Is lipo for the back of the leg (banana roll) too risky? (Photos)

The back of the leg is just one area where you need high quality finesse work done that derm surgeons have the extra training in tumescent liposuction under local anesthesia with the micro canulas and the ability to stand patients up and smooth areas that most plastic surgeons can't since they tend to use general anesthesia, larger canulas and don't stand patients up to fine tune the results. Typically, the smaller the canula, the smoother the result. Derm surgeons tend to use the smallest canulas and with ability to have the patients to move in all positions and see what needs to be done, we tend to get results that others can't get. This technique is a little more expensive but you are paying for quality and the results are so worth it. Yes, I think you could benefit from this technique. Sincerely,

David Hansen,MD

Reducing your banana rolls, posterior upper thigh excess fat, if done properly and conservatively should give you improvement without making your buttocks drop.

  Due to the fact that there is little issue, the result will not be dramatic and will require both a conservative liposuction and attention to detail.  Find the plastic surgeon with ELITE credentials who performs hundreds of liposuction procedures each year.  Kenneth Hughes, MD Los Angeles, CA

The banana roll is a tricky area for liposuction as the body needs some fat to support the buttocks.  Conservative contouring liposuction is usually beneficial on my patients.

I cannot see a banana roll in your posted photos. Liposuction in this area is risky enough but in the absence of a banana roll it will likely be disastrous. That is the problem with the internet today patient's are partially educated and partial education is sometimes worse than not being educated. If you throw some money around and see enough doctors you could find someone to do this but that does not mean it is the right thing to do.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

based on my personal experience the best way to smooth out the roll would be to do tumescent assisted liposuction with the patient in standing position. its difficult to do but thats how I get very pleasing, reporoducible results. and yes, youre right, if not done with care liposuction in this area can cause the buttocks to droop

Liposuction of the bannana role, which is the area behind the thigh and just under the buttock crease is very risky. First, it can cause crease lines,and second it can result in buttock sagging.

Call me crazy, but I do not see the problem.  I would see a board certified plastic surgeon and show them in person your area of concerns, but from the photos I would say you are fine.  Remember, every time we do surgery we can cause problems, and from your photos I am not sure I would start down that path at this point.

You need a very expert lipo doc and I recommend Smart Lipo Triplex unit. This can be done under local anesthesia. 

Liposuction of the banana rolls on the back of the upper thigh underneath the buttock crease can be performed safely and efffectively.