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

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!

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

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.

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.