Can my sagging butt and huge banana rolls be fixed? (Photos)

Question

Sagging butt and huge banana roll 3 months post Lipo of saddle bags and posterior thighs. My thighs look worse than before with lumps discoloration and banana rolls

George Marosan, MD · Answer

Thank you for your question and photos. I had to go back and view your preop photo. Unfortunately, your liposuction was done by someone who does not understand or appreciate the dynamic anatomy of the posterior thigh/buttock junction. Again from another of your posts, the side view looks even worse. This is not easy to correct!! You need fat grafting, skin tightening and shortening the buttock crease with grafting. Your surgeon gave you a long buttock crease which is the sign of an aged droopy buttock. The buttock crease should stop about the middle of the posterior thigh. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Even though you are 3 months out only, I can tell this will not get better, matter of fact will look worse as the swelling resolves. I would not recommend surgical intervention for at least another 3-4 months. Good luck with your healing.

Stephen M. Krant, MD, FACS · Answer

I would approach it in two ways: First, continue to exercise, expecially tightening your glutes and posterior thighs. Second, start using ultrasound on the banana rolls to try to breakup the scar tissue as well as improving lymphatic circulation. Third, manual massage may help break up the band creating the "roll". 
If these three approaches do not cure the problem, then you can proceed with secondary SAL/liposculpture...but don't rush into it.
Get a game plan and work with it! Good luck!

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. Unfortunately, the problem that you're having is relatively common.  I have developed a technique of infragluteal thigh lifting called the Del Mar Butt Tuck. Over the years, I've seen this deformity many times and have fixed it. It does require an incision along the bottom of the buttocks with removal of the redundant tissue. The scar does heal nicely and fades with time. Best wishes to you.

Kenneth Hughes, MD · Answer

Based on your pictures you seem to be a good candidate for an inferior buttock lift, consult with your PS to go over your options.

Daniel Barrett, MD · Answer

Dear eve1224,I understand your concern and it is quite normal to be concerned about the outcome following a liposuction. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

It is too soon to tell what your final results will be. You have swelling, which can last 3-6 months after your procedure. I recommend adding hyperbaric oxygen and lymphatic massage along with your compression to help decrease swelling. To improve your final results, I also recommend adding vanquish for further fat removal, exilis/venus legacy for skin tightening, cellutone/z wave to make the skin smooth, remove scar tissue, and improve the skin’s appearance. However, a VASER revision may be needed to get the most improvement. See an expert. Best, Dr. Emer

Johnson C. Lee, MD · Answer

Thank you for your photos. It appears that you still have moderate bruising and swelling in those areas. I would recommend waiting at least another 3 months to see the final results after the swelling resolves. Banana rolls can be hard to treat and often made worse with liposuction. Larger banana rolls are best treated with direct excision with the scar hidden within you natural buttock crease. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon
IG: @drjohnsonlee

David Azouz, MD, FACS, FRCS(C) · Answer

It does appear that you have extra skin and fat despite having liposuction.  Even this soon after surgery you should usually have a more contoured appearance to the banana roll.  This may because of excess skin or inadequate removal of fat.  Results after liposuction depend on the condition of the skin and the amount it can constrict after surgery.  A plastic surgeon can assess the area and determine what is causing the prominence of your banana roll.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and the simple answer is YES!  So go on some complimentary consultations with experts and compare recommendations after a full examination Dr Corbin

Manuel Belen, MD - Account Suspended · Answer

Hello,Thank you for sharing the information, it is a pleasure for me to answer your question. Definitely the most appropriate is to start ( liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat , you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a goodevaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help youMy best wishes for you...

Can my sagging butt and huge banana rolls be fixed? (Photos)

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