Will smart lipo help with my banana rolls? (photos)

Question

I’ve always been self conscious about my body, especially about my legs. My problem areas are my thighs, saddlebags and obviously my huge banana rolls. What is the best approach? I’ve read that it’s a difficult area, and if done incorrectly my butt will be saggier :(

Jeffrey H. Spiegel, MD · Answer

We treat this area with bodytite. This is a combination of liposuction and energy. The liposuction removed the extra fat, and the energy tightens the skin so that you should have a reduction in those rolls.

Adam Kinal, MD · Answer

Thank you for the question; I hope you can find some answers that will help you on your quest. The so-called "banana roll" refers to the roll of fat that can develop under the crease of the buttocks. This is a complicated area to treat, as removing the fat from beneath the buttocks could cause the butt to be saggy or droop. There are several reasons that some patients develop these annoying rolls&mdash;excess weight in the buttocks causing the puckering of the skin beneath, loose skin, and more. You may want to get several in person consults to determine the cause of 'your' banana rolls to find the safest solution. Good Luck

Daniel Barrett, MD · Answer

Dear Optimistic313293,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you 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

Gregory Chambon, MD · Answer

I have been doing laser-assisted liposuction (Smart Lipo) for the past 16 years. I have always done the banana roll area as part of the outer thighs. It will shape and contour the butt with a good tightening effect. The procedure is done with local anesthesia and the laser not only melts the fat for gentler extraction but also tightens the skin. Find a surgeon with good experience but I think you will be pleased with the results that Smart Lipo can provide as well as the safety and shorter downtime.

Darryl J. Blinski, MD · Answer

Great posted photos. Any type of liposuction technology can correct your sadde bags and banana rolls. I add specialized taping to the rolls to conform the skin. Fee $6,000 Regards from Miami

Mats Hagstrom, MD (license on probation) · Answer

Yeah correct that the area of concern is complex and does not always respond the way people had anticipated from fat removal procedures.

The main reason for this is that both skin laxity and skin compression contribute substantially to contour in this area.

A good assessment should begin by understanding what the primary problem is and that will help determine what the right treatment is and what certain treatment can or cannot achieve.

For thE other thigh I like to make a clear distinction between what is a settlebag and what is more of a banana roll or skin fold issue.

I begin consultations or auto thigh assessments by creating a line that goes straight down the outer thigh. In medical terms we sometimes called is the mid axillary line but it is all straight line down the most outer part of your outer thigh that would divide the outer thigh into a front and rear half. True saddlebags are usually equally distributed on the author thigh both in front and behind this mid axinary or thigh dividing line.

If all of the problems are behind a line or more on the poster your aspect of the outer thigh then results from Liposuction will be somewhat diminished.

Any skin laxity due to weight fluctuations or age will lessen the candidacy or potential impact of Liposuction.

I always take a weight fluctuation history on all patients as well as do an examination where I lift and pull on the skin to see if this changes the contour significantly.

You can do this yourself by either looking in the mirror or have someone else take pictures while you grab the skin above the problem area and lift it up. For the area of concern you would be lifting on the hip and buttocks area or in the love handles. If the contour of the banana roll and outer thigh improve significantly by putting the skin under tension then that shows you exactly how much skin is contributing to contour in that area.

Removing the fat will not reduce the amount of skin bulging due to skin laxity combined with gravity.

The second variable or reason that this area is challenging is skin redundancy in an upright standing position which is how most people judge the problem and potential results from the procedure.

Any joint on the body that has a substantial range of motion has to have skin laxicity to allow for that range of motion.

For example, women put develop skin laxicity on the back bra roll area or in their armpit typically have redundancy because of the immense range of motion of the shoulder joint.

Another area that may be easier to visualize or understand is the skinfold that forms on the lower abdomen when we sit.

Sitting contracts the skin pushing the skin of the abdomen towards the thigh because of hip flexion.

At the same time the skin on the back of the thigh in the sitting position is tight when the hips are flexed.

In an upright standing position the front and the back skin problems flip or reverse and the abdominal skin is now under tension or stretched while the skin on the back of the thigh is being pushed into the buttocks.

This creates a skin bulge in some people called the banana roll.

If the outer thigh fullness is more related to the banana roll or on the backside of the mid thigh line then the less of a result Liposuction is going to create in the more complex the procedure becomes.

Trying to compensate skin laxity or a skin bulge with fat removal distorts the natural normal fat distribution and can create an abnormal contour in certain body positions.

That is not to say but this area cannot be treated or see improvements from Liposuction.

They are the other response best to fat removal is the area closest to the mid thigh line in the area the response worse is the area on the back of the thigh just below the buttock experience

All of that said, by far the most important variable is finding the most experienced and talented plastic surgeon.

With experience and talent surgeons are able to make accurate assessments and clearly differentiate what represents skin, what represents fat, and understanding of how much fat can be removed exactly in what areas and predict with accuracy what the results will look like.

To find the most talented provider there’s no substitute to having multiple in person consultations.

Stay local and schedule all consultations as in person consultations whenever possible.

During each consultation ask each provider to show their entire collection of before and after pictures for outer thigh liposuction.

An experience provider should have done difficulty showing you 30 or more sets of before and after pictures for author thigh liposuction results.

Ask the provider to show examples of their best outcomes, average outcomes and less than outcomes.

Ask them to show before and after pictures of patients with very similar body characteristics to your own in regards to wait, size, shape and skin laxicity.

Highly experienced surgeons will have hundreds of before and after pictures to choose from and should have no difficulty coming up with precise examples for you to see.

Likewise, talented and experienced surgeons should have no problem showing and discussing a variety of quality outcomes and differentiating average versus best results.

I recommend all patients review all various physician review websites and avoid providers with any significant number of justified negative reviews.

Justified negative reviews 10 to always be organic and while not everybody is pleased with plastic surgery outcomes providers who are highly competent and practice quality medicine are able to manage the majority of patients to the point of not needing to write defaming justified negative reviews.

While positive reviews may be reassuring they are typically not organic and the number of positive reviews among different providers typically has a little relationship to skill or talent.  The most talented providers typically do not engage in pain advertising, large social media campaigns or require encouraging patients to promote their practice.

Do not discount providers who have less notoriety or smaller Internet presence

In the end vetting your plastic surgeon correctly is the most important variable in maximizing quality outcomes with a clear understanding of what can or cannot be achieved with the procedure.

Good luck with your decision making and potential upcoming procedure.

Mats Hagstrom MD

David E. Berman, MD (retired) · Answer

you should do very well with Smartlipo treatment for your banana roll. You have excellent skin tone. It is very important that you only select a board certified PLASTIC SURGEON and do not get misled into selecting a cosmetic surgeon, which is NOT a board certification. Your butt should NOT get saggier if you go to a plastic surgeon with a lot of experience in Smartlipo. I have done over 1,400 Smartlipo cases in my office under local with oral sedation. you can return to work the next day and full workouts in 5 days.

all the best,
david berman md, frcsc

all the best,
david berman md, frcsc

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note moderate sized banana rolls in an individual who is not overweight. There are also fat repositories involving the upper lateral thighs (the inner thighs are not adequately exposed).
The problem is usually caused by a combination of lax skin and fat accumulation. As your skin appears relatively tight (youthful), it may be more fat than loose skin.
Banana roll liposuction requires the use of a small cannula and relatively low suction. As the surgery is performed below the buttocks, it will not cause the buttocks to sag.
You may wish to include liposuction of the thighs in the procedure as well!
Best wishes...

Will smart lipo help with my banana rolls? (photos)

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