Hi andre99, Thank you for your question about addressing a banana roll on only one side of your buttocks. It's indeed a unique situation and requires careful evaluation. Without seeing your pictures, it's quite challenging to provide a specific recommendation. The approach to correct a banana roll depends on whether it's predominantly a skin issue or a fat issue. If it's a mix of both, liposuction alone might exacerbate the problem by making the skin more flabby and the banana roll more pronounced. A targeted buttock lift on the affected side could potentially offer a solution for achieving symmetry. This would involve removing excess skin and possibly fat, to contour the area more in line with the other side. However, without photos, it's hard to ascertain the extent of the issue and the best course of action. I recommend resubmitting your question with photos for a more accurate assessment. In the meantime, a consultation with a board-certified plastic surgeon can provide you with personalized options based on your specific anatomy and goals. Sincerely, Dr. J. Timothy Katzen, MD, FASMBS, FICS Plastic and Aesthetic Surgeon