48 kg, 5' 6", female. What procedure can be used to correct banana rolls? (Photos)

Question

I am 48kg 5 ft 6 female. Just started the gym to try and improve glutes and hamstrings in hopes that it will improve my banana rolls. What surgically can be done? I’ve been told liposuction but I have researched and many surgeons suggest otherwise as it leads to more sagging. Also been told butt lift with the incision above the butt cheeks but the scar is unsightly in my opinion. Would a skinny bbl help correct this or perhaps a infragluteal incision lift?

Semih Yildiz, MD, FEBOPRAS · Answer

The photos show a slim frame with a relatively small amount of fullness beneath the buttock crease and mild asymmetry. This area is not simply excess fat; the infragluteal fold also helps support the lower buttock, so aggressive liposuction can create a hollow, longer-looking buttock or looser skin.

If examination confirms a small, well-localized fat pocket and good skin tone, very conservative liposuction may soften it, but complete removal should not be the goal. A skinny BBL could improve overall buttock projection or the transition into the upper thigh, yet it does not directly remove the banana roll, and at your weight there may be limited donor fat. Any gluteal fat transfer should be performed only by a properly qualified plastic surgeon using current safety practices, including placement in the subcutaneous plane.

Direct excision or an infragluteal lift trades the fold for a scar that can widen or become visible and is usually reserved for more substantial skin laxity. An upper buttock lift is also a larger operation and does not specifically target a mild banana roll. Continue strength training and stable weight first, then have an experienced body-contouring surgeon examine skin quality, fold support, and available donor fat. In your anatomy, accepting a modest fold may be safer than pursuing complete correction.

Yasemin Aydinli, MD · Answer

You have researched well. Aggressive liposuction of the banana roll area is risky because that fat supports the buttock crease, and overresection causes sagging. At 48 kg a skinny BBL adding small amounts of fat to the transition zones, sometimes with very conservative lipo, can smooth the area. An infragluteal lift removes skin directly but leaves a scar in the crease, so it is usually reserved for true skin excess. Continuing your glute training is genuinely helpful alongside any of these.

48 kg, 5' 6", female. What procedure can be used to correct banana rolls? (Photos)

Answers (2)

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