Update to previous question regarding removal of banana roll / double gluteal crease (Photo)

Thank you for your pictures, I would recommend liposuction with fat transfer to buttocks to fill in the areas of your banana rolls, consult with a board certified PS best of luck.

Thank you for your pictures and questions. Treating this area can be tricky. Liposuction can often make it worse, so I would mostly avoid that option. Lipo-filling can be an option to improve the contour and round out the upper roll so that the double crease is lessened, but you are not really interested in additional volume. The only other option there to remove the lower role without adding volume is direct excision of the skin and fat. This can be effective but will result in a significant scar. Make sure you discuss your options with a plastic surgeon who is board certified by the American Board of Plastic Surgery.Best of luck!

Hello dear!! Thanks for the question and provided information as well.  Based on your photos my recommendation for you is liposuction with fat transfer to buttocks.Liposuction allows your plastic surgeon to transform your entire shape. You will improve the buttock and with the transfer the roll will pop out. I recommend you to make an appointment with a board plastic surgeon for a good evaluation and to talk about your goals. Good luck :)

Thanks for the great question! I still think the BBL is the way to go. You need more volume to help pop out that upper crease. There is a little ligament where that upper crease is that needs to be released and filled with some fat. I don' think that it would make your cellulite any worse. Liposuction in this area is a bad idea and often makes the problem even worse. You're already very lean and I don't think massage or a different workout routine is going to make much of a difference. If you haven't already, I would make an appointment to see a surgeon so they can give you a better idea of what your best treatment options are. Best,~Dr. Sieber

Thanks for posting and good photos. You appear to be quite lean, and I am curious if your weight has had any major swings. There is not a great solution for that issue, and you should be wary of any incisions or liposuction in that area, because that problem can be made worse. As suggested, a small amount of fat transfer may improve this, and likely won't affect cellulite much. The fact that working out has worsened this suggests that fat loss in the area is contributing. In the long term, if the problem worsens, a buttock lift is a way to tighten things and may improve this. In person visit with detailed history and physical exam is needed to fully define the issue.