Am I a candidate for skin excision for banana rolls? (photos)

Question

I'm 60yo in good health. I wish to improve the look of my wrinkly, sagging, flat butt. My banana rolls are mostly skin & very little fat. I've never had liposuction in this area. I've seen 3 consultants; 1 suggested skin excision to remove the banana rolls, another a butt lift & the last suggested skin excision but rather than discarding the skin & flesh, folding it inwards using it to increase the volume. The Dr who suggested this procedure doesn’t perform this surgery. Would this work for me?

Ryan A. Stanton, MD · Answer

Buttock “sagging” is usually a combination of loss of volume or deflation 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 be shortened but may appear more flat with just a buttock lift. 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 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.  Glad to help.

Mats Hagstrom, MD (license on probation) · Answer

Your situation seems a bit unusual. To make a good assessment we really need quality pictures. That means pictures showing the back and sides standing in a neutral position with the pictures taken about 8 feet away by someone else or using the timer on your camera.

From what you did show it looks like volume restoration with fat transfer and direct skin excision is probably your best option. Ideally they should be done as separate procedures.

With age comes loss of skin elasticities and skin tightening by cutting out skin can tighten the skin but it doesn’t fix the problem which in the end is age related loss of skin elasticity.

I personally would not be the guinea pig and try a new operation a provider either invented or saw at a conference 10 years ago.

Best,

Mats Hagstrom MD

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