Body10 min readUpdated September 21, 2026

Getting Rid of Banana Roll Fat

15-minute Patient Concierge call, no obligation. The consultation with Dr. Cat is $500, credited toward your surgery.

Dr. Cat Plastic Surgery Beverly Hills

Smoothing Out the Under-Buttock Area: Solutions for Banana Roll Fat Reduction

Squats, running, pilates, greens, Ozempic, you’ve tried it all. And still, those stubborn fat pockets under your booty (known as banana rolls) defy every effort. It’s easy to give up and assume that banana roll fat reduction just isn’t within reach.

You’re not alone. Even the leanest, most athletic women can struggle with these pesky fat rolls. That’s because under-buttock fat loss isn’t always possible with vigorous exercise and healthy diets.

At Dr. Cat Plastic Surgery, we know how hard it can be to achieve targeted fat loss. Some areas of chub, like those unrelished banana rolls, stubbornly resist change no matter how hard you try. The good news? You have surgical and non-surgical options to sculpt your derrière just the way you want it.

Today, we’re here to discuss potential solutions and help you find your ideal path to the smooth, contoured silhouette you’ve been striving for.

What is Banana Roll Fat?

Banana roll fat is the colloquial term for crescent-shaped rolls of fat that sometimes accumulate between the upper thighs and buttocks. These rolls can sometimes spill out of your underwear or shorts, causing insecurity or embarrassment. Banana roll fat develops due to a combination of factors including genetics, hormonal fluctuations, aging, and overall body composition. Some people are simply predisposed to storing excess fat in the area between the lower buttocks and upper thighs, regardless of how active they are or how clean their diet
is. As we age, skin elasticity decreases and fat distribution shifts, which can make these crescent-shaped pockets more pronounced. Weight gain and loss cycles can also contribute, as the body tends to deposit and retain fat unevenly. Even individuals at a healthy weight may notice banana rolls because this area is notoriously resistant to diet and exercise alone. As for why they form, banana rolls can make their appearance due to a number of factors, like:

  • Lifestyle: Lack of physical activity and poor diet can contribute to the accumulation of excess fat, including in the banana roll area.
  • Weight fluctuations: Significant weight gain or loss can lead to fat deposits in the banana roll area, as your skin may not retract completely afterward.
  • Genetics: Just like other physical features, your genetic predisposition can largely influence how and where fat is distributed in your body.
  • Hormones: Hormonal shifts, especially in women, can affect where fat is stored. Fluctuations during menstruation, pregnancy, or menopause increase fat in the thigh and buttock area.
  • Aging: As you age, your skin and tissues lose elasticity, leading to fat accumulation in certain areas, like the banana roll region.

Due to these potential underlying causes, exercises for banana roll fat and even strict diets don’t always work. Fortunately, those aren’t your only options.

How Banana Roll Fat Develops

Understanding why banana rolls form can help you choose the right treatment approach. Fat storage patterns are largely determined by genetics and hormones, particularly estrogen, which encourages fat deposition around the hips, thighs, and buttocks. This is why banana rolls are more common in women, though men can develop them too. Other contributing factors include a sedentary lifestyle, poor circulation in the lower body, and natural changes in skin laxity over time. Even after significant weight loss through diet, exercise, or medications like semaglutide, the under-buttock area often retains stubborn fat deposits. This happens because the fat cells in this region are particularly resistant to lipolysis, the metabolic process that breaks down stored fat for energy. That resistance is exactly what makes targeted treatments so appealing for people who have already tried everything else.

Diet and Exercise: Can They Help?

Let’s be real, a balanced diet and regular exercise are great for your overall health, but they have limits when it comes to spot-reducing banana rolls. You can’t target fat loss in one specific area through crunches, squats, or lunges alone. That said, maintaining a caloric deficit through whole foods, lean proteins, and plenty of vegetables can reduce your overall body fat percentage, which may slightly diminish the appearance of under-buttock fat. Exercises that strengthen the glutes and hamstrings, like hip thrusts, deadlifts, and step-ups, can improve muscle tone and create a smoother transition between the buttocks and thighs. Cardio activities such as running, cycling, and stair climbing also support fat loss. However, for most people dealing with pronounced banana rolls, lifestyle changes alone won’t fully resolve the issue. That’s where professional treatments come in, offering more precise and lasting results in this stubborn area.

Solutions for Under-Buttock Fat Loss

When it comes to effective banana roll fat reduction, you have both surgical and non-surgical solutions to consider.

