Hello, I'm 56 and have large hollows on both sides of my bottom. Can anything be done to fill them?

Question

where my hip joints are, they look fine when just standing still. However they look unsightly when wearing a swimsuit and walking along the beach etc. I feel very concious of them. I'm quite slim, my waist is 31" and hips are around 40"Can these hollows be filled with surgery or is there anything else that can be done?

Kenneth Hughes, MD · Answer

I have had great success with fat grafting hollows or depressions.Try to research this to find the surgeon who consistently produces the 
results you would expect.  Look at reviews on this site and see who gets the surgery right every time.  Find
 a  board certified plastic surgeon who performs hundreds of Brazilian 
buttlifts each year.  Then look at the plastic surgeon's   
website before and after photo galleries to get a sense of who can   
deliver the results.  Kenneth Hughes, MDLos Angeles, CA

Shlomo Widder, MD · Answer

Dear Sue,   It would have been very helpful to see your pictures. If I understand you correctly, this is  quite common condition. There are 2 ways to improve on your situation : 1.  Fat injection, however, that does not last beyond 6 - 12 months as I have noticed in my surgery center on many patients who came for butt implants after they had disappointing fat injection to the butts by other surgeons.Think about it, if large amounts of fat injection would have been consistent and reliable, breast implants would have disappeared from the market... 2.  Butt implants. They do not disappear, however they have to be wide enough and be placed lateraly enough to fill up the sides depressions. Consult with board certified plastic surgeons who have lots of experience with butt implants surgery. Check their before and after pictures to make sure that they will be able to deliver your need, because there are different implants shapes and sizes and different surgical techniques.                 Best of luck,                                       Dr Widder

M. Mark Mofid, MD, FACS · Answer

There are two ways I recommend treating the indents in the buttocks.  If you carry a sufficient amount of fat on your body that can be harvested from other sites, such as the abdomen, flanks, inner thighs, then you may be a candidate for a fat grafting.  Targeted areas are liposuction and the collected fat is reinjected in the desired area.   If you do not have enough fat, then we recommend a buttock augmentation with silicone implants.  The best way to find out if you are a candidate for either procedure is to schedule a consultation with a plastic surgeon who specializes in buttock surgeries.

Aamod Rao, MD · Answer

The best treatment is liposculpting...that means liposuction with fat transfer.This is the safest way to correct the deformity you are talking off.Permanent fillers can also be used but we require a large volume hence its better to just use fat from your own body.Its a day care procedure and you can go home the very same day.

Jose Leon, MD · Answer

Hello, thank you for your question. Modern liposuction greatly involves fat transfer, as we surgeons have noticed it is an excellent natural filler, hence liposculpture tech niches where we take fat from where there's an excess and fill in wherever it's needed. I'm pretty sure you will get a wonderful result with this technic, provided you have enough fat to harvest. I would have to see some pictures of yourself in order to asses if this treatment option is right for you.

Hello, I'm 56 and have large hollows on both sides of my bottom. Can anything be done to fill them?

Answers (5)

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