What can be done about over-sucked banana rolls - would Renuvion help? (Photos)

Question

Hi! What can I do about my banana rolls? Can i try Renuvion skin tightening? Will it help? Or is my only option a thigh lift with an incision below the buttocks?

George Marosan, MD · Answer

Thank you for your question and photos. Based on these photos, I would not recommend Renuvion. I use this device extensively in my practice, but in your case this will not help. You have a lot of adhesions and scarring and extensive cellulite of the buttocks and thighs.  I am trained in the GoldIncision technique for cellulite treatment and this is done with biostimulators and scar bands detachment. The procedure is done awake, under local anesthesia only. The procedure was developed by Dr. Roberto Chacur in Brazil and I learned it from him in his clinic. Once these problems are corrected, you will need fat transfer to the buttocks for better shaping. Renuvion, fat grafting now or any other energy devices will not improve this condition. I'm the only plastic surgeon in the US certified in the GoldIncision procedure.

Jeffrey H. Spiegel, MD · Answer

We've done banana roll contouring many times with excellent outcomes. Something like renuvion or bodytite may help to contour the skin, as will augmentation to depressed areas around that location.

Mats Hagstrom, MD (license on probation) · Answer

The banana roll is a skinfold and does not represent an abnormal fat distribution.
I do not do liposuction in this area because it doesn’t fix the problem and it has a high risk of leading to contour irregularities.
I’ve seen too many patients be left disfigured from the treatment to believe it’s a good idea.
I don’t think I’ve ever seen a good banana role Liposuction outcome.
The inherited problem is a loss of volume so the best treatment adoption is going to be value of restoration.
Multiple rounds of fat transfer is probably your best option.
To make a quality assessment that we always need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures, then ask your surgeon to forward the pictures They took a new paragraph while you added you may as well ask for a copy of your operative report.
Your situation is complex and I recommend that you rely exclusively on in person consultations.
For second opinion consultations come prepared bringing with you a complete set of proper before and after pictures and a copy of your operative report.
 Consider revision or secondary body contouring to be much more complex and difficult than primary procedures.
Any attempt at improving the outcome can easily make things worse unless you’re in the hands of the right provider guide
Provider selection is almost always the most important variable.
I suggest you focus your efforts on finding the right provider and not What procedure to have guide
And the hands of the right provider you will be guided correctly.
Ask providers to open up their portfolio and show you before and after pictures of as many patients as possible, quite similar situations or similar type of work.
I’m not sure if thigh lift is going to get you what you want, but it will definitely give you a long scar.
Finding the right plastic surgeon to work with is difficult and honestly most patients don’t do a very good job at it.
In my opinion, finding the right provider requires having numerous in person consultations with patients, taking an active role and vetting the provider in regards to skill and experience.
 Providers would think this is an easy situation to correct maybe be overly enthusiastic and not recognize how difficult revision surgery is after poorly done liposuction.
Good luck,
Mats Hagstrom MD

What can be done about over-sucked banana rolls - would Renuvion help? (Photos)

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What can be done about over-sucked banana rolls - would Renuvion help? (Photos)

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