Banana rolls solution? (Photo)

microliposuction with internal heating can do well here but aggressive liposuction will leave you more sagging. often we are doing a spiral lift, or a modified inner thigh buttock lift with hidden scars to really improve this area (see link).

Sculptra with the right dilution doesn't cause nodules in the buttock and is very safe.  It should be  combined with RF treatments to get the sculptra to work even better/stimulate it to produce collagen such as venus legacy / exilis ultra / thermage / inmode forma or contoura.  We often will add bellafill or renuva to certain areas to improve indentations or the buttock roll to get more definition and softening or to improve overall size and shape.  Smooth novathreads do very well to improve laxity of the buttock as well non surgically.  Just know that sculptra takes numerous treatments and vials, its a large expense and must be maintained at least 2 times a year after a series of treatments for the best result.  Dr. Emer.

Dear Mojoford,
it is hard to tell for sure without an examination. Generally speaking, banana rolls can be a difficult area for treatment. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, thanks for your question and photos. You have several non-invasive options like Coolsculting and laser treatments. Besides, you may consider a solution as Liposculpture to extract the fat and shaping your legs. Consult a board-certified plastic surgeon in your area. Best of luck!