What do I need to get rid of these folds? (Photo)

Dear nazb01,
I understand your concern. Based on your photos, it looks like you had surgery recently so you will need to wait until the swelling reduces. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question. Over the years I have developed a technique called thong lifting which removes the excess and redundant skin and tissue at the bottom of the buttock. This is a modification of a infra gluteal thigh lift. People come from all over the world to have me do this as there is not many surgeons who do this procedure. Best wishes to you.

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

Based purely upon your photos, it appears as though you have significant residual banana roll skin folds that could best benefit from a revision lower buttock tuck. Fat transfer to this area will not fix the problem, period.

Regarding hip augmentation, you may want to consider cosmetic custom hip implants for a more reliable, predictable and permanent result. On the other hand, fat transfer to the hip area tends to survive quite poorly in most patients and thus produces only short term results (often less than 10-12 months). Injections/fillers such as Sculptra or hyaluronic acids are cost prohibitive (i.e. guaranteed to be the biggest waste of money of your entire lifetime), short lasting and possibly deadly with high volume injections. Others such as silicone/PMMA/hydrogels/etc are cheap but extremely dangerous and a personal commitment to a life of serious and sometimes deadly consequences. Typically hip implants are best custom designed and created for each individual patient’s anatomy. Because an extremely few number of board-certified plastic surgeons worldwide perform this procedure, make sure you seek consultation with a reputable and experienced cosmetic hip implant specialist. You may have to travel a long distance from home to find this particular surgeon. Glad to help.