What can I do to improve back of thighs and banana roll? (photos)

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. Nonsurgical options give only mild improvement as compared to surgical lifting. If there is a lot of skin laxity, a Thigh Lift procedure performed at the same time as a VASER Hi-Definition ​Liposuction procedure (with ThermiRF, Renuvion, and InMode BodyTite) would give the most improvement. Other options for skin tightening would be a combination approach with Vanquish, truSculpt iD, Venus Legacy, Exilis, and Cellutone / ZWave. I recommend getting a formal evaluation with a high-definition physique expert. Best, Dr. Emer​​

You do not have posterior thigh or banana rolls cellulite. It is the gravitational effect causing slight downward descent of the buttock. Either filling your buttock in the sub dermal/sub cutaneous plans with HA filler/Fat/Scuptra or all 3 to effect a lifting. Or a surgical upper buttock lift with the significant scars. Vs a directed lipo of the rolls can help improve not eliminate the roll.

I guarantee you liposuction in that area will make your problem worse.

It’s a skin issue and removing the fat will make your skin worse.

If anything adding fat to the area is a better idea than removing it.

The area bulges in a standing position because the skin bulges as the skin on the back of the thigh is pushed into the buttocks. it’s the same kind of fold that happens in the sitting position on the lower abdomen except in a standing position on the back of the thigh it’s reversed. if you flex your hips you will see that the contour changes quite a bit.

Taking out fat while deflate the envelope and create problems.

Did your other treatments help?

Most likely not because none were addressing the primary problem and all of them could potentially make things worse.

The providers who offered those treatments did not understand the dynamic shape of this part of the body and were shooting from the hip in a dark room.

There’s room for improvement with body contouring by reducing your love handles and filling in the habit up but you should leave the banana roll alone unless fat is grafted in the area (for example hip dip) at which case subtle amounts of volume could be added in a beneficial way.

Trying to take the bulge out with Liposuction will create problems.

Consult with only the most experienced body contouring providers and those who think this is easy or do not see the pitfalls are the ones to stay away from.

This is an extremely difficult part of the body to make improvements in and the doctors you want will immediately recognize that and start seeing red flags and limit options drastically.

Anyone who thinks they can easily fix it or improve it it’s probably not the ones you want treating you.

Avoid a lifetime disfigurement by avoiding badly done liposuction in a treacherous area.

Best,

Mats Hagstrom MD