Is there anything that can be done to even out the uneven creasing under my butt? (Photo)

Question

Butt Lift, lower butt, banana rolls,

J. Timothy Katzen, MD, FACS · Answer

Hello Stoney Harbor,
Thank you for your question regarding the uneven creasing under your buttocks and for sharing your pictures.
Based on the photos you provided, it appears that you have excess skin and a mild amount of excess fat in the upper inner posterior thigh area, commonly known as the 'banana roll'. This area is not technically part of your buttocks, but rather the back of your thighs. To address this, an upper thigh procedure would be the most effective solution.
The optimal treatment for the skin and fat in this area involves the surgical removal of both, achieved through an incision made underneath the buttocks. A crescent or banana-shaped area of skin and fat is excised from the upper back of the thigh, and the remaining skin flap is then advanced toward the buttocks.
This procedure is typically performed under general anesthesia and lasts about 3 to 4 hours. Drains are usually placed and kept in for approximately 10 days. You can expect a recovery period of about two weeks, during which wearing a compression garment for at least six weeks will be crucial to support healing and contouring.
Please consult with a board-certified plastic surgeon to discuss this procedure in detail and to understand all aspects of the surgery, including potential risks and the expected outcomes.
I hope this information helps you in considering your options to address the uneven creases under your buttocks. Wishing you the best on your journey to a more comfortable and confident you.
Sincerely,
Dr. Katzen

Karl William Schwarz, MD · Answer

You really can't liposuction in this area--it can lead to disastrous results. Plastic surgeons have not performed liposuction in the banana rolls for several decades but occasionally someone will come to my office to see if they can fix a banana roll area that was liposuctioned by a non-plastic surgeon and it is so shocking to see how badly it looks and it is virtually impossible to fix.

Randal Haworth, MD, FACS · Answer

Hello;

There is different options but Macroneedling Collagen Indiction Therapy (CIT) can help tremendously. You will need a few treatments.

Best of luck,

Randal Haworth

Ryan A. Stanton, MD · Answer

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss 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. 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.

Zoran Potparic, MD · Answer

In order to correct deformity of infragluteal crease, a combination of liposuction and pplacement of deep sutures may be required. This can be combined with a true buttock lift, if needed. Good luck.

Is there anything that can be done to even out the uneven creasing under my butt? (Photo)

Answers (8)

Answer: Lower buttock tuck for uneven creases under butt

Answer: Lower buttock tuck for uneven creases under butt

Answer: Correction of banana roles

Answer: Correction of banana roles

Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

Is there anything that can be done to even out the uneven creasing under my butt? (Photo)

Answers (8)

Answer: Lower buttock tuck for uneven creases under butt

Answer: Lower buttock tuck for uneven creases under butt

Answer: Correction of banana roles

Answer: Correction of banana roles

Browse related questions

Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.