Fixing a banana roll with liposuction and Renuvion? (Photo)

Question

Hello, I am a 41yo male with a banana roll. I have had two online and one in person consultation. The in person consultation recommended to do lipo on the banana roll then Renuvion to tighten the skin. A liposuction place (online consult) also recommended the same thing which I am leery of due to them only being a fat reduction center. The 3rd recommendation was an upper thigh lift which I don't want due to scarring. I am hoping for any recommendations to steer me in the right direction.

Jerimiah Mason, MD · Answer

I don't agree with the recommendation of liposuction. Even paired with renuvion it won't address your issue. From this single photo it looks like the banana roll you are referring to is mostly skin, which would typically require an excision of some kind.

Justin Yovino, MD, FACS · Answer

Your issue is skin and not fat. I would avoid any liposuction, with or without renuvion, especially in the area under the buttocks that is commonly called banana roll. That area is notorious for bad results with any sort of liposuction and renuvion won't save the day in this area. Skin removal is the only way to improve this but, yes, it will leave scars.

Arif Eroglu, MD · Answer

Hello; The area, which is seen in the photo; is not a banana fold. You have a double subgluteal crease on your hip. The area, where the skin is most adherent to the subcutaneous tissue and has the least fat thickness is; the lower hip area. When losing weight, this type of appearance can occur; as a result of the emptying for this area. It is quite difficult to completely correct it. However, it definitely cannot be fixed by taking the fat; that fills the banana and applying for Renuvion J Plasma technique. In fact, if the fat is removed, the crease can move towards the lateral thigh. By releasing the adherent skin fold on the base and transferring fat; very good results can be achieved or PLLA (Sculptra or Lanluma) injection can also be done.

Connie Hiers, MD, FACS · Answer

An examination is needed to be certain, but just based on your one photo, I would suggest no liposuction for you may have more skin to deal with in that area.  That area is not very forgiving. Renuvion could be helpful.  Also, EMSculpt to help tone and build much gluteal muscles could also be helpful.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photo you have limited fat stores in your banana roll. Best option would be directed upper thigh lift decision. That fee is $8000. You can try a minimally, invasive superficial lip, osculating plus J plasma treatment with specialized taping expect to be in the $5000 range for that. But virtual consult with for a better explanation would recommend using only certified plastic surgeons.

Mats Hagstrom, MD (license on probation) · Answer

From firsthand experience, I can tell you that none of the treatment options offered to you are going to fix your problem, and are only going to make your problem worse.
There is no good treatment for what your concern is.
The banana roll is a skinfold That forms in an upright standing position because of skin redundancy, allowing full flexion of your hip joint.
If you bend over like you’re tying your shoes you’ll notice that the fold goes away.
It is absolutely not related to fat, distribution and removing fat in this area which you have none to remove in. The first place is only gonna leave you looking this figure period.
Renuvion delivers zero noticeable skin tightening and is a total scam.
Again I speak from firsthand experience, having owned the Renuvion device which completely fails to deliver any skin tightening.
You should accept this as being normal and not have it treated.
I don’t care how much it bothers you. There is no good treatment for the skinfold.
Leave it alone, save money, and save yourself from emotional grief of having operations that can only fail.
I’m sure none of the doctors you consulted with could show you before and after pictures of previous patients who look just like you do with quality outcomes.
An experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients for commonly performed procedures.
The banana role is not commonly treated because plastic surgeons who understand the problem Will not do surgery because surgery doesn’t fix it.
There is no good plastic surgery treatment for the banana roll.
Treatments will only make the condition worse.
We all understand why we get a skin redundancy or skinfold on our lower abdomen in a sitting position.
It makes perfect sense.
The back of the thigh in an upright standing position is the exact same but opposite condition as the lower abdominal skin in the sitting position.
 to have full range of motion there needs to be skin redundancy in both directions.
Stop seeking plastic surgery consultations.
There’s no shortage of unethical providers. Happy to take your money.
Some of these providers may have good intentions, but are simply ill informed and have never done this treatment before.
If you read the literature on Renuvion, then it should be able to help you, but it will not.
 Isn’t device intended for treatment of a gynecological disorder.
It really was never meant to tighten skin and it really doesn’t.
All before and after pictures using Renuvion can be completely explained by Liposuction alone.
You’re not a candidate for liposuction, and there is no skin tightening without direct skin excision.
The scar is not worth having a thigh lift.
 if I haven’t convinced you at this point to avoid plastic surgery for your banana roll, then you are on your own.
Best,
Mats hagstrom MD

Fixing a banana roll with liposuction and Renuvion? (Photo)

Answers (6)

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