Can lipo help with banana roll deformity? (Photo)

Sunshine,

I think that you can see from your responses is that plastic surgery is beneficial in most cases but when applied to certain areas it can be problematic.  This the case of liposuction and the "banana roll".  Keep pressing on with your healthy lifestyle.

Dr. ES

Thank you for your question. Based on your photo you appear to be a good candidate for this procedure. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Reducing your banana rolls, posterior upper thigh excess fat, if done properly and conservatively should give you improvement without making your buttocks drop.

When patients present with
banana rolls, liposuction is a great treatment option.It’s associated with excellent clinical
results and high levels of patient satisfaction. It’s
also important to say that the procedure should be approached with caution to
avoid secondary complications.When
overly aggressive liposuction is performed, sag of the buttock can result.This is arguably a much more significant
aesthetic deformity than the banana roll it self.If
you’re considering liposuction of your banana-roll area, it’s important to
consult a Board-Certified plastic surgeon with experience in this area.This surgeon should be able to formulate a
treatment plan that addresses your anatomic findings and achieves your
aesthetic goals.

liposuction, regardless of what type, conventional tumescent or smart liposuction, can exacerbate the extra roll by reducing the infragluteal support of the buttock. Some times it is worth considering conservative fat injections into the lower crease to smoothen the area, but this has its risks too, such as over correction, worsening of the asymmetry, ,infection and others.

Cute tush. The difficulty here is that removing the fat in the banana will unpredictably cause the guteal fold to extend. You may feel that you like the effect, you may hate the effect but fixing such a change probably impossible.  If someone tells you they have a sure fire way to avoid the problem, they are mostly likely pulling your leg. The note here is that the punishment should fit the crime. How will you feel if your liposuction makes you worse rather than better?

I agree with everyone above.  The banana roll is a double edge sword.  It is unsightly and would be nice to be removed.  However, over aggressive treatment of this area can lead to sagging of the buttocks tissue.  So, proceed with caution and make sure you are seeing an experienced liposuction surgeon.  Good luck.

If exercise could really tone skin and shape the fat layer under the skin, no one would ever need lipo. That is why despite your good exercise regimen you can still develop problems areas such as the "banana roll" under the buttocks. This is a very tricky area because it is actually helping to hold your bottom up. We have learned the hard way that a seemingly simple reduction of fat there with lipo allows the buttocks to drop, which is not an improvement to say the least, and by pushing down it actually re-creates the banana roll! There are some non-surgical treatments that might be more worth looking into, such as Thermage and Ulthera which focus on skin and deep layer tightening. And do keep up the exercise.

I agree with everything Dr. Aldea said. The liposuction should be minimal if after examining this area the surgeon feels it can be improved. See an experienced liposuction surgeon so too much is not removed.

Hello,

Thank you for the question and the photo.  The bananna roll can be safely and effectively treated with liposuction.  Use of pre-tunneling, a small cannula, and staying in the same plane will help.  

All the best,

Dr. Remus Repta