I have butt dents even though I exercise, and seems to get worse with age. What can I do?

If you're experiencing the appearance of "butt dents" or dimples despite regular exercise, there are several potential causes, and addressing them may involve a combination of lifestyle changes, targeted exercises, and, in some cases, medical or cosmetic interventions. Here are some considerations:

Muscle Imbalances:

Cause: Muscle imbalances or weakness in the gluteal muscles can contribute to uneven contours.
Solution: Focus on targeted glute-strengthening exercises to improve muscle tone and symmetry. Include exercises such as squats, lunges, and glute bridges in your workout routine.
Loss of Skin Elasticity:

Cause: Aging and loss of skin elasticity can lead to the appearance of dents or dimples.
Solution: Maintain overall skin health through hydration, a balanced diet rich in vitamins and antioxidants, and use sunscreen to protect against sun damage. Topical treatments like retinoids may also help improve skin elasticity.
Subcutaneous Fat Distribution:

Cause: Uneven distribution of subcutaneous fat can contribute to irregular contours.
Solution: While spot reduction of fat is challenging, maintaining a healthy body weight through a balanced diet and regular exercise can contribute to overall fat loss. Strength training can help improve muscle tone.
Cellulite:

Cause: Cellulite, which is the appearance of dimples or lumps on the skin, can be influenced by factors such as genetics, hormones, and lifestyle.
Solution: Treatments like massage, topical creams, or professional procedures such as radiofrequency therapy or laser treatments may be considered to improve the appearance of cellulite.
Medical Procedures:

Options: Procedures like Sculptra injections or dermal fillers may be used to add volume and improve the contours. Consult with a qualified cosmetic surgeon to discuss these options.
Consultation with a Professional:

Recommendation: Schedule a consultation with a board-certified plastic surgeon or dermatologist who can assess your specific concerns, discuss potential causes, and provide personalized recommendations based on your anatomy and goals.
It's important to note that individual factors can vary, and the most appropriate approach will depend on the specific nature of your concerns. Always consult with qualified healthcare or cosmetic professionals to determine the best course of action for your unique situation.

A photograph would be extemely helpful, nonetheless based on my experience with other patients, my guess is your are indeed a good candidate for autologous (using your own) fat transfer to fill in these "dents".  Best of Luck...RAS

Fat injections to the buttocks are ideal to correct buttock irregularities. An added advantage is liposuction to obtain the fat, which is usually obtained from the back, flanks, or medial thighs.