What is the best option to target my flat butt, gluteal ptosis and banana rolls? (photos)

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.

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss, liposuction, or post-BBL) and/or the effect of aging and gravity. So, I personally first treat patients like you by restoring volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will be shortened but may appear more flat with just a buttock lift. A lower buttock tuck is usually then performed at six months following implants. In this sequence, the implants have fully settled into final position so that any remaining loose skin can be most accurately identified and removed with the lower buttock tuck. Indeed, you are correct, liposuction of the lower buttock or banana roll area most often produces very inconsistent usually poor results. On the other hand, liposuction of the love handles is very effective in further contouring the waistline, helping with achieving a hourglass figure. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon. Glad to help.

You are a candidate for liposuction in skinny BBL. You could have fat removed from your abdomen, waste, flanks, arms, inner thighs and fat grafting tube, products and posterior thighs to give your buttocks more protection in your hips more fullness. You can check out before and after of the thousands of Bbl‘s that we have done in our practice. Hope this helps. Best regards

Best option would be liposuction and fat transfer. The biggest problem will be finding someone who has mastered this procedure.Doing liposuction and fat transfer well is more difficult than most people realize. To find the right provider may require having a number of in person consultations. Look for plastic surgeons in your community, who have extensive experience with both Liposuction and fat transfer.During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics to your own.An experienced provider should have no difficulty showing you to before and after pictures of at least 50 previous patients.Being shown a handful of preselected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these operations they’ve actually done. For fat transfer outcomes recognized that early results can look very impressive, but do not in anyway represent final outcomes.Fat transfer results should never be considered final until at least three months from the date of surgery.Never assume that after pictures represent long-term outcomes. Always confirm when after pictures were taken in relationship to the date of surgery.There’s no correct number of consultations needed to find the right provider. The more consultations, you have the more likely you are to find the best provider for your needs.Considering how much variation there is in both Liposuction and fat transfer skills, I recommend patients consider having five consultations or more before considering permanent irreversible body contouring procedures. Being board-certified in plastic surgery with years of experience does not mean somebody is mastered every procedure, especially not difficult operations with long learning curves, like body contouring with liposuction and fat transfer.Majority of plastic surgeons in the United States do not offer gluteal implant augmentation.There are good reasons why most plastic surgeons don’t do the procedure.Gluteal implant is associated with very high complication rates, high failure rates, high revision rates and low, long-term patient satisfaction.Gluteal implants are not like breast implants in anyway.It’s simply isn’t a good operation.For those who do choose gluteal implants it is very important that you select out one of the few plastic surgeons who do this procedure exclusively or have decades of experience, trying to master this procedure. When in doubt slow down and schedule more consultations.Best,Mats Hagstrom, MD