Double butt crease after lipo - will a Miami thong lift help? (Photo)

Allow me to answer your question as best i can based upon your sungle photo. 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.

Unfortunately, the double crease banana roll deformity you are experiencing is quite common after liposuction in that area. Also unfortunately, a Miami thong lift will most certainly NOT resolve the problem nor will fat transfer to this area. A lower buttock tuck is the only reliable way to treat this problem. Please note, because an extremely few number of board certified plastic surgeons have experience with lower buttock tucks, 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.

I generally do not recommend having fat removal below the buttocks on the upper thigh.
It doesn’t usually fix the problem and creates new issues.
If we’re moving fat created the problem than the solution would be restoring the fat with multiple sessions of transfer.
To make a quality assessment we need to see proper before and after pictures.
If you’ve had more than one procedure, you should include before, and after pictures of each of your previous operations.
Once the fence’s been removed, it’s going to be difficult to improve the area.
I don’t think the Miami thong lift is going to get you the results you’re looking for.
I suggest you discuss that procedure with providers who have extensive experience with it.
Mats Hagstrom MD