Can Saddlebag Lipo Cause Butt Drooping?

Speaking professionally, of course, you have a smoking hot body.  That means that is whatever you do, you need to be improved and the target for that improvement is small, very small.  

Finding a surgeon who gets this may be remarkably difficult.  Board certification in Plastic Surgery does not guarantee that the surgeon understands what you are looking for.  You need someone who gets it and listens.  You need a tiny body shaping.  You should seriously consider finding a cosmetic dermatologist known for their finesse rather than seeing doctors who focus more on large volume liposuction.  I am thinking of someone like Rhona Narins, M.D. in New York.  A dermatologist is more likely to do this type of procedure under local so less risk of dying from an anesthesia complication compared to a general anesthesia and a much faster recovery.

You do have fullness in your banana roll.  It is sometimes tempting to ask for liposuction of this area.  While this will is unlikely to collapse your buttocks, it can change the skin crease under the tush.  For someone who features themselves in a bathing suit or less, that can be a profound source of unhappiness.  Good luck.

Liposuction of the thighs (saddle bag) areas should not really have an effect on your buttocks.  As long as your plastic surgeon focuses only on the thigh region, you shouldb be okay.  Any liposuction around the buttock region will most likely change the contour and appearance of your buttocks, so make sure you relay the message to your plastic surgeon that you don't want any liposuction here.  All in all, the saddle bags region of the out thighs responds very well to liposuction.  The procedure can be done as an outpatient with minimal discomfort.  Good luck!