Is lipo the best choice?

Hi, In case you have small amount of excess of skin and fat in the subgluteal area (banana rolls), liposuction can help decrease this rolls, in some cases skin tightening devices combined in the same liposuction can help you improve that area. Cellulite can be difficult to treat. In my opinion go to an In-person consultation with a board certified plastic surgeon so he can suggest you the best option for treatment. Hope this is helpful.

Dear Reserved16976,

Thank you for your question. Your concerns about the "banana rolls" (the fatty deposits below the buttocks) and cellulite/dimples are shared by many.

Without seeing photos or having a physical examination, it's challenging to provide an exact recommendation. However, I can offer some general advice and options based on the information you've shared:

Liposuction for Banana Rolls: Liposuction can be an effective treatment for reducing localized fat deposits, like the banana rolls. When performed correctly, it can provide a smoother contour in this area. However, liposuction alone may not address the skin laxity or the appearance of cellulite.

Cellulite and Dimples: Cellulite is caused by fibrous bands pulling the skin inward, causing dimples and an uneven skin surface. Liposuction does not directly address cellulite, and in some cases, it can even exacerbate its appearance. There are various treatments for cellulite, including:

Subcision: This involves cutting the fibrous bands that cause dimpling.
Radiofrequency, Ultrasound, and Laser Treatments: These can stimulate collagen production, potentially improving the skin's appearance.
Topical Treatments: While there are many creams and lotions marketed for cellulite reduction, their effectiveness can be limited.
Combining Procedures: Sometimes, a combination of liposuction with other treatments can provide the best results, addressing both the fatty deposits and the appearance of cellulite.

Consultation: I highly recommend consulting with a board-certified plastic surgeon who can provide an in-person assessment. They can evaluate the elasticity of your skin, the amount of fat, and the severity of cellulite to recommend the best treatment strategy for your specific needs.

Set Realistic Expectations: It's essential to understand that while treatments can significantly improve the appearance, it might not entirely eliminate the concerns. Setting realistic expectations will ensure your satisfaction with the procedure's outcome.

In conclusion, while liposuction can be a valuable tool in reshaping certain areas of the body, it's essential to consider all options and understand the limitations of each treatment. An in-person consultation with a plastic surgeon will give you a clearer picture of the best course of action tailored to your unique needs.

Sincerely,

Dr. Katzen

Unfortunately, you have not provided photographs. However, liposuction of the banana rolls can make the situation worse. You may need a buttocks lift. I need photographs to give an accurate answer.

Best Wishes,

Gary Horndeski, M.D.