s a pitting effect.
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