An Indented Scar From An Injection Can Be Improved

John LoMonaco, MD answers: Filler for atrophied butt caused Kenalog injection?

Hi! I have had an atrophy caused by a Kenalog shot in my left buttock. I am very upset and frightened about it. Do you think it will come back on its own? If I get it filled, which filler do you recommend?

I have heard lots of stories about Sculptra forming little lumps and iI don't want to look any worse, would collagen be best? Thank you for your time. I wish I had never had this done although I have had many over the years and this has never happened before.


John LoMonaco, MD
2 months ago

The condition is usually from fat necrosis, which is hardening and then shrinkage and scarring of the fat.  A dent results from this.

The first and best thing to do is massage the area....this can really help break up the scar tissue and smooth the area out.  

My preference  would be to use your own fat to fill in the defect and I would probably wait at least 6 months after the injection to do this.

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