Lack of definition between my bum and thigh. What would be the best surgical approach BBL or Implants? (Photos)

Dear jessielu15


based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

When you mention that your buttocks lack definition and that the area seems to blend into your thighs, what you’re describing is a missing or poorly defined infragluteal fold — the natural crease that gives the buttocks shape and separation. This line is an important aesthetic feature, but it’s also a delicate one. Too little definition can make the lower body look flat, while an overly deep or extended crease can create an aged appearance.In your case, this fold may be less visible due to your natural anatomy rather than something caused by aging or weight changes. Implants wouldn’t be the right solution here, since they can’t be positioned low enough to recreate that crease safely or naturally.A more refined approach would involve strategic fat grafting to the buttock area, combined with gentle liposuction to the “banana roll” — the upper part of the back thighs. This sculpting helps define the infragluteal fold while enhancing the natural contour of your buttocks. During the same procedure, we can also smooth out hip dips if you wish, creating a balanced and harmonious silhouette.Because this region is very delicate and the fat injection and liposuction zones are close together, precision and experience are essential. With the right technique, it’s absolutely possible to achieve a natural, elegant result that restores shape and proportion.

You have a beautiful shape and are an excellent candidate for a BBL and would have a significant difference with liposuction through the key area. However, there is no surgery or procedure or amount of exercise that can create an infra-gluteal crease. You have one but it is short and your butt blends directly into your leg. That is fairly common but there is no correction or anything that can be done to change that.

Hello dear. Your concern about the lack of definition between the buttocks and thighs, the banana roll, and the absence of a clear gluteal crease is common, and exercise alone sometimes cannot change this anatomy, especially if the fat is genetically localized or if there is a lack of gluteal projection. In your case, a BBL would be the best option. It allows for strategic liposuction in the banana roll area, flanks, and thighs, and then uses that fat to fill in the depressions and project the upper gluteal crease, which automatically creates a more defined and harmonious gluteal crease. You don't need implants if you're not looking for size, only shape and contour. The BBL is more natural, contours the area, and addresses exactly what concerns you. You can contact us at 829-554-6062 for a quote.

Some people have a Kries or fold under their buttocks and some people do not.
If you don’t have one, you’re not supposed to have one.
Trying to create an increase for doing Liposuction in the banana roll or just above the banana roll will not fix the problem and will create other problems.
Some people have a crease or fold under their buttocks and some people do not.
If you don’t have one, you’re not supposed to have one.
Trying to create a increase for doing Liposuction in the banana roll or just above the banana roll will not fix the problem and will create other problems.
I do not recommend Liposuction in this area.
I do not recommend Liposuction of the banana roll.I do not recommend trying to create a gluteal crease on patients who don’t have them. And
It never looks natural and only makes things worse.
If your hip dip bothers you then reduce the fat of your love handles and the hip dip will go away.
I recommend you leave your thighs and your bottom alone and instead consider well done Liposuction of your midsection, especially the waist and love handles.
Liposuction with or without fat transfer should be considered permanent and irreversible procedures.
You’ve done poorly the procedures can leave people disfigured.
It’s hard for me to imagine you were being happy with the procedures. You are proposing.
These areas have a high propensity of causing problems and I’ve never seen someone get a good result from Liposuction of the banana roll.
You could do liposuction of the upper inner thigh, going back to the backside slightly.
This two can be technically challenging and lead to deformities if not done correctly.
If you decide to have surgery, you need to make sure the surgeon doing your procedure can show you at least 20 examples of previous patients who had the same procedure.
Having surgery with someone who can’t show you a high number of before and after pictures Gives you a high likelihood of having an undesirable outcome.
These are technically challenging procedures, and the area does not lend itself to easy high-quality Liposuction outcomes.
You look great, and if there is something that was easy to treat, you should consider doing it.
To me reducing your love handles and a waste would be a slam dunk.
If someone doesn’t know what they’re doing, they can mess up any part of your body when it comes to Liposuction.
Being a famous plastic surgeon or someone has an overall good reputation does not mean they’re good at Liposuction.
You need someone who is specifically exceptional at Liposuction specifically.
The ability to Deliver consistent liposuction results is more difficult than most people realize.
The number of plastic surgeons approach mastery of this kind of work is in reality quite small.
Average plastic surgeons deliver average results.
When it comes to Liposuction average isn’t all that good.To ensure you’re going to get an exceptional outcome, you need to be working with an exceptional provider for this procedure.
Best,
Mats Hagstrom MD