Why Do I Have an Indent on my Upper Right Butt Cheek?

I have been very pleased with Sculptra as a way to fill out buttock indentations. I find that the procedure requires little to no downtime and is office based. I have done minor dimples to full buttock augmentations, albeit the latter is for people who want a modest augmentation and with little fat to donate. At times, if the indentation is associated with a scar, then subcision or a scar release may also be warranted.  The cause of these indentations can be trauma, previous surgery, steroid injections, or chronic pressure.

Indentation in the buttock area can be from trauma where you can get a bit of fat loss, or fat from the trauma can shift to an adjacent location, usually above the area of trauma. If that isn’t the case, an old intramuscular injection can create it. But usually there isn’t any other real reason to get a big indentation in the cheek area. But for treatment, options can include some fat transfer with liposuction of the surrounding area if the surround areas are more full, and fat transfer to mild indentation. This can be done with release of any scar tissue you may have in the underneath area. Second option is to have Sculptra injections to the area to gently lift up the depressed tissue.