Indent on butt 6 months after fall - how can I fix this? (Photos)

Question

I fell down the stairs 6 months ago pretty hard, landing on my right butt cheek. At first I had an huge bruise with swelling and lots of pain. When the bruise went away I noticed I had a dent which appeared to be the same shape as the corner of the stair(s) I landed on. I’ve been hopeful all this time that this dent would go away but it’s still there and I’m extremely self conscious about it. I currently don’t have any pain at all, no swelling or any other symptoms other than that unsightly dent. Will it ever go back to normal or what can I do to fix this? Plz help

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

I am sorry to hear of your misfortune. The traumatic pressure from the fall, and +/- the hematoma/bruise caused some permanent fat atrophy and fibrous scar tissue between the skin and muscle. Hence, this is unlikely to get much better from here. Fat transfer can be attempted first but if this fails, implants may be your only final but permanent option.

Please note, because an extremely few number of board certified plastic surgeons specialize in buttock and hip implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon.  Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

George Marosan, MD · Answer

Thank you for your question and photos. You developed scarring from the crush injury you suffered from your fall. You do not need surgery to fix this. I use the GoldIncision method to detach the adhesions/scarring internally and use biostimulators at the same time. Surgery or fat grafting into this scarred area will not work, might create more deformity. This procedure is done awake under local anesthesia only. No cutting, no scarring. Visit my website for further details.

Indent on butt 6 months after fall - how can I fix this? (Photos)

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