Possible to fix saddle bags with fat transfer? (Photos)

Great question!  It is hard to see what issues you are having with these photos.  However, generally, the saddle bags are shrunken down using liposuction and not really injected to increase more volume.  It does seem like there is some irregularity in the area which could be cellulite and if so, wouldn't be treated with any type of liposuction or fat transfer.  It is best to have a physical examination with a plastic surgeon to get a good look at your issues so that it can be addressed appropriately.Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

hello thank you for your question and provided information as well;..based in your question its difficulted evaulate your case with this angle of  a picture, its recommended to get a consultation in personal with a plastic surgeon.

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a good candidate for liposuction and fat transfer, to even and improve your buttocks, and I think you'll get very good results.
l recommend you to make an in-person consultation with a board certified plastic surgeon for a proper answer and to talk about your goals and anything you need to know.
Good luck :)

Thanks  for your question and photos. As the smoothing effect of fat grafting may not work as well in areas of cellulite it is first necessary to release the fibrous bands. The VASER technology can achieve this. The use of ultrasonic probes can do the job safely allowing fat to be injected beneath and create a smooth result. Find a plastic surgeon who is certified to do this and arrange for a personal consultation. Hope this helps.   

You are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool ban be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or Facetime consultation with a BBL specialist can help you get an accurate recommendation and pricing.
Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Skin irregularities are not treated with liposuction. If anything liposuction can make it worse. My best guess is that this unevenness in your skin is going to be difficult to correct. Fed to transfer May help to some degree but should only be done if you want that area to be larger.  Most likely this is a form of cellulite which is caused from connective tissue anchoring your skin to the underlying muscle layers. These bands of connective tissue called septa constrict the distance between your skin and your muscle layer. This can sometimes cause skin irregularities especially visible if someone gains weight.  There are a few treatments available such as Celfina though I am not a particular big fan. This treatment cuts the septum releasing the tension allowing the skin to bulge out without indentations. Best, Mats Hagstrom M.D.