Should I use SculpSure for my double gluteal fold? (Photo)

Question

Hi doctors, I am 35 and exercise regularly since I am 12 year old. My exercises include moderate amount of squats and with weigh however I have not been able to shape my underbutt (double fold). I do have a balance diet except I am a dark chocolate lover. Those double folds bother me a lot when I wear my fitness cloth, jeans and bikini because both folds are noticeable. Would sculpsure be recomended for my case? Thanks in advance.

Jennifer Parker Porter, MD, FACS · Answer

SculpSure can be used on the lower gluteal area if there is an appreciable amount of fat present.  It may take up to three treatments to see a result.  Based on your picture I am not visualizing much fat in that area.  It is something that warrants an in person evaluation by a doctor to determine whether sculpsure is appropriate.

Mathew C. Mosher, MD · Answer

It is great that you already appear fit and know the importance of a healthy lifestyle. Infra-gluteal folds or Banana rolls are often a combination of localized fat excess and soft tissue laxity. Improving these requires a strategy that addresses both problems. Sculpsure may be the best non-surgical option currently available to reduce the localized fat. Combining this with RF treatments to the lower buttock and upper thigh works best. Patients with similar concerns who are looking  for improvements, rather than a permanent fix are the best candidates.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon because you seem like an ideal candidate for SculpSure.
Best wishes,

Hooman Khorasani, MD · Answer

Keep up the good work! SculpSure may reduce some of the fat in the area but in reality a better bet may be to undergo non-surgical gluteal augmentation.  We have treated similar patients that were very active with Silhouette Instalift, PRP, and Sculptra to smooth out the curve on the buttocks to thigh.  However, the best way to make an accurate assessment for your needs is to have a consultation with a board certified dermatologist or plastic surgeon.  I wish you the best.

Robert M. Wald, Jr., MD · Answer

The gluteal fold may be difficult to treat because of the correct placement of the applicators. There must be enough fat that the applicators can snugly position between the frame. My best advice is to see a sculpsure expert and determine if you are a candidate.

Julio Clavijo-Alvarez, MD, MPH, FACS · Answer

Thanks for sharing your question. I can appreciate your concern.
  
Unfortunately, sculpsure is designed to target fat. When there is excess skin or deep attachments, It is unlikely to correct your concerns.
Finally, make sure that you have a consultation with a board certified plastic surgeon.
  
Wishing you the best in your journey

IMPORTANT DISCLAIMER: It is difficult to say what is exactly happening with your case without a physical examination, testing or having done your surgery. It is imperative that you have a thorough examination by a board-certified surgeon. Only then, you may weight better the options to fix your current concerns.

Patricia Faraz, MD · Answer

You appear to be a great candidate for SculpSure. An in person consultation with your SculpSure professional will determine how many applicators and treatments will be needed to achieve your aesthetic goal.Best to you,

Rosalind Hudson, MD · Answer

Your physician would need to examine this area and decide if this is primarily a muscle structure or a fat pad. It appears quite different than the usual "banana roll" that is wider and without a discreet fold. If this is determined to be a fat pad, it could  be treated as an upper thigh area. 
 After treatment of abdominal or flank fat, the % of ischemic (dead) fat from a SculpSure treatment is 25%. The data for thigh is much less: 9% ischemic fat per treatment. Thus, Cynosure, the manufacturer, is recommending 4-5 SculpSure treatments for optimal upper thigh results. You would only need 1 head per side, which totals 2 heads per treatment. This would need to be repeated multiple times. 
The other issue may be the fold itself, which could persist, even after SculpSure.

Kent Holtorf, MD · Answer

Yes, SculpSure can treat the gluteal fold if you have enough fat to treat.  From the picture it doesn't appear that there is enough, but again you would need an in person consultation to confirm whether or not you are a candidate. It will also take 2 to 3 treatments before you would see results.

Roberta Gartside, MD, FACS · Answer

Thank you for sharing to photo.  You would be a candidate for Sculpsure.  On examination, there needs to be fat in the location that is contributing to the fullness.  One session is quite honestly never enough and one must be patient to wait for the results.

Should I use SculpSure for my double gluteal fold? (Photo)

Answers (12)

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