Fat-dissolving injection (lipolysis)

Banana fold (lower buttock) with the fat-dissolving injection in Wolfsburg

The so-called banana fold is a small fat pad just beneath the buttock crease that makes the transition to the thigh look less firm. In Wolfsburg, physician Rafee El Kaddour uses the fat-dissolving injection (injection lipolysis) to assess honestly whether a clearly defined fat deposit is present, and points out openly that evidence for this small zone is limited. It is not a weight-loss tool, does not replace liposuction and cannot lift a descended buttock.

What is the banana fold and how is it treated?

The banana fold is a small fat pad below the buttock. An active solution is injected precisely into it to dissolve the fat cells there; the body breaks the material down over weeks. Only a small, clearly defined deposit with good skin tone is suitable – not a lax or descended buttock contour.

The banana fold is a very limited, anatomically delicate area. Evidence for injection lipolysis here is especially thin, as this zone is rarely studied separately. We therefore treat it only when a clearly palpable, small fat pad is present, and promise no particular result.

The honest distinction matters: if the area looks uneven mainly due to loose skin or an overall descended buttock, dissolving fat does not help – it could even make the contour appear slacker. In such cases the injection is not the right approach, and we openly advise against it.

Important legal note: in Germany, injection lipolysis is largely an off-label procedure. “Lemon Bottle” has no EU approval as a medicine or medical device, and there are no robust studies on its safety and efficacy. We explain this fully before treatment and treat only with your informed consent.

Usually two to four sessions a few weeks apart are needed. After each session, pronounced swelling around the buttock crease is normal and part of how it works; sitting may be uncomfortable in the first few days.

Procedure & duration

How the treatment works

  1. 01Free consultation and honest suitability check (small fat pad vs. skin laxity/descended buttock)
  2. 02Briefing on the off-label status, the lack of EU approval and the especially limited evidence for this zone
  3. 03Marking of the small banana fold beneath the buttock crease
  4. 04Several very fine injections into the defined fat deposit
  5. 05Duration: about 15–25 minutes per session; usually 2–4 sessions needed
Results & longevity

Results & longevity

Pronounced swelling around the buttock crease is normal after treatment and can last several days; sitting may be uncomfortable at first. First changes appear after a few weeks at the earliest, and the result builds over several sessions. Results are subtle, vary greatly between individuals and are not comparable to liposuction.

Results are individual and may vary. Before/after images show real treatments and are published only with the patient’s explicit consent.

Safety & guidance

Risks & side effects

Risks & side effects

  • Common and expected: pronounced swelling, pressure and tenderness at the buttock crease, often for several days; sitting may be uncomfortable.
  • Occasionally: bruising, firmness or nodules that resolve over weeks.
  • Rare: infection, palpable contour irregularities, temporary nerve irritation.
  • Limits of the method: especially limited evidence for this zone; no effect with skin laxity or a descended buttock; no guarantee of success.
  • Please contact us with severe swelling, fever, increasing pain or signs of infection.

Aftercare

  • Gentle cooling can ease the swelling at the buttock crease
  • Avoid prolonged sitting in the first few days if possible; drinking plenty and moving help the body clear the material
  • No intense sport, sauna or tanning for the first 24–48 hours
  • Swelling, a feeling of pressure and possible firmness for several days are normal

Who is it for?

Suitable only for a small, clearly defined fat pad of the banana fold at a normal body weight with good skin tone. Not suitable for skin laxity, a descended buttock or as a weight-loss method.

Every medical treatment carries risks. This information does not replace a personal medical consultation. In our free initial consultation we assess your individual suitability, the procedure and possible side effects.

Price

from €199

The exact price depends on individual scope and is discussed in the free consultation.

View pricing
FAQ

Frequently asked questions

Can the injection tighten or lift my buttock?

No. It only dissolves a small, defined fat pad and can neither tighten nor lift a descended buttock.

Why is the evidence so limited here?

The banana fold is a very small area, rarely studied separately. We therefore advise especially cautiously and honestly here.

Is “Lemon Bottle” approved for the lower buttock?

No. Injection lipolysis is largely off-label; “Lemon Bottle” has no EU approval. We brief you beforehand and treat only after consent.

Can I sit normally after treatment?

In the first few days sitting may be uncomfortable due to swelling. This is normal and usually subsides over a few days.

How many sessions do I need?

Usually two to four a few weeks apart. We cannot promise a particular result for this zone.

Free consultation

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