Large hematoma after fall on butt. Fat Necrosis / Scar Adhesions - is surgery necessary? (Photos)

Question

Fell on my butt about a year ago, developed a large hematoma, that has since resolved but unfortunately left behind fat necrosis & scar adhesion causing a slight indent/ahelf on my leftt buttock. Im self conscious aboutt it and my plastic surgeon is recommending a BBL to smooth it out. I've recently started working out, weights etc. My question is, is there a chance just building muscle will help make it less noticeable to where I could avoid surgery? I'd really like to use that money elsewhere, but want this to be better. Everyone else says you can't notice it, but obviously I do.

Ajaya Kashyap, MD · Answer

Thank you for your query. While fat injections are the best solution for your problem, a full BBL may not be required. Targeted fat injections just for the depressed area may suffice, making the cost much less. Also, there is no hurry especially if no one else notices it and you are in the process of working out and gaining muscle. All the best!

Daniel Barrett, MD · Answer

Dear squirrel92,

if you had fat necrosis, then you will probably need fat transfer. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Joel Patrick Maier, MD · Answer

I agree with your plastic surgeon that fat injection is the best way to help contour this area. Working out can help, but there will always be a lack of tissue thickness in the area of the injury so you would still need something done. Thank you.

George Marosan, MD · Answer

Thank you for your question and photos. Surgery is not necessary and a BBL will not fix it. You have a scar left over from the hematoma. I use the GoldIncision method to detach the scar and place biostimulators at the same time. This is a procedure done awake under local anesthesia. There's no cutting or visible scarring. Visit my website for more details.

Large hematoma after fall on butt. Fat Necrosis / Scar Adhesions - is surgery necessary? (Photos)

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Large hematoma after fall on butt. Fat Necrosis / Scar Adhesions - is surgery necessary? (Photos)

Answers (4)

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