Liposuction of the outer thighs (saddlebags) can enhance the appearance of the buttock by removing the attention of the unwanted outer thigh fat and highlighting the preexisting shape of the buttock.
There can be an infragluteal mound, referred to as a banana roll, that is located adjacent to the outer thigh fat and runs horizontally under the buttock crease. It can form a double crease. If this is thinned out too much, the support for the buttock decreases and there can be a drooping of the buttock.
Finally, a naturally found condition exists called pseudosaddlebags, in which weak buttocks fall down and push on the outer thigh fat extending it out to the side. If the buttocks are clenched one sees this bowing of outer thigh fat reduce its convex curvature immediately. In order to improve this outer fat appearance, the buttock may need to be addressed.