Can the Gluteal Crease Be Recreated Through Liposuction?

It is sometimes possible to fix this without removal of skin with a scar to lift the sagging portion. In other patients it might be possible to suction above the crease and replace fat in the area around the crease and buttock. It will depend on how much was removed and how much sagging there is.

There are subtle fibrous attachments that create the natural gluteal crease, and liposuction that disturbs these attachments can make that contour worse, not better.  This is probably what has happened, but an examnination would be necessary, as well as a review of your pre-op and post-op photos.  Some targeted liposuction and fat reinjection might help, but a surgical procedure to support the fold might be needed.  Unfortunately, scars in the crease do not tend to heal well.  A percutaneous procedure can avoid this.

Hard to say what could have happened to your gluteal crease without an exam, and knowing exactly what was done in the OR.  Suctioning just the banana roll sholdl not make you lose the crease.

Liposuction is a safe, popular, and effective way to contour the body. When performing liposuction, care must be taken to avoid certain areas of the body that had important connections between the skin and the underlying muscle. These are the structures that create the creases of our body. If too much liposuction is done in these areas, it is possible to erase some of these creases and create an unattractive appearance. This is what might have occurred in this case. At this time, your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in liposuction and body contouring techniques. They will examine your body and present options such as a direct incision and resuspension of the skin in this area that may help fix this difficult problem.
 

Liposuction of the banana roll areas, if done, should be done superficially only. It is easy to take more in this area. If, as it sounds like in your case, the liposuction aims at removing fat excess rather than just shave the very top of the bump off, the buttocks loses their support and fall into a new, deeper and more laterally extending infragluteal creases.
The solution may be several sessions of fat transfer to these areas to build the support again. It MAY have to be combined with a buttock lift which leaves a permanent belt-like scar above the buttocks.
Hope this was helpful.

Hi.
Your problem is common and very tough to correct. We have used a combination of contouring superficial liposuction and fat ransfer (fat injections) to create support for the gluteal crease.