Which procedure can help me improve the shape of my butt and minimize indentation on the sides? (photos)

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

Buttock implants often provide the added feminine curves that many patients are looking for. However this is mostly only when viewing the postop result from the back side . When trying to achieve that “hour-glass” figure being viewed from the front side of the body, actual cosmetic hip implants need to be placed either at the same time or instead of buttock implants.

In general, cosmetic hip implants are the most reliable, predictable, and permanent option for filling in the hip dips and creating more of that feminine hourglass figure, whether slim or not. On the other hand, fat transfer to the hip area tends to survive quite poorly in most patients and thus produces only short term results (often less than 10-12 months). Injections/fillers such as Sculptra or hyaluronic acids are cost prohibitive (i.e. guaranteed to be the biggest waste of money of your entire lifetime), short lasting and possibly deadly with high volume injections. Others such as silicone/PMMA/hydrogels/etc are cheap but extremely dangerous and a personal commitment to a life of serious and sometimes deadly consequences. Typically hip implants are best custom designed and created for each individual patient’s anatomy. Because an extremely few number of board-certified plastic surgeons perform this procedure, make sure you seek consultation with a reputable and experienced cosmetic hip implant specialist. You may have to travel a long distance from home to find this particular surgeon. Glad to help.

Based on these photos, you are excellent candidate for liposuction and fat grafts. The purpose is to address only lateral buttock defficiency. In person consultation with a board certified plastic surgeon with significant experience in buttock and body contouring, is recommended. Good luck.

Him, thanks for your question and photos.
You are a candidate for Lipo and fat transfer to the buttocks or BBL. That can help you to eliminate fat deposits and shape your butt as you want. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!