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Can the Serdev Suture Lift to Buttocks Improve Look of Banana Rolls?
I perform buttock enhancement operations commonly. Generally speaking, suture suspension techniques do not provide lasting correction. Banana rolls form when fat collects just above the gluteal crease, or when the skin loses tightness and the tissue sags, or both. A suture lift just repositions tissue without treating the fat or skin that caused the roll in the first place, so the stitches stretch and the fold comes back, often within months.
Other techniques like fat grafting or even skin excision when necessary will give you a safer, longer lasting result. At a consultation I pinch and press the area to see whether the tissue is soft and grabbable, which points to fat, or firmer and tethered, which points to a skin and support problem, and that exam guides which approach fits your body.
Clinical Context
Banana rolls form when fat accumulates just above the gluteal crease, when skin laxity lets tissue sag, or both. During an exam, a surgeon will pinch and press the area — soft, grabbable tissue suggests fat that can be treated with grafting or liposuction, while firmer, tethered tissue points more toward a skin and support issue. Age, weight change, and skin elasticity all influence which approach fits best. Suture lifts try to reposition tissue without treating the underlying cause, so results often loosen over time.
