Improving Buttock Shape

Steven H. Williams, MD answers: Smart Lipo or Brazilian Butt Lift for banana rolls?

I have fat under my butt, the so-called banana roll. My rear is not that flat but it has stretch marks and is not so well shaped either. It does not look normal and it has given me a lot of insecurities, because it even shows sometimes when I wear pants. I love the beach but I have to wear a swim skirt to hide my imperfection. What procedure you recomend for me? I was thinking Brazilian Butt Lift, Smart Lipo, or exercise. What do you think?


Steven H. Williams, MD
7 months ago

Thanks for your question -

You've hit on three different categories of improving your contour -

Exercise
Exercise is an important part of looking and feeling great.  However, there is no such thing as targeted weight loss.  This means that as you lose (or gain) weight you don't lose or gain it from a specific area - but instead lose it from everywhere.  The ratio of how you lose it can be different and can change as you age.

Liposuction (any technique)
Liposuction surgery removes fat from specific areas.  So if your concept is to improve your contour by reducing certain areas this can be very effective.  Liposuction has some limitations if you have excess skin or are significantly overweight.

Brazilian Butt Lift
This surgical technique takes the benefits of liposuction (in reducing areas of prominent contour) and adds the ability to increase areas that need additional profile.

I hope this helps.

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