Can love handle lipo be done with a single vertical scar above the “butt crack”? (Photo)

Since the instruments are straight and your body is curved, using an incision above your "butt crack" is not optimal since the lateral sides may not be treated well. I prefer small incisions below each flank on the sides for best access to all the fat.

Whether another PS would be insulted if you asked him/her to use the "butt-crack" incision is entirely up to the personality of the PS. I wouldn't be insulted, but I also don't think you can do as good of a job through a single incision. It also would take curved cannulas to go around a curve, so it's according to how far around your love handles go.

I would ask to see photos

Thank you for your question, and good luck.

The answer is yes, all of this can be done through small incision above gluteal crease. However, small incisions needed for liposuction in patient like you are well hidden and practically invisible after scar mature. For that reason you should accept two additional incisions above buttock (covered with your current under ware), if need to provide excellent result; shape matters, not small incision/invisible scars. Good luck.