Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Saddle Bag and Banana Roll Contouring to Frame the Buttock with Liposuction and/or CoolSculpting

Q. What is the best procedure for my saddle bags and banana roll? I have prominent saddle bags. I am not overweight and eat healthy and exercise. However, my saddle bags remain. I have tried everything and nothing seems to make them go away so I am opting for surgery. I do not know which procedure would be best, liposuction or coolsclupting or whichever?

A. Thanks for sharing your photos. You appear to have firm tissues and no “saddlebags”. Saddlebags are the redundant skin folds following stretched tissues along the outer thighs. You appear to have genetic or familial fullness of the outer thigh and hip; in the natural and expected areas surrounding the buttock.

You seem to be looking for a BBL (Brazilian Butt Lift) result without the need for fat grafting; ie “lipo-framing” your buttock. 

I agree that liposuction or CoolSculpting are your best options.

There are benefits and limitations to both.

  • CoolSculpting is limited in fat reduction to “up to 25%” fat loss of the area under the applicator. There is no surgery and you can return to all your activities right after the procedure sessions. You may easily return for a second session for more fat reduction and limited contouring.
  • Liposuction will leave you with surgical puncture-sized skin scars but better contour and reduce (up to 90%) the underlying fat and better “frame” the buttock. It is surgery and you will require a compression garment and may not submerge in water until the incision sites are healed. Your activities will be limited for several weeks.

Both will take 3 months to visualize your initial appearance.

In the summer-time, you may wish to begin with CoolSculpting to return to all your sunshine activities and then decide whether you wish for more CoolSculpting or more fat reduction / contouring with liposuction.

With both options, consult first with a talented and skillful, Board Certified Plastic Surgeon who does both so you will receive his/her best evaluation for the optimal procedure for you.

I wish you the best!


This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

Give us a call at  410.602.3322  or email and make an appointment soon. We’re located on Reservoir Circle just a block off the Baltimore beltway, convenient to greater Baltimore, Annapolis, the Eastern Shore, Southern Pennsylvania, Delaware and Carroll County.

« »