Plastic Surgery: Q&A

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Lump and Indentation on Left Gluteus

7 wks. ago I feel down some slippery stairs and sustatined a nasty bruise on my left gluteus. The bruise completely heeled but I still went to the ER after about 2 wks after fall & the doctor said that it was a hematoma that could not be asperated because it had been over 48 hrs. She told me to apply heat using a hot water bottle and in 14 days it would be gone. It has been a month since the ER visit and I still have the lump & indentation but no pain. What could this be? Should I go back?

3 Doctor Answers | Asked by bmr3545 in Philadelphia, PA
+2

Dent after hematoma from trauma

AT 7 weeks, it is unlikely tha much can be done at this  point. After 3-4 months you could consider fat grafting to soften the appearance of the indentation.
+1

Buttock depression

If you sustained a hematoma secondary to trauma, usually they liquify in 2-3 weeks and can be aspirated.
+1

Buttock deformity

If it was a hematoma, this is probably the residual effect. The hematoma has either liquified into fluid that can be drained and this might leave a depression or it has organized into a solid mass. This a common result of a blunt trauma often with shearing of the subcutaneous plane.
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Comments (1)

Hello bmr3545 the exact thing happened to me in 2010 while I was on deployment in the Navy. I still have a hematoma on my left buttock. I am thinking about getting fat grafting to even my cheeks out. Let me know how your procedure goes

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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