How to get rid of rolls under butt? (photos)

hello jaywell If you have fat in a particular area of your body that you can’t seem to get rid of through dieting or exercise, liposuction may provide a good option for you. Vaser liposuction can be done for a healthy person seeking a fast and minimally invasive way to get rid of stubborn fat. #exercise #buttroll

Aloha and thanks for your question.Your skin quality looks very good, so simple liposuction should work very well for your problem.I hope this helps. It would be best for you to visit an experienced board certified plastic surgeon for an in-depth consultation to review your options. 
Mahalo, Dr D

This is best treated with liposuction.  This fat can be somewhat fibrous and is best treated with either ultrasound or laser assisted liposuction.

The roll or segment of fat under your buttocks was originally called the banana, and later gained the title of banana roll or banana peel.  The majority of authors describing treatment for this problem have approached the diagnosis of this problem as an unwanted collection of fat.  In point of fact, this is not an unwanted collection of fat but rather an unwanted membrane having similar anatomic characteristics to the infra gluteal fold.
When surgeons attempt to treat this fatty collection by liposuction alone, all they get for their efforts is a smaller version of the same problem.  In my opinion, the appropriate approach to rectifying the unaesthetic problem is to, along with minimal liposuction, fenestrate (make windows or holes in the membrane) which then relaxes and takes away the dent, and then the apparent fatty pocket disappears.
If you were my patient, I would use a blank canula inserted from two or three different directions to poke holes in the membrane along with liposuction which, in my experience, cures the problem.  In the alternative, since you are so young and in such good shape, a first pass at curing the problem might be the use of a blank canula by itself to destroy the membrane since it does not appear you have much excessive fat.

Thanks for the question. Due to genetics and hormonal metabolism almost everyone (men and woman) will have isolated areas of fat that just dont want to go away. This is why I have decided to dedicate my career to minimally invasive liposuction because technology and technique should evolve and has to a point where patients like yourself can have this treated quickly, efficiently, with minimal downtime or scarring

Hi, jaywell.  From the pics you have submitted, I think you have a very shapely buttocks region which does not need much to perfect it.  I do see the excess fat roll on the right side and just a very small one on the left side.  This could be fairly easy to address with focused small volume liposuction, and with your young skin with good elasticity, it should tighten up nicely afterwards.  It's a small enough area that you could do under local anesthesia.  You would need to wear a compression garment for about 2 weeks afterwards but you should be able to get to your normal routine fairly quickly.  I would be happy to see you for a complimentary consultation.  Best wishes.