What’s the best approach to minimize my banana roll/upper thigh area? (Photos)

Dear PossiblyMaybeTX,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

In your case, Smart Lipo of the outer thigh and banana area would be an excellent option ( I always do these areas together). It can shape the buttocks and tighten significantly. Cellulite should also be improved.

The area you describe and was bothering you are a series of skinfolds. It is not based nor do you have excess fat in this area.

The problem is not related to fat distribution.

Fat removal will simply create a disfigured appearance of having and abnormal fat distribution which will not match the rest of your thigh and the skinfolds will persist but with a deflated appearance from inappropriate Liposuction.

There is no good treatment for these skinfolds. Skin excision can work but leaves a highly visible scar and is typically not done.

Fat transfer as part of a Brazilian butt lift a.k.a. BBL can give partial improvements to that area.

Attempting to improve the area with fat transfer for someone who is already contemplating having a BBL makes sense.

Simply grafting fat in this area alone without extending fat transfer to the hip dip and buttocks will simply alter a normal fat distribution creating undesirable unnatural contours.

There is no good treatment for the banana roll.

Treating things that are not causing the problem will lead to poor results or secondary undesirable outcomes.

I don’t care if clinics or providers offer banana roll Liposuction. It is not a fat distribution problem and I have never in my 25 years of doing body contouring seen quality results from treating this area with Liposuction.

Not once.

Good luck,

Mats Hagstrom MD