What can I do to resolve this? (Photo)

A direct incision of the banana roll often leads to complications with the wound coming apart and is not recommended. What can be done is a buttocks lift. This is done by an incision in both the gluteal crease that pulls up the skin of the thigh. This can be done on one side, if desired, but you will get better symmetry if both sides are done simultaneously.

Best Wishes,

Gary Horndeski, M.D.

Hello
There is a right subgluteal double fold present. This is usually something that has been there from the beginning, but it became more prominent after weight loss. It is not necessary for it to be present on both sides. The excess skin from the subgluteal fold area can be excised and reduced to a single fold. However, a stitch mark will inevitably remain after the procedure.

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss, liposuction, or post-BBL) and/or the effect of aging and gravity. So, I personally first treat patients like you by restoring volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will most certainly always appear more flat with just a buttock lift from above. A lower buttock tuck is usually then performed at six months following implants. In this sequence, the implants have fully settled into final position so that any remaining loose (banana roll) skin can be most accurately identified and removed with the lower buttock tuck. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon. Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.