Extra gluteal fold - how can I improve this area?:

A double fold, often called a banana roll, is a difficult area to fully correct. Improvements can be made, but you may always have some evidence of a depression a the smaller, higher fold. Some options that are nonsurgical include cool sculpting to reduce the fatty tissue between the creases, but this can be imprecise. Other options include fat removal with liposuction in the roll itself, combined with subcision - a procedure that releases any tethers from the muscle to the skin creating the second fold - and fat transfer. For severe double folds, a skin removal procedure combined with gluteal fold reconstruction may be necessary. Yours is somewhere in between and may be improved with liposuction and fat transfer with subcision.