Banana roll is a complex issue

Treating the "banana roll" is not as simple as it seems. I think the banana roll is not a distinct accumulation of fat or a fat pocket. Rather I think it is a folding of skin caused from the weight of the buttock and somewhat loose skin.

This is the reason why I tend to see the banana roll in older patients, who have looser skin, and younger patients who have had liposuction of the upper lateral and inner thighs. 

The solution depends on whether you want just a reduction of the banana roll or an overall enhancement of the buttock area.

If you want just a reduction of the banana roll, a very fine cannula liposuction at a superficial level will help. Taking out too much fat will eliminate support for the weight of the buttock and cause the skin to buckle and fold again.

If you want an enhancement of the buttock area in general, a fat injection to the lateral area of the upper thigh and buttock will act as a column of "support" for the buttock and give you a perkier buttock and obliteration of the banana roll.

Hey Cyn80

You have brought up a question about a tough area to treat: The Banana Roll.

It is tough, because there are a couple of different causes. Excess fat in this region is one and the easiest one to correct. All this requires is liposuction. Another cause is an excessively heavy buttocks. Again, liposuction may help, but in this case it would be lipo of the buttocks to reduce the size and weight of the buttocks. A third possibility is loose skin -- more common in weight loss patients, but can happen in people who just have naturally lax skin. For these patients, I usually recommend removal of the excess skin through a scar in the infra-gluteal fold (beneath the buttocks). A Brazilian Butt Lift might be helpful if you have a small buttocks and drooping loose skin.

As far as the shape of your buttocks, if the issue is something aside from the Banana Roll, then I solely  recommend either liposuction to reduce the areas that are too big or too prominent, or Fat Grafting (Brazilian) to fill out any areas that are too small or indented.

I hope this helps. Good luck!

Helpful?

Contact the doctor