Non-Surgical Fat Removal Treatments

Not too keen on going under the knife? No worries. Here are some ways to banish banana rolls sans surgery:

ThermiSmooth Body

During ThermiSmooth Body treatments, Dr. Cat emits radiofrequency energy to warm targeted areas and prompt cellular changes by increasing collagen production. By boosting collagen, which supports your skin’s structure and strength, you can naturally tighten the skin under the buttocks and improve the appearance of banana fat rolls.

The best part? It’s as relaxing as a soothing massage and yields results after your first treatment.

Cryolipolysis

Popularly known as "CoolSculpting," cryolipolysis involves freezing fat cells to break them down. A device cools fat cells under the skin to a temperature that destroys them. The body then naturally processes and eliminates these dead cells.

The catch? Dr. Cat doesn’t recommend cryolipolysis for banana rolls (or any other areas) due to potential complications like poor results or, worse, paradoxical adipose hyperplasia (when fat expands rather than shrinks).

Laser Lipolysis

With laser lipolysis, buttock fat is targeted and liquified with laser energy. Your provider places a thin fiber optic cable under the skin in your banana roll region. Through that cable, they transmit laser beams that heat the tissue and melt fat cells. They then suction out these melted fat cells, creating a more aesthetic, seamless profile.

Like Coolsculpting, laser lipo doesn’t always meet patients’ expectations. It carries various risks, like burning, scarring, color and texture irregularities, and even skin necrosis.

Diet and Exercise

While targeted fat loss from specific areas isn’t always possible, overall body fat loss can help improve specific spots, like banana rolls.

Here are some exercises for banana roll improvement:

  • Squats and lunges
  • Deadlifts
  • Glute bridges
  • Pilates
  • Cardio exercises

You’ll also want to consume an ideal diet for fat loss that focuses on:

  • Lean proteins
  • Fruits and veggies
  • Whole grains
  • Healthy fats
  • Hydration

While these methods show promise, they vary greatly from the dramatic effectiveness and transformative outcomes that come with surgery.

Banana Roll Fat Reduction Surgery Options

Got your sights set on a major, life-changing difference in your under-booty? Here are some procedures that deliver the most remarkable results:

Liposuction

Liposuction allows you to target fat in almost any part of your body that’s been resistant to diet and exercise. Through tiny incisions, Dr. Cat liposuctions banana roll fat out via a thin tube, allowing her to contour that area to align with your aesthetic goals.

You can expect a gorgeous outcome and a full recovery from liposuction within six to eight weeks.

Brazilian Butt Lift (BBL)

Wish you could repurpose that fat from lipo to plump up your backside? A Brazilian Butt Lift (BBL) allows you to do just that. This procedure combines liposuction with fat transfer to enhance your buttocks naturally, no foreign implants or injections necessary.

You’ll notice a difference immediately post-op, with full recovery after a month or so.

Thigh Lift

In a thigh lift procedure, Dr. Cat reshapes and tightens the inner and outer thighs by lifting the skin and repositioning it so it’s tighter and firmer. She then eliminates the excess, leaving you with smoother, more defined thighs.

You can expect full recovery from a thigh lift in about six weeks.

Body Contouring Success Stories

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How Banana Roll Procedures Are Done

The specific technique Dr. Cat uses depends on the severity of your banana rolls and your aesthetic goals. During a liposuction procedure targeting this area, small incisions are made in the natural crease beneath the buttock. A thin cannula is inserted to suction out excess fat cells, sculpting a smoother contour between the thigh and glute. For patients with both excess fat and loose skin, a combination approach may be recommended. This can involve liposuction paired with a skin excision, sometimes called a banana roll lift, where a small amount of redundant skin is removed and the remaining tissue is tightened. In cases where patients also want enhanced buttock volume, the harvested fat can be purified and transferred to the glutes as part of a Brazilian Butt Lift (BBL). Dr. Cat tailors each plan to the individual, ensuring results look natural and proportional to your frame.

What to Expect During Recovery

Recovery timelines vary depending on whether you choose a surgical or non-surgical route. Non-surgical treatments like CoolSculpting or ThermiSmooth typically involve minimal downtime, most patients return to normal activities within a day or two, though full results may take several weeks to appear as the body processes treated fat cells. Surgical procedures require more patience. After liposuction on the banana roll area, expect some swelling, bruising, and tenderness for the first one to two weeks. Most patients wear a compression garment for several weeks to support healing and help the skin conform to its new contour. Light walking is encouraged early on to promote circulation, but strenuous exercise should be avoided for about four to six weeks. Sitting for extended periods may also be uncomfortable initially. Dr. Cat provides detailed aftercare instructions during your consultation so you know exactly what
to plan for.

Surgical or Non-Surgical Banana Roll Fat Reduction: Which is Right for You?

Still debating which route is best for you? Here’s an overview of the benefits and potential drawbacks of surgical and non-surgical methods:

Benefits of Surgical Banana Roll Fat ReductionDrawbacks of Surgical Banana Roll Fat ReductionBenefits of Non-Surgical Banana Roll Fat ReductionDrawbacks of Non-Surgical Banana Roll Fat Reduction
Drastic, customizable resultsCost can be expensiveLower risk of complicationsLess dramatic results
Lasting changeRequires a longer recovery periodDoesn’t involve any downtimeRequires long-term commitment or multiple sessions
Full body contouringPotential for complicationsMore cost-effectiveChanges aren’t always permanent

Ultimately, your choice boils down to your lifestyle, budget, and the level of change you wish to achieve.

Results: What’s Realistic?

Setting realistic expectations is a big part of any body contouring journey. Non-surgical treatments can produce noticeable improvement, many patients see a visible reduction in under-buttock fullness after one to three sessions, but results tend to be more subtle compared to surgery. According to the American Society of Plastic Surgeons, liposuction remains one of the most commonly performed cosmetic procedures in the United States due to its ability to permanently remove targeted fat cells. Surgical banana roll reduction typically delivers more dramatic and long-lasting results. Once fat cells are removed through liposuction, they don’t regenerate. However, maintaining a stable weight is important because remaining fat cells in the area can still expand with significant weight gain. Many patients report feeling more confident in swimwear, fitted clothing, and activewear after treatment, finally seeing the smooth under-buttock contour they couldn’t achieve on their own.

Am I a Good Candidate?

The best candidates for banana roll treatment are individuals who are at or near their goal weight but struggle with localized fat deposits beneath the buttocks that won’t respond to diet and exercise. Good skin elasticity generally leads to better results, especially with liposuction, since the skin needs to retract smoothly after fat removal. During your consultation with Dr. Cat, she’ll evaluate your skin quality, the volume of fat present, and your overall body proportions. She’ll also discuss your goals and lifestyle to recommend the most appropriate approach, whether that’s a non-surgical option, liposuction, a combination procedure, or pairing banana roll treatment with other body contouring like a thigh lift or BBL. Patients should be in good general health, non-smokers (or willing to quit before and after surgery), and have realistic expectations about outcomes.

Frequently Asked Questions About Banana Roll Fat

What causes banana roll fat?
Banana roll fat is primarily caused by genetics, hormonal factors, and natural aging. Fat tends to accumulate between the lower buttocks and upper thighs in a crescent shape, and this area is especially resistant to diet and exercise. Weight fluctuations and decreased skin elasticity over time can make banana rolls more noticeable.
How long do banana roll fat reduction results last?
Surgical results are considered permanent because liposuction physically removes fat cells that don’t regenerate. However, significant weight gain can cause remaining fat cells to enlarge. Non-surgical treatments also destroy fat cells, but results are more gradual and may require multiple sessions for optimal improvement.
Can I combine banana roll treatment with other procedures?
Yes. Many patients combine banana roll fat removal with procedures like a Brazilian Butt Lift, thigh lift, or 360 liposuction for a more complete lower body transformation. During your consultation, Dr. Cat can recommend a personalized treatment plan based on your goals and anatomy.

Peel Away Self Doubt with Dr. Cat Plastic Surgery

Whether you choose surgical or non-surgical banana roll fat reduction, what matters most is how you feel in your own skin.

When you meet with Dr. Cat, she and her team will take the time to thoroughly assess your anatomy, lifestyle, goals, and budget. Their mission? To guide you towards a choice that empowers you to walk through life as the best version of you, both inside and out.

Banana rolls? It’s time to wave them goodbye. Banana daiquiris on the beach in your bikini? Bring it on with Dr. Cat Plastic Surgery.

Dr. Cat Begovic

About the author

Dr. Cat Begovic, MD, FACS

Board-certified plastic surgeon, trained in both head and neck surgery and plastic and reconstructive surgery. Harvard-educated, UCLA trained.

Dr. Cat Begovic is a board-certified plastic surgeon in Beverly Hills known for her gentle techniques, compassionate patient care, natural-looking results, and virtually painless recoveries. With Harvard and UCLA training, she brings world-class precision to every procedure she performs. Her articles come from her practice: the questions patients ask at consultations, answered with the prices and techniques in use today.

  • 17 years in private practice, 6 years of surgical training
  • Named one of the world's top 5 plastic surgeons by Chic Icon Magazine
  • Featured on E!'s Dr. 90210 and founder of the luxury skincare brand MD GLAM
  • Patients from all over the world

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