Abnormal fat accumulation beneath glutes? (Photo)

That area we refer to as the "banana roll" and can be easily treated with liposuction. You can have other areas treated as well, or just these spots.

In reality, we don’t have great treatments for women with flabby thighs.
The treatment options generally come down to Liposuction and or thigh lift surgery.
Any other procedure is going to Deliver less than liposuction and thigh lift surgery and these two procedures only help to some degree.
Most likely your best approach is going to be aggressive Liposuction recognizing that this is going to leave you with sagging loose skin.
After that you can consider a thigh lift.
It should leave you better than you are now but it’s not going to give you great looking legs.
Obesity is probably the biggest contributor and once the skin envelope has been stretched out, it’s not going to shrink back unless somebody is very young and has genetically excellent skin elasticity.Your history has shown you that the skin is not going to retract so it’s going to be there whether you lose weight or have liposuction.
Liposuction on patients who are obese is a bit of a pointless procedure.
In most states Liposuction is limited to 5 Liters (A bit over a gallon) in reality, this is usually only 6 to 8 pounds of fat.if you take 8 pounds of fat removal on a patient who is 240 pounds they’re still going to be 232 pounds after.
8 pounds is a very small amount of fat to remove on someone your size.
8 pounds is a much bigger percentage to remove on somebody who is 140 pounds.
140 pound patient 5 L of liposuction could remove almost all of their subcutaneous fat.
Weight loss needs to come first, and you should probably figure out why it’s difficult to maintain a certain weight.
There are now medical treatments and other support modalities to help with the struggle of obesity.
You’re not alone and dealing with this condition.
If you want to be healthy and have quality of life than this probably has to be addressed in a healthy long-term manner.
The first step has to be weight loss.
Getting to what medical charts consider a healthy weight is probably not realistic, but you should try.
at 5 foot two you should be able to get down to 140 pounds or 100 pound weight loss which is the definition of morbid obesity.
if you can lose the weight on yourself, you’ll never need liposuction, but only skin surgery.
That should be your ultimate goal.
Your goal should be to never have a liposuction and only have skin surgery as a reward of successful weight loss.
Whether you do it by diet and exercise or you do it with medical management? It doesn’t matter you need to lose the weight.
You can probably find a plastic surgeons who will be happy to do Liposuction for you at your current weight.
Your problem isn’t fat distribution. It is obesity.
The distribution of fat, skin issues all developed as a result of obesity.
People do not change fat distribution with age in any significant way.
For now, I recommend you focus on weight loss.
When the time comes and the problem is purely related to skin laxity, then you can consult with providers for skin surgery.
Be careful with surgery treatments that seem too good to be true or offer other than what I have described.
Unfortunately there is some unethical businesses looking to get rich.
Different providers may have different opinions.
Best,
Mats Hagstrom MD